2016 Itr4 PR3

S.
NO
Schedule Name
PART A - General
Nature Of Business
Part A - BS
Profit and Loss
Part A - OI
6
7
8
Quantitative Details
Part B - TI TTI
IT
9
10
11
12
13
TDS
Schedule S
House Property
BP
DPM - DOA
14
15
16
17
DEP_DCG
ESR
CG
OS
18
19
20
21
22
CYLA - BFLA
CFL
Unabsorbed Depreciation
ICDS
10A
23
24
25
80_
VI-A
80G
26
27
28
29
SPI - SI - IF
AMT
AMTC
EI
30
31
PTI
FSI
32
TR_FA
33
Sch 5A
34
AL
Assesment Year 2016-17

Schedules for filing Income Tax Return
Personal Info., Filing Status, Audit Info

NatureOfBusiness
PartA-BS
PartA-P & L
PartA -OI
PartA-QD
PartB-TI,PartB-TTI,Verification
Tax Payments
Tax Payments(TDS1, TDS2, TDS3)
Schedule S
Schedule HP
Schedule BP
Schedule DPM, Schedule DOA
Schedule DEP, Schedule DCG
Schedule ESR
Schedule CG
Schedule OS
Schedule CYLA, Schedule BFLA
ScheduleCFL
Schedule UD
Schedule ICDS
Schedule 10A, 10AA, 10B,10BA
Schedule80-IA,IB,IC
Schedule VIA
Schedule 80G
Schedule SPI, Schedule SI, Schedule IF

Schedule AMT
Schedule AMTC
Schedule EI
Schedule PTI
Schedule FSI
Schedule TR,Schedule FA
Schedule 5A
Schedule AL
Assesment Year 2016-17

Description
Click on applicable links to navigate to the respective sheet / schedule.
Details of Personal Information and filing status

Nature of business or profession, if more than one tradenames please specify upto 3 tradenames
BALANCE SHEET AS ON 31ST DAY OF MARCH, 2016(fill items 1 to 5 in a case where
regular books of accounts are maintained, otherwise fill item 6)
Profit and Loss Account for the previous year 2015-16(fill items 1 to 51 in a case where regular
books of accounts are maintained, otherwise fill item 52)
Other Information (optional in a case not liable for audit under section 44AB)
Quantitative details (optional in a case not liable for audit under section 44AB)
Computation of total income
Details of payments of Advance Tax and Self-Assessment Tax
Details of Tax Deducted at Source from SALARY, Details of Tax Collected at Source
Details of Salary
Details of Income from House Property
Computation of income from business or profession
Depreciation on Plant and Machinery , Depreciation on other assets
Summary of depreciation on assets, Deemed Capital Gains on sale of depreciable assets
Deduction under section 35
Capital Gains
Income from other sources
Details of Income after set-off of current years losses, Details of Income after Set off of Brought
Forward Losses of earlier years
Details of Losses to be carried forward to future Years
Unabsorbed depreciation and allowance under section 35(4)
Effect of Income Computation Disclosure Standards on profit
Deduction under section 10A, Deduction under section 10AA
Deductions under section 80-IA, Deductions under section 80-IB, Deductions under section 80IC
Deductions under Chapter VI-A
Details of donations entitled for deduction under section 80G
Income of specified persons(spouse, minor child etc) includable in income of the assessee ,
Income chargeable to Income tax at special rates IB, Information regarding partnership firms in
which you are partner
Computation of Alternate Minimum Tax payable under section 115JC
Computation of tax credit under section 115JD
Details of Exempt Income (Income not to be included in Total Income)
Pass Through Income details from business trust or investment fund as per section 115UA,
115UB
Details of Income from outside India and tax relief
Summary of tax relief claimed for taxes paid outside India, Schedule FA Details of foreign assets
Information regarding apportionment of income between spouses governed by Portuguese Civil
Code
Asset and Liability at the end of the year (other than those included in Part A BS)
Select Applicable sheets below

by choosing Y/N and click on
apply
Select Sheets to print and

click on apply
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Asse
FORM
INDIAN INCOME TAX RETURN

[For indls and HUFs having income from a proprietory business or profession]
ITR-4
PERSONAL INFORMATION
First Name
Middle Name
Last Name
PA
Flat / Door / Block No
Name of Premises / Building / Village
Status (I-Individual,H-H
(Select)
Road / Street / Post Office
Area / Locality
Date of birth (DD/MM/Y

(in case of individual)
Town/City/District
Email Address-1 (self)
State
(Select)
Email Address - 2
Mobile No 1
Whether original or revised return?

If revised, defective, Modified then Enter Receipt No
00/00/0000
Pin Code
Country
(Select)
(Std code)
Income Tax Ward/Circle
Residential/Office Phone
Mobile No-2
Return filed under Section

(Select)
(Select)
Date of filing of Original
Return
Notice No (Where the original return filed was defective and a notice is issued to the assessee to file
a fresh return Sec 139(9)
FILING STATUS
(Please see Rule 12 of the Income Tax-Rules,1962)

(Also see attached Instructions)
If filed, in response to a notice u/s 139(9)/

142(1)/ 148/ 153A/ 153C enter dt of such
notice, or u/s 92CD enter dt of advance pricing
agreement
Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of he Act?
(Select)
Residential Status
Whether you have Aadhaar Number?
(Select)
If Yes, then please provide your Aadhaar

Number
Are you governed by Portuguese Civil Code?
(Select)
FILING
Passport No. (Individual) (If available)
In case of non-resident, is there a permanent extablishment (PE) in India?
Whether this return is being filed by a representative assessee? If yes, please furnish following information
AUDIT INFORMATION
a
Name of the representative assessee
b
Address of the representative assessee
c
PAN of the representative assessee
Are you liable to maintain accounts as per section 44AA? (Select)
Are you liable for audit under section 44AB?
If liable for audit u/s 44AB, whether the accounts have been audited by an accountant? If yes, furnish the following information below
a
(Select)
(Select)
(Select)
Date of furnishing of the audit

(DD/MM/YYYY)
report.
b
Name of the auditor signing the tax audit report
c
Membership no.of the auditor
d
Name of the auditor (proprietorship/ firm)
e
Permanent Account Number (PAN) of the proprietorship/ firm
f
Date of audit report.
(DD/MM/YYYY)
Mention other Section Code in which liable to furnish a report and the Date of Furnishing the Report in dd/mm/yyyy format (if liable to furnish the report, date is compulsory) in the table b
S.NO
1
2
3
4
5
6
7
Section Code
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
Date DD/MM/YYYY
Assessment Year
2016 -17
PAN
Status (I-Individual,H-HUF)
(Select)
Date of birth (DD/MM/YYYY)
(in case of individual)
00/00/0000
Pin Code
Sex (Select)
(Select)
Employer Category
(Select)
Return filed under Section
(Select)
(Select)
(Select)
(Select)
/MM/YYYY)
/MM/YYYY)
mat (if liable to furnish the report, date is compulsory) in the table below .
NATURE OF BUSINESS
NATURE OF BUSINESS OR PROFESSION, IF MORE THAN ONE BUSINESS OR PROFESSION

INDICATE THE THREE MAIN ACTIVITIES/ PRODUCTS
S.No.
Code
[Please see instruction
No.7(i)]
(Select)
2
3
(Select)
(Select)
Trade name of the

proprietorship, if any
Trade name of the proprietorship, if any
Trade name of the

proprietorship, if any
Part A-BS
SOURCES OF FUNDS
3
4
1
BALANCE SHEET AS ON 31ST DAY OF MARCH, 2016 OF THE PROPRIETORY BUSINESS OR PROFESSION (fill items in a case
where regular books of accounts are maintained, otherwise fill item 6)
Proprietors fund
a Proprietors capital
b Reserves and Surplus
i
Revaluation Reserve
ii
Capital Reserve
iii Statutory Reserve
iv Any other Reserve
v
Total (bi + bii + biii + biv)
c Total proprietors fund (a + bv)
Loan funds
a Secured loans
i
Foreign Currency Loans
ii
Rupee Loans
A
From Banks
B
From others
C
Total ( iiA + iiB)
iii Total (ai + iiC)
b Unsecured loans (including deposits)
i
From Banks
ii
From others
iii Total (bi + bii)
c Total Loan Funds (aiii + biii)
Deferred tax liability
Sources of funds (1c + 2c +3)
Fixed assets
a Gross: Block
b Depreciation
c Net Block (a b)
d Capital work-in-progress
e Total (1c + 1d)
Investments
a Long-term investments
i
Government and other Securities - Quoted
ii
Government and other Securities Unquoted
iii Total (ai + aii)
b Short-Term investments
a
bi
bii
biii
biv
bv
1c
0
0
aiii
biii
2c
3
4
0
0
1e
aiii
ai
iiA
iiB
iiC
bi
bii
1a
1b
1c
1d
ai
aii
bi
i
APPLICATION OF FUNDS
Equity Shares, including share application money
ii
Preference Shares
iii Debenture
iv Total (bi + bii + biii)
c Total investments (aiii + biv)
Current assets, loans and advances
a Current assets
i
Inventories
A
Stores/consumables including packing
material
B
Raw materials
C
Stock-in-process
D
Finished Goods/Traded Goods
E
Total (iA + iB + iC + iD)
ii
Sundry Debtors
iii Cash and Bank Balances
A
Cash-in-hand
B
Balance with bank
C
Total (iiiA + iiiB)
iv Other Current Assets
v
Total current assets (iE + aii + iiiC + aiv)
b
Loans and advances

Advances recoverable in cash or in kind or for value to
i
be received
bii
biii
biv
2c
0
0
iE
aii
iiiC
aiv
av
biv
3c
0
0
iA
iB
iC
iD
iiiA
iiiB
bi
bii
ii
c
d
Deposits, loans and advances to corporates and others
iii Balance with Revenue Authorities

Total of current assets, loans and advances (av + biv)
Current liabilities and provisions
i
Current liabilities
A
Sundry Creditors
B
Liability for Leased Assets
C
Interest Accrued on above
D
Interest accrued but not due on loans
biii
iA
iB
iC
iD
ii
NO ACCOUNT
CASE
E
Provisions
A
B
C
Total (iA + iB + iC + iD)

Provision for Income Tax
Provision for Wealth Tax
Provision for Leave
encashment/Superannuation/Gratuity
iE
iiE
diii
3e
0
0
0
4d
5
0
0
iiA
iiB
iiC
D
Other Provisions
iiD
E
Total (iiA + iiB + iiC + iiD )
iii Total (iE + iiE)
e Net current assets (3c diii)
a Miscellaneous expenditure not written off or adjusted
4a
b Deferred tax asset
4b
c Profit and loss account / Accumulated balance
4c
d Total (4a + 4b + 4c)
Total, application of funds (1e + 2c + 3e +4d)
In a case where regular books of account of business or profession are not maintained -furnish the
following information as on 31st day of March, 2016, in respect of business or profession)
6
a
b
c
d
Amount of total sundry debtors

Amount of total sundry creditors
Amount of total stock-in-trade
Amount of the cash balance
6a
6b
6c
6d
Part A-P& L
1
Profit and Loss Account for the financial year 2015-16 (fill items 1 to 52 in a case where regular books of accounts are maintained, otherwise fill
item 53)
Revenue from operations
A
Sales/ Gross receipts of business (net of returns and refunds and duty or tax, if any
Sale of goods
i
i
ii Sale of Services
ii
iii
Other operating revenues (specify nature and

amount)
Nature
a
b
c
d
e
CREDITS TO PROFIT AND LOSS ACCOUNT
iiia
iiib
iiic
iiid
iiie
Total (iiia + iiib + iiic + iiid)

iv
Total (i + ii + iiie)
Duties, taxes and cess, received or receivable, in respect of goods and services sold or supplied
Union Excise duties

i
ii Service tax
iii VAT/ Sales tax
iv Any other duty, tax and cess
v Total (i+ii+iii+iv)
C Total Revenue from operations (Aiv + Bv)
Other income
i Rent
ii Commission
iii Dividend income
iv Interest income
v Profit on sale of fixed assets
vi
Amount
Profit on sale of investment being securities chargeable to Securities

Transaction Tax (STT)
vii Profit on sale of other investment

viii Profit on account of currency fluctuation
0
Aiv
Bv
1C
0
0
i
ii
iii
iv
i
ii
iii
iv
v
vi
vii
viii
CREDITS
ix
x
Agriculture income
Any other income (specify nature and amount)
ix
Nature
4
5
6
7
8
9
a
a
b
b
c
c
d
d
Total (xa + xb + xc + xd)
e
e
xi Total of other income (i + ii + iii + iv + v + vi + vii + viii + ix + xe)
Closing Stock
i Raw Material
i
ii Work - in - process
ii
iii Finished Goods
iii
Total (3i + 3ii + 3iii)
Total of credits to profit and loss account (1C + 2xi + 3iv)
Opening Stock
i Raw Material
i
ii Work - in - process
ii
iii Finished Goods
iii
Total (5i + 5ii + 5iii)
Purchases (net of refunds and duty or tax, if any)
Duties and taxes, paid or payable, in respect of goods and services purchased
i Custom duty
7i
ii Counter veiling duty
7ii
iii Special additional duty
7iii
iv Union excise duty
7iv
v Service tax
7v
vi VAT/ Sales tax
7vi
vii Any other tax, paid or payable
7vii
viii Total (7i+7ii+7iii+7iv+7v+7vi+7vii)
Freight
Consumption of stores and spare parts
Amount
0
2xi
3iv
4
0
0
5iv
6
7viii
8
9
10
11
Power and fuel

Rents
10
11
12
13
14
Repairs to building
Repairs to machinery
Compensation to employees
i Salaries and wages
ii Bonus
iii Reimbursement of medical expenses
iv Leave encashment
v Leave travel benefits
vi Contribution to approved superannuation fund
vii Contribution to recognised provident fund
viii Contribution to recognised gratuity fund
ix Contribution to any other fund
12
13
x
xi
xii
DEBITS TO PROFIT AND LOSS ACCOUNT
15
Any other benefit to employees in respect of which an expenditure

has been incurred
Total compensation to employees
(14i +14ii+14iii+14iv+14v+14vi+14vii+14viii+14ix+14x)
14x
Whether any compensation, included in 14xi, paid to

non-residents
xiia
If Yes, amount paid to non-residents

Insurance
i Medical Insurance
ii Life Insurance
iii
Keymans Insurance
iv
16
17
18
19
20
14i
14ii
14iii
14iv
14v
14vi
14vii
14viii
14ix
Other Insurance including factory, office, car, goods,etc.

v Total expenditure on insurance (15i+15ii+15iii+15iv)
Workmen and staff welfare expenses
Entertainment
Hospitality
Conference
Sales promotion including publicity (other than advertisement)
14xi
xiib
15i
15ii
15iii
15iv
15v
16
17
18
19
20
DEBITS TO PROFIT
21
22
Advertisement
Commission
23
Paid outside India, or paid in India to a non-resident other than a

company or a foreign company
ii To others
iii Total (i + ii)
Royalty
i
21
i
ii
22iii
22iii
24iii
25
26
27
28
29
30
31
32
33
34
35
24

ii To others
iii Total (i + ii)
Professional / Consultancy fees / Fee for technical services
i
25
26
27
28
29
30
31
32
33
34
35
36

ii To others
iii Total (i + ii)
Hotel , boarding and Lodging
Traveling expenses other than on foreign traveling
Foreign travelling expenses
Conveyance expenses
Telephone expenses
Guest House expenses
Club expenses
Festival celebration expenses
Scholarship
Gift
Donation
i
ii
i
ii
Rates and taxes, paid or payable to Government or any local body (excluding taxes on income)
i
ii
iii
iv
Union excise duty

Service tax
VAT/ Sales tax
Cess
36i
36ii
36iii
36iv
37
38
Any other rate, tax, duty or cess including STT and CTT
36v
vi Total rates and taxes paid or payable (36i+36ii+36iii+36iv+36v)

Audit fee
Other expenses (Specify nature and amount)
Nature
39
36vi
37
38
39iv
40
41
Amount
a
a
b
b
c
c
d
d
Total
e
Bad debts (specify PAN of the person, if available, for whom Bad Debt for amount
of Rs. 1 lakh or more is claimed and amount)
PAN
Amount
PAN
PAN
PAN
PAN
PAN
PAN
PAN
ii
40
41
42
43
Others (more than Rs. 1 lakh) where PAN is not available
iii Others (amounts less than Rs. 1 lakh)

iv Total Bad Debt (39i (All PAN) + 39ii + 39iii)
Provision for bad and doubtful debts
Other provisions
ii
iii
Profit before interest, depreciation and taxes [4 (5iv + 6 + 7viii + 8 to 13 + 14xi + 15v + 16 to 21 + 22iii + 23iii +
24iii + 25 to 35 + 36vi + 37 + 38 + 39iv + 40 + 41)]
Interest
i
ii
iii

To others
Total (i + ii)
42
i
ii
43iii
PROVISIONS
FOR TAX AND
APPROPRIATION
S
NO ACCOUNT
CASE
44
45
46
47
48
49
50
51
52
Depreciation and amortization

Profit before taxes (42 43iii 44)
Provision for current tax
Provision for Deferred Tax and deferred Liability
Profit after tax (45 46 47)
Balance brought forward from previous year
Amount available for appropriation (48 + 49)
Transferred to reserves and surplus
Balance carried to balance sheet in proprietors account (50 51)
53
In a case where regular books of account of business or profession are not maintained, furnish the following
information for previous year 2015-16 in respect of business or profession
a
b
c
d
Gross receipts
Gross profit
Expenses
Net profit
44
45
46
47
48
49
50
51
52
53a
53b
53c
53d
0
0
0
Part A- OI
1
2
3
4
Other Information (optional in a case not liable for audit under section 44AB)
Method of accounting employed in the previous year
Is there any change in method of accounting
Effect on the profit because of deviation, if any, as per Income Computation Disclosure Standards notified under section 145(2) [column
11(iii) of Schedule ICDS]
Method of valuation of closing stock employed in the previous year
a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)
Mercantile
No
4a
(Select)
Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)
4b
(Select)
c
d
Is there any change in stock valuation method (Select)

Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A
4c
4d
No
Amounts not credited to the profit and loss account, being

a the items falling within the scope of section 28
b The proforma credits, drawbacks, refund of duty of customs or excise or service tax, or refund of
sales tax or value added tax, where such credits, drawbacks or refunds are admitted as due by the
authorities concerned
c
1
2
3
escalation claims accepted during the previous year
5a
5b
5c
d Any other item of income

5d
e Capital receipt, if any
5e
f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e)
Amounts debited to the profit and loss account, to the extent disallowable under section 36 due to non-fulfilment of conditions specified in
relevant clauses:a
Premium paid for insurance against risk of damage or destruction of stocks or store [36(1)(i)]
6a
b
c
Premium paid for insurance on the health of employees [36(1)(ib)]

Any sum paid to an employee as bonus or commission for services rendered, where such sum was
otherwise payable to him as profits or dividend. [36(1)(ii)]
6b
6c
d
e
f
g
h
Any amount of interest paid in respect of borrowed capital [36(1)(iii)]

Amount of discount on a zero-coupon bond [36(1)(iiia)]
Amount of contributions to a recognised provident fund [36(1)(iv)]
Amount of contributions to an approved superannuation fund [36(1)(iv)]
Amount of contribution to a pension scheme referred to in section 80CCD [36(1)(iva)]
6d
6e
6f
6g
6h
5f
i
j
k
Amount of contributions to an approved gratuity [36(1)(v)]

Amount of contributions to any other fund
Any sum received from employees as contribution to any provident fund or superannuation fund
or any fund set up under ESI Act or any other fund for the welfare of employees to the extent not
credited to the employees account on or before the due date [36(1)(va)]
6i
6j
6k
l
m
n
o
Amount of bad and doubtful debts [36(1)(vii)]

Provision for bad and doubtful debts [36(1)(viia)]
Amount transferred to any special reserve [36(1)(viii)]
Expenditure for the purposes of promoting family planning amongst employees [36(1)(ix)]
6l
6m
6n
6o
Amount of securities transaction paid in respect of transaction in securities if such income is not
included in business income [36(1)(xv)]
q Any other disallowance
r Total amount disallowable under section 36 (total of 6a to 6q)
Amounts debited to the profit and loss account, to the extent disallowable under section 37
a Expenditure of capital nature [37(1)]
b Expenditure of personal nature [37(1)]
6p
OTHER INFORMATION
6q
Expenditure laid out or expended wholly and exclusively NOT for the purpose of business or
profession [37(1)]
Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published
by a political party [37(2B)]
7d
Expenditure by way of penalty or fine for violation of any law for the time being in force
7e
f
g
Any other penalty or fine

Expenditure incurred for any purpose which is an offence or which is prohibited by law;
7f
7g
h
i
j
A
Amount of any liability of a contingent nature

Any other amount not allowable under section 37
Total amount disallowable under section 37(total of 7a to 7i)
Amounts debited to the profit and loss account, to the extent disallowable under section 40
a Amount disallowable under section 40 (a)(i), on account of non-compliance with the
provisions of Chapter XVII-B
7h
7i
Amount disallowable under section 40(a)(ia) on account of non-compliance with the

7j
7a
7b
7c
6r
Aa
Ab
OTHER INF
c
d
e
f
Amount disallowable under section 40(a)(iii) on account of non-compliance with the

Amount of tax or rate levied or assessed on the basis of profits [40(a)(ii)]
Amount paid as wealth tax [40(a)(iia)]
Amount paid by way of royalty, license fee, service fee etc. as per section 40(a)(iib)
Ac
Ad
Ae
Af
B
9
Amount of interest, salary, bonus, commission or remuneration paid to any partner or

Ag
member [40(b)]
h Any other disallowance
Ah
i Total amount disallowable under section 40(total of Aa to Ah)
Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year
Amounts debited to the profit and loss account, to the extent disallowable under section 40A
a Amounts paid to persons specified in section 40A(2)(b)
b
Amount in excess of twenty thousand rupees paid to a person in a day otherwise than by account
payee cheque or account payee bank draft under section 40A(3) 100% disallowable
c
d
Provision for payment of gratuity [40A(7)]

any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust,
company, AOP, or BOI or society or any other institution;[40A(9)]
8Ai
8B
9a
9b
9c
9d
e Any other disallowance

9e
f Total amount disallowable under section 40A (Total of 9a to 9e)
10 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year
a
b
Any sum in the nature of tax, duty, cess or fee under any law
Any sum payable by way of contribution to any provident fund or superannuation fund or
gratuity fund or any other fund for the welfare of employees
10a
10b
Any sum payable to an employee as bonus or commission for services rendered
10c
Any sum payable as interest on any loan or borrowing from any public financial institution or a
State financial corporation or a State Industrial investment corporation
10d
Any sum payable as interest on any loan or borrowing from any scheduled bank
10e
9f
f Any sum payable towards leave encashment

10f
g Total amount allowable under section 43B (total of 10a to 10f)
11 Any amount debited to profit and loss account of the previous year but disallowable under section 43B:a Any sum in the nature of tax, duty, cess or fee under any law
11a
b Any sum payable by way of contribution to any provident fund or superannuation fund or
11b
gratuity fund or any other fund for the welfare of employees
c
Any sum payable to an employee as bonus or commission for services rendered
11c
Any sum payable as interest on any loan or borrowing from any public financial institution or a
State financial corporation or a State Industrial investment corporation
11d
Any sum payable as interest on any loan or borrowing from any scheduled bank
11e
f Any sum payable towards leave encashment

11f
g Total amount disallowable under Section 43B(total of 11a to 11f)
12 Amount of credit outstanding in the accounts in respect of
a Union Excise Duty
12a
b Service tax
12b
c VAT/sales tax
12c
d Any other tax
12d
e Total amount outstanding (total of 12a to 12d)
13 Amounts deemed to be profits and gains under section 33AB or 33ABA
14 Any amount of profit chargeable to tax under section 41
15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net)
10g
11g
12e
13
14
15
Quantitative details (optional in a case not liable for audit under section 44AB) (Note : Numeric values not filled will default to zero)
Part A QD
(a) In the case of a trading concern
Item Name
Unit
Opening stock
2
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
Purchase during the

previous year
4
Sales Qty
Closing stock
Shortage/ excess, if
any
9
(b) In the case of a manufacturing concern - Raw Materials

Item Name
Unit of measure
Opening stock
Purchase during the

previous year
Consumption during
the previous year
Sales during the

previous year
Closing stock
Yield Finished Products
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(C) In the case of a manufacturing concern -Finished Products/By-products

Item Name
Unit
Opening stock
Purchase during the

previous year
Finished goods
manufactured
Sales during the

previous year
Closing stock
Shortage/ excess, if any
2
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
%age of yield
Shortage/
excess, if any
10
Computation of total income PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NO
The Income figures below will get filled up when the Schedules linked to them are filled.
Salaries (7 of Schedule S)
1
Income from house property (C of Schedule-HP) (enter nil if loss)
2
Profits and gains from business or profession
i Profit and gains from business other than speculative business and specified business
3i
0
(A37 of Schedule-BP) (enter nil if loss)
ii Profit and gains from speculative business (B41 of Schedule BP) (enter nil if loss and take
3ii
0
the figure to schedule CFL)
iii Profit and gains from specified business (C47 of Schedule BP) (enter nil if loss and take
3iii
0
the figure to schedule CFL)
iv Total (3i + 3ii + 3iii) (enter nil if 3iv is a loss)
3iv
Capital gains
a Short term
i Short-term chargeable @ 15% (7ii of item E of schedule CG)
4ai
0
ii Short-term chargeable @ 30% (7iii of item E of schedule CG)
4aii
0
iii Short-term chargeable at applicable rate (7iv of item E of schedule CG)
4aiii
0
Part B - TI
TOTAL INCOME
1
2
3
6
7
8
9
iv Total short-term (4ai + 4aii + 4aiii)

4aiv
0
b Long term
i Long-term chargeable @ 10% (7v of item E of schedule CG)
4bi
0
ii Long-term chargeable @ 20% (7vi of item E of schedule CG)
4bii
0
iii Total Long-Term (4b(i) + 4b(ii)) (enter nil if loss)
4biii
0
c Total capital gains (4aiv + 4biii) (take the figure adjusted to Schedule CYLA)(In case of negative figure enter nil and take the figure under respective head
to schedule CFL)
Income from other sources
a from sources other than from owning race horses and income chargeable to tax at special
5a
0
rate ( 1i of Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rate (1fiv of Schedule OS)
5b
0
c from the activity of owning and maintaining race horses (3c of Schedule OS) (enter nil if
5c
0
loss)
Total (1 + 2 + 3iv +4c +5d)
Losses of current year to be set off against 6 (total of 2xii,3xii and 4xii of Schedule CYLA)
Balance after set off current year losses (6 7) (total of column 5 of Schedule CYLA+5b)
Brought forward losses to be set off against 8 (total of 2xiii, 3xiii and 4xiii of Schedule BFLA)
4c
5d
6
7
8
9
10
11
12
13
Gross Total income (8-9) (5xiv of Schedule BFLA+ 5b)

Income chargeable to tax at special rate under section 111A, 112 etc. included in 10
Deduction u/s 10A or 10AA (c of Sch. 10A + c of Sch. 10AA)
a Part-B, CA and D of Chapter VI-A [(1 + 3) of Schedule VI-A and limited upto (10-11)
b Part-C of Chapter VI-A [(2 of Schedule VI-A and limited upto (10-11-3iii)
14
15
16
17
18
Part B - TTI
1
COMPUTATION OF TAX LIABILITY
3
4
5
6
10
11
12
a
c Total (13a + 13b) [limited upto (10-11)]

Total income (10 - 12 - 13c)
Income which is included in 14 and chargeable to tax at special rates (total of (i) of schedule SI)
Net agricultural income/ any other income for rate purpose (4 of Schedule EI)
Aggregate income (14-15+16) [applicable if (14-15) exceeds maximum amount not chargeable to tax]
Losses of current year to be carried forward (total of row xi of Schedule CFL)
13c
14
15
16
17
18
Computation of tax liability on total income

a Tax payable on deemed total income under section 115JC (4 of Schedule AMT)
b Surcharge on (a) (applicable if 3 of schedule AMT exceeds 1 crore)
c Education Cess, including secondary and higher education cess on (1a+1b) above
d Total Tax Payable on deemed total income (1a+1b+1c)
Tax payable on total income
a Tax at normal rates on 17 of Part B-TI
2a
b Tax at special rates (total of (ii) of Schedule-SI)
2b
Rebate on agricultural income [applicable if (14-15) of Part B-TI exceeds maximum
2c
c
amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b-2c)
e Rebate under section 87A (applicable if 14 of Part B-TI does not exceed 5 lakh)
f Tax payable after rebate (2d 2e)
g Surcharge on 2f (applicable if 14 of Part B-TI exceeds 1 crore
h Education cess, including secondary and higher education cess on (2f + 2g)
i Gross tax liability (2f + 2g + 2h)
Gross tax payable (higher of 1d and 2i)
Credit under section 115JD of tax paid in earlier years (applicable if 2i is more than 1d) (5 of Schedule AMTC)
Tax payable after credit under section 115JD (3 - 4)
Tax relief
a Section 89
6a
b Section 90/ 90A ( 2 of Schedule TR)
6b
1a
1b
1c
1d
0
#VALUE!
0
2d
2e
2f
2g
2h
2i
3
4
5
COMPUTAT
TAXES PAID
7
8
9
10
11
12
13
c Section 91 ( 3 of Schedule TR)

6c
0
Net tax liability (5 6d) (Enter 0 if negative)
Interest payable
a For default in furnishing the return (section 234A)
8a
0
b For default in payment of advance tax (section 234B)
8b
0
c For deferment of advance tax (section 234C)
8c
0
d Total Interest Payable (8a+8b+8c)
Aggregate liability (7 + 8d)
Taxes Paid
a Advance Tax (from column 5 of 18A )
10a
0
b TDS (total of column 5 of 18B and column 8 of 18C)
10b
0
c TCS (column 7 of 18D)
10c
0
d Self-Assessment Tax (from column 5 of 18A)
10d
0
e Total Taxes Paid (10a+10b+10c + 10d)
Amount payable (Enter if 9 is greater than 10e, else enter 0)
Refund (If 10e is greater than 9)
Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts). Provide the details below.
a. Bank Account in which refund, if any, shall be credited
Sl.No IFS Code of the
Name of the Bank
Bank
1
b. Other Bank account details
Sl.No IFS Code of the
Bank
2
3
Name of the Bank
Account Number
Type of Account
(Select)
Account Number
Type of Account
(Select)
(Select)
6d
7
8d
9
10e
11
12
14
Do you at any time during the previous year,(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or
(ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India?
[applicable only in case of a resident]
[Ensure Schedule FA is filled up if the answer is Yes ]
14
VERIFICATION
I, (full name in block letters),

son/ daughter of
solemnly declare that to the best of my knowledge and belief, the information given in the return and schedules thereto is correct and complete and that the amount of total income and other particul
stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year 2016-17.
Place
PAN
16
Sign here
(Date)
If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP
Name of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof
Counter Signature of TRP
17
HITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex :
d.
0
0
0
0
0
0
0
0
0
0
0
0
#VALUE!
0
#VALUE!
0
0
0
0
0
#VALUE!
#VALUE!
#VALUE!
0
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
0
#VALUE!
0
#VALUE!
0
#VALUE!
#VALUE!
and complete and that the amount of total income and other particulars shown therein are truly
he previous year relevant to the Assessment Year 2016-17.
18A
Tax Payments
A
Details of payments of Advance Tax and Self-Assessment Tax

SI NO
BSR Code
Must be filled to include the
payment in the Total
Date of Deposit
(DD/MM/YYYY)
Serial Number of
Challan
1
1
2
3
4
Total
Note
Enter the totals of Advance tax and Self-Assessment tax in Sl No. 10a & 10d of Part B-TTI
Amount (Rs)
4
10a & 10d of Part B-TTI
18B
Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]
Tax Deduction Account
Number (TAN) of the
Deductor
Sl No
2
If no entry is made in this column,
then columns (3) to (5) will not be
considered for that row
Name of Employer
Income chargeable
under Salaries
Total tax
deducted
1
2
3
4
Total
18C1 Details of Tax Deducted at Source on Income [As per FORM 16 A issued by Deductor(s)]
Tax Deduction Account
Number (TAN) of the
Deductor
Sl No
1
2
3
2
Name of Deductor
Unique TDS
Certificate Number
Unclaimed TDS
brought forward (b/f)
Financial Year in which TDS

is deducted
5
(Select)
(Select)
(Select)
Amount b/f
6
TDS Of Current Fin Year
(Select)
Total
18D
Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
SI.No
Tax Deduction and Tax

Collection Account Number of
the collector
(1)
(2)
If no entry is made in this
column, then columns (3) to (5)
will not be considered for that
row
Name of the Collector
(3)
Unclaimed TCS brought forward (b/f)
Fin. Year in which

collected
(4)
1
2
3
4
TCS of the current

Fin. Year
Amount out of (6) being claimed

this Year (only if corresponding
income is being offered for tax
this year)
(6)
(7)
Unclaimed TCS Brought

Forward
(5)
(Select)
(Select)
(Select)
(Select)
Total
18C2 Details of Tax Deducted at Source (TDS) on Sale of Immovable Property u/s 194IA (For seller of property) or Form 26QB]
Sl
No
PAN of the buyer
Name of the buyer
Unique TDS
Certificate Number
Unclaimed TDS
brought forward (b/f)
TDS of the current fin. Year
2
1
2
3
4
Financial Year in which TDS

is deducted
5
(Select)
(Select)
(Select)
(Select)
Total
Amount b/f
6
Amount out of (6) or

Amount out of (6) or (7) being claimed this Year (only if
(7) being carried
corresponding income is being offered for tax this year)
forward
In own hands
8
In the hands of
spouse, if section 5A
is applicable
9
10
0
0
0
Amount out of (5) or (6) being

carried forwared
(8)
0
0
0
0
Amount out of (6) or (7) being claimed this Year (only if

corresponding income is being offered for tax this year) Amount out of (6) or
(7) being carried
forward
In the hands of
spouse, if section 5A
is applicable
9
In own hands
8
10
0
0
0
0
Schedule S
Details of Income from Salary (Fields marked in RED must not be left Blank. Empty numeric values treated as
Name of Employer
Address of employer
State
(Select)
1
Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown se
2
3
4
5
6
7
Allowances exempt under section 10 (Not to be included in 7 below)

i
Travel concession/assistance received [(sec. 10(5)]
ii Tax paid by employer on non-monetary perquisite [(sec. 10(10CC)]
iii Allowance to meet expenditure incurred on house rent [(sec. 10(13A)]
iv Other allowances
Allowances not exempt (refer Form 16 from employer)
Value of perquisites (refer Form 16 from employer)
Profits in lieu of salary (refer Form 16 from employer)
Deduction u/s 16 (Entertainment allowance by Government and tax on employment)
Income chargeable under the Head Salaries (1+3+4+5-6)
numeric values treated as zeroes)

PAN of Employer (optional)
Town/City
salary as they are shown separately below)
Pin code
1
i
ii
iii
iv
3
4
5
6
7
Total
0
0
SCH HP
Details of Income from House Property (Fields marked in RED must not be left Blank)
ADDRESS OF PROPERTY (NOTE :
DO NOT LEAVE ADDRESS BLANK )
Town/ City
State
(Select)
Is the property co-owned?
S.No
(Select)
Your percentage of share in the

property.
NAME OF CO-OWNER (TO ADD MORE COOWNERS,

PLEASE CLICK ON "ADD COOWNERS" BUTTON AT THE BOTTOM
PAN of Co-owner
1
2
3
4
5
6
7
(Select)
Type Of House Property?

S.No
Name(s) of Tenant
PAN(s) of Tenant (optional)
1
2
3
a
Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let out for part of the year)
b
c
d
e
f
g
h
The amount of rent which cannot be realized

Tax paid to local authorities
Total (b + c)
Annual value (a d) (nil, if self -occupied etc. as per section 23(2)of the Act)
Annual value of the property owned (own percentage share x e)
30% of f
Interest payable on borrowed capital
Cannot exceed 2 lacs if not let

out
i
j
Total (g + h)
Income from house property (f i)
ADDRESS OF PROPERTY (NOTE :
DO NOT LEAVE ADDRESS BLANK )
Town/ City
State
(Select)
Is the property co-owned?

S.No
(Select)
Your percentage of share in the

property.
NAME OF CO-OWNER (TO ADD MORE COOWNERS,

PLEASE CLICK ON "ADD COOWNERS" BUTTON AT THE BOTTOM
PAN of Co-owner
1
2
3
4
5
6
7
(Select)
Type Of House Property?

S.No
Name(s) of Tenant
PAN(s) of Tenant (optional)
1
2
3
a
Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let out for part of the year)
b
c
d
e
f
g
h
The amount of rent which cannot be realized

Tax paid to local authorities
Total (b + c)
Annual value (a d) (nil, if self -occupied etc. as per section 23(2)of the Act)
Annual value of the property owned (own percentage share x e)
30% of f
Interest payable on borrowed capital
Cannot exceed 2 lacs if not let

out
i Total (g + h)
j Income from house property (f i)
Income under the head Income from house property
A Rent of earlier years realized under section 25A/AA
B Arrears of rent received during the year under section 25B after deducting 30%
C Total (1j + 2j + 3a + 3b ) (if negative take the figure to 2i of schedule CYLA)
PIN Code
0.00
Percentage Share in
Property
wer of the two if let out for part of the year)
0
e
f
0
0
0
i
j
0
0
PIN Code
0.00
Percentage Share in
Property
wer of the two if let out for part of the year)
0
e
f
0
0
0
i
j
0
0
A
B
C
Schedule BP
A
Computation of income from business or profession

From business or profession other than speculative business or specified business
1
Profit before tax as per profit and loss account (item 45 and 53d of Part A-P&L)
2a Net profit or loss from speculative business included in 1 (Enter -ve sign in 2a
case of loss)
2b Net profit or Loss from Specified Business u/s 35AD included in 1 (enter
2b
ve sign in case of loss)
3
Income/ receipts credited to profit and loss account considered under other heads of income
a Salary
b House Propery
c Capital Gains
d Other Sources
Profit or loss included in 1, which is referred to in Section . 44AD/
44AE/44B/ 44BB/ 44BBA/ 44BBB/ 44D/ 44DA Chapter-XII-G/ First
Schedule of Income Tax Act
3a
3b
3c
3d
4
Income credited to Profit and Loss account (included in 1) which is exempt, in point(d)
a share of income from firm(s)
5a
b Share of income from AOP/ BOI
5b
c Any other exempt income
Amount
NAME
i
ii
iii
i
ii
iii
0
0
Total (ci + cii + ciii)

5c
d Total exempt income (5a+5b+5c)
5d
Balance (1 2a 2b - 3a -3b -3c -3d 4 5d)
Expenses debited to profit and loss account considered under other heads of income
a Salary
7a
b House Propery
7b
c Capital Gains
7c
d Other Sources
7d
Expenses debited to profit and loss account which relate to exempt income
8
Total (7a + 7b + 7c + 7d + 8)
6
7
10
11
12
13
14
15
FROM BUSINESS OR PROFESSION
16
Adjusted profit or loss (6+9)

Depreciation and amoritisation debited to profit and loss account
Depreciation allowable under Income-tax Act
i
Depreciation allowable under section 32(1)(ii) and 32(1)(iia) (item 6
of Schedule-DEP)
ii Depreciation allowable under section 32(1)(i) (Make your own
computation refer Appendix IA of IncomeTax Rules)
iii Total (12i + 12ii)
Profit or loss after adjustment for depreciation (10 +11 - 12iii)
Amounts debited to the profit and loss account, to the extent disallowable
under section 36 (6r of Part-OI)
under section 37 (7j of Part-OI)
under section 40 (8Ai of Part-OI)
12i
10
11
0
0
12iii
13
0
0
25
12ii
14
15
16
17
under section 40A (9f of Part-OI)
17
18
Any amount debited to profit and loss account of the previous year but
disallowable under section 43B (11g of Part-OI)
18
19
Interest disallowable under section 23 of the Micro, Small and Medium

Enterprises Development Act,2006
19
20
21
Deemed income under section 41

Deemed income under section
32AD/33AB/33ABA/35ABB/40A(3A)/72A/80HHD/80-IA
20
21
22
23
Deemed income under section 43CA

Any other item or items of addition under section 28 to 44DA
22
23
24
Any other income not included in profit and loss account/any other
expense not allowable (including income from salaary, commission, bonus
and interest from firms in which an individual/ HUF/ Prop. concern is a
partner)
24
25
26
Total (14 + 15 +16 +17 +18 +19 + 20 +21 + 22 + 23 + 24)

Deduction allowable under section 32(1)(iii)
26
INCOME FROM BUSINESS OR P
27
28
Deduction allowable under section 32AD

Amount of deduction under section 35 or 35CCC or 35CCD in excess of
the amount debited to profit and loss account (item X(4) of Schedule ESR)
(if amount deductible under section 35 or 35CCC or 35CCD is lower than
amount debited to P&L account, it will go to item 24)
27
28
29
Any amount disallowed under section 40 in any preceding previous year

but allowable during the previous year(8Bof Part-OI)
29
30
Any amount disallowed under section 43B in any preceding previous year
but allowable during the previous year(10g of Part-OI)
30
31
Deduction under section 35AC

a Amount, if any, debited to profit and loss account
b Amount allowable as deduction
c Excess amount allowable as deduction (31b 31a)
Any other amount allowable as deduction
Total (26 + 27+ 28 +29 +30+31c + 32)
Income (13 + 25 33)
Profits and gains of business or profession deemed to be under i
Section 44AD
ii Section 44AE
iii Section 44B
iv Section 44BB
v Section 44BBA
vi Section 44BBB
vii Section 44D
viii Section 44DA
ix First Schedule of Income-tax Act
x Total (35i to 35ix)
32
33
34
35
31a
31b
31c
32
0
33
34
0
0
35x
36
0
0
A37
i
ii
iii
iv
v
vi
vii
viii
ix
36
Net profit or loss from business or profession other than speculative and specified business (33 + 34x)
37
Net Profit or loss from business or profession other than speculative

business and specified business, after applying rule 7A,7Bor 8, if
applicable (if rule 7A,7B or 8 is not applicable, enter same figure as in 36)
(if loss take the figure to 2i of item E)
A37
Computation of income from speculative business

38 Net profit or loss from speculative business as per profit or loss account
39 Additions in accordance with section 28 to 44DA
40 Deductions in accordance with section 28 to 44DA
41 Income from speculative business (38+ 39- 40) (if loss, take the figure of 6xi of schedule CFL)
Computation of income from specified business under section 35AD
42 Net profit or loss from specified business as per profit or loss account
43 Additions in accordance with section 28 to 44DA
44 Deductions in accordance with section 28 to 44DA (other than deduction under section,- (i) 35AD, (ii)32 or 35 on
which deduction u/s 35AD is claimed)
45 Profit or loss from specified business (42+43-44)
46 Deductions in accordance with section 35AD(1) or 35AD(1A)
47 Income from Specified Business (45-46) (if loss, take the figure to 7xi of schedule CFL)
Income chargeable under the head Profits and gains from Business or profession (A37+B41+C47)
E
Intra head set off of business loss of current year
Type of business
Income of current year (Fill this column only if figure is zero or
positive)
(1)
Business loss set off
(2)
38
39
40
B41
42
43
44
45
46
C47
D
0
0
Business income remaining

after set off (3) = (1)-(2)
(i) Loss to be set off

(Fill this row only if
figure is negative)
0
(ii) Income from
speculative business
(iii) Income from
specified business
(iv) Total loss set off

(ii + iii)
(v) Loss remaining
after set off (i iv)
Note : Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
DEPRECIATION ON PLANT AND MACHINERY
Schedule
DPM
Depreciation on Plant and Machinery (Other than assets on which full capital expenditure is allowable as deduction under any other section)
1
2
Block of assets
Rate (%)
Written down value on the first day of previous

year
Additions for a period of 180 days or more in the

previous year
Consideration or other realization during the
previous year out of 3 or 4
5
6
Amount on which depreciation at full rate to be

allowed (3 + 4 -5) (Enter 0, if result is negative)
Additions for a period of less than 180 days in the

previous year
Consideration or other realizations during the year
out of 7
Amount on which depreciation at half rate to be
allowed (7 8) (Enter 0, if result is negative)
8
9
10
11
12
13
14
15
16
17
Depreciation on 6 at full rate

Depreciation on 9 at half rate
Additional depreciation, if any, on 4
Total depreciation (10+11+12+13)
Expenditure incurred in connection with transfer
of asset/ assets
Capital gains/ loss under section 50 (5 + 8 -3-4 -7
-15) (Enter negative only if block ceases to exist)
15
(i)
30
(ii)
40
(iii)
Plant and machinery

50
(iv)
60
(v)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Written down value on the last day of previous

year (6+ 9 -14) (enter 0 if result is negative)
Schedule
DOA
1
Block of assets
Rate (%)
Written down value on the first day of previous

year
Additions for a period of 180 days or more in the
previous year
Consideration or other realization during the
previous year out of 3 or 4
Amount on which depreciation at full rate to be
allowed (3 + 4 -5) (Enter 0, if result is negative)
4
5
DEPRECIATION ON OTHER ASSETS
Depreciation on other assets(Other than assets on which full capital expenditure is allowable as deduction)
7
8
9
10
11
12
13
14
15
16
17
Building
5
(i)
10
(ii)
100
(iii)
Furniture and fittings
Intangible
10
(iv)
25
(v)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Additions for a period of less than 180 days in the

previous year
Consideration or other realizations during the year
out of 7
Amount on which depreciation at half rate to be
allowed (7-8) (Enter 0, if result is negative)
Depreciation on 6 at full rate
Depreciation on 9 at half rate
Total depreciation (10+11+12+13)
Expenditure incurred in connection with transfer
of asset/ assets
Capital gains/ loss under section 50 (5 + 8 -3-4 -7
-15) (Enter negative only if block ceases to exist)
Written down value on the last day of previous
year (6+ 9 -14) (enter 0 if result is negative)
n under any other section)

Plant and machinery
80
(vi)
100
(vii)
0
0
0
0
0
0
Ships
20
(vi)
0
0
0
Sch DEP
SUMMARY OF DEPRECIATION ON ASSETS
3
4
5
6
Sch DCG
1
Summary of depreciation on assets (Other than assets on which full capital expenditure is allowable as deduction under any
other section)
Plant and machinery
Block entitled for depreciation @ 15 per cent ( Schedule
a
1a
0
DPM - 14 i)
b
1b
0
DPM - 14 ii)
c
1c
0
DPM - 14 iii)
d
1d
0
DPM - 14 iv)
e
1e
0
DPM - 14 v)
f
1f
0
DPM 14 vi)
g
1g
0
DPM - 14 vii)
1h
h Total depreciation on plant and machinery ( 1a+1b+1c+1d+1e+1f+1g)
Building
Block entitled for depreciation @ 5 per cent (Schedule
a
2a
0
DOA- 14i)
b
2b
0
DOA- 14ii)
c
2c
0
DOA- 14iii)
2d
d Total depreciation on building (2a+2b+2c)
3
Furniture and fittings (Schedule DOA- 14 iv)
4
Intangible assets (Schedule DOA- 14 v)
5
Ships (Schedule DOA- 14 vi)
Total depreciation ( 1h+2d+3+4+5)
6
Deemed Capital Gains on sale of depreciable assets
Plant and machinery
a
DPM - 16i)
1a
0
0
0
0
0

DPM 16ii)
c
DPM - 16iii)
d
DPM - 16iv)
e
DPM 16v)
f
DPM 16vi)
g
DPM 16vii)
h Total ( 1a +1b + 1c + 1d + 1e + 1f + 1g)
Building
a
DOA- 16i)
b
DOA- 16ii)
c
DOA- 16iii)
d Total ( 2a + 2b + 2c)
Furniture and fittings ( Schedule DOA- 16iv)
Intangible assets (Schedule DOA- 16v)
Ships (Schedule DOA- 16vi)
Total ( 1h+2d+3+4+5)
b
3
4
5
6
1b
1c
1d
1e
1f
1g
2a
2b
2c
1h
2d
3
4
5
6
0
0
0
0
0
0
0
0
Schedule ESR
Sl No
i
ii
iii
iv
v
vi
vii
viii
ix
x
Deduction under section 35 or 35CCC or 35CCD
Expenditure of the nature referred Amount, if any, debited to profit Amount of deduction allowable
to in section (1)
and loss account (2)
(3)
35(1)(i)
35(1)(ii)
35(1)(iia)
35(1)(iii)
35(1)(iv)
35(2AA)
35(2AB)
35CCC
35CCD
Total
Amount of deduction in excess of the

amount debited to profit and loss account
(4) = (3) - (2)
0
0
0
0
0
0
0
0
0
0
Schedule CG
Capital Gains
A Short-term Capital Gains (STCG) (Items 4 , 5 & 8 are not applicable for residents)
1 From sale of land or building or both
i
Full value of consideration received/receivable
a
ii
Value of property as per stamp valuation authority
CAPITAL GAINS
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii)
Deductions under section 48
i
Cost of acquisition without indexation
ii
Cost of Improvement without indexation
iii
iv
Expenditure wholly and exclusively in connection with transfer

Total (bi + bii + biii)
Balance (aiii biv)

c
di Deduction under section 54B(Specify details in item Dbelow)
dii Deduction under section 54D(Specify details in item Dbelow)
diii Deduction under section 54G(Specify details in item Dbelow)
div Deduction under section 54GA(Specify details in item Dbelow)
Total Deduction under section 54B/54D/54G/54GA
d
Short-term Capital Gains on Immovable property (1c - 1d)
e
From Slump sale
Full value of consideration
a
Net worth of the under taking or division
b
Short term capital gains from slump sale (2a-2b)
c
(i) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid u/s 111A [for others]
ia
ib
i
ii
ic
id
ie
iii
iv
Total ( i + ii + iii)
Balance (3ia 3ibiv)
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss
arising out of sale of such asset to be ignored (Enter positive value only)
Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 111A [for others] (3ic +3id)
(ii) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid u/s 115AD(1)(b)(ii) [for FII]
iia Full value of consideration
iib

i
ii
iic
iid
iii
iv
Total ( i + ii + iii)
Balance (3a 3biv)
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss
arising out of sale of such asset to be ignored (Enter positive value only)
iie Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 115AD(1)(b)(ii) [for FII] (3iic +3iid)
From sale of assets other than at A1 or A2 or A3 or A4 or A5 above
a
b
i
ii
iii Expenditure wholly and exclusively in connection with transfer
iv Total (i + ii + iii)
c
Balance (6a biv)
d
7
a
In case of asset (security/unit)loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus
units are received, then loss arising out of sale of such asset to be under (Enter positive value only)
e
Deemed short term capital gains on depreciable assets (6 of schedule- DCG)
fi Deduction under section 54D (Specify details in item Dbelow)
fii Deduction under section 54G (Specify details in item Dbelow)
fiii Deduction under section 54GA (Specify details in item Dbelow)
f
Deduction under section 54D/G/GA
g
STCG on assets other than at A1 or A2 or A3 or A4 or A5 above (6c + 6d + 6e-6f)
Amount deemed to be short-term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for
that year? If yes, then provide the details below
Previous year
in which asset
transferred
Sl.
Section under which

deduction claimed in
that year
New asset acquired/constructed
Amount not used for

new asset or remained
unutilized in Capital
gains account (X)
Previous year
in which asset
transferred
i
ii
Sl.
1
4
2012-13
2013-14
Section under which

deduction claimed in
that year
Year in which asset Amount utilised out of
acquired/constructe Capital Gains account
d
Amount not used for

gains account (X)
54B
Amount deemed to be short term capital gains, other than at a
Long-term Capital Gains
Total amount deemed to be short term capital gains (Xi + Xii + b)

9 Total Short-term Capital Gain (A1e +A2c +A3ie +A3iie +A4a +A4b +A5e +A6g +A7 -A8)
B Long-term capital gain (LTCG) (Items 5, 6, 7 & 10 are not applicable for residents)
1 From sale of land or building or both
i
Full value of consideration received/receivable
a
ii
Value of property as per stamp valuation authority
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains
(ai orunder
aii) section 48
Deductions
b
i
Cost of acquisition with indexation
ii
Cost of Improvement with indexation
c
Balance (aiii biv)
di Deduction under section 54 (Specify details in item D below)
dii Deduction under section 54B (Specify details in item D below)
diii Deduction under section 54D (Specify details in item D below)
div Deduction under section 54EC (Specify details in item D below)
dv Deduction under section 54F (Specify details in item D below)
dvi Deduction under section 54G (Specify details in item D below)
dvii Deduction under section 54GA (Specify details in item D below)
dviii Deduction under section 54GB (Specify details in item D below)
d
Total Deduction under section 54/54B/54D/54EC/54F/54G/54GA/54GB (Specify details in item D below)
e
Long-term Capital Gains on Immovable property (1c - 1d)
From Slump sale
a
Net worth of the under taking or division

b
Balance (2a - 2b)
c
di Deduction u/s 54EC (Specify details in item D below)
dii Deduction u/s 54F (Specify details in item D below)
d
Total Deduction u/s 54EC/54F
e
Long term capital gains from slump sale (2c-2d)
From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a
b

i
ii
Cost of improvement without indexation
iv Total (bi + bii +biii)
c
Balance (3a biv)
di Deduction under sections 54EC (Specify details in item D below)
dii Deduction under sections 54F(Specify details in item D below)
d
Deduction under sections 54EC/54F(Specify details in item D below)
e
LTCG on bonds or debenture (3c 3d)
From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable
ia
ib

i
ii
Balance (4a biv)
ic
di Deduction under sections 54EC(Specify details in item D below)
id Deduction under sections 54EC/54F(Specify details in item D below)
ie
Long-term Capital Gains on assets at B3 above (4c 4d)
From sale of GDR of an Indian company referred in sec. 115ACA
a
b
i
ii

Balance (4a biv)
9
a
c
di Deduction under sections 54EC(Specify details in item D below)
d
Deduction under sections 54EC/54F(Specify details in item D below)
e
Long-term Capital Gains on assets at B4 above (4c 4d)
From sale of assets where B1 to B7 above are not applicable
a
b
i
Cost of acquisition with indexation
ii
Cost of improvement with indexation
c
Balance (8a biv)
di Deduction under sections 54D (Specify details in item D below)
dii Deduction under sections 54EC (Specify details in item D below)
diii Deduction under sections 54F (Specify details in item D below)
div Deduction under sections 54G (Specify details in item D below)
dv Deduction under sections 54GA (Specify details in item D below)
d
Deduction under sections 54D/54EC/54F/54G/54GA (Specify details in item D below)
e
Long-term Capital Gains on assets at B8 above (8c-8d)
Amount deemed to be long-term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for
that year? If yes, then provide the details below
Sl.
Previous year Section under which
New asset acquired/constructed
Amount not used for
in which asset deduction claimed in Year in which asset Amount utilised out of
transferred
that year
acquired/constructe Capital Gains account
gains account (X)
d
i
ii
1
3
2012-13
2013-14
54B
Amount deemed to be long-term capital gains, other than at a

Total amount deemed to be long-term capital gains (Xi + Xii + b)
11
Total long term capital gain [B1e +B2e +B3e +B4ie +B4iie +B5d +B5e +B6ie +B6iie +B6iiie +B7c + B7f + B8e+B9-B10] (In case of loss take the figure to 9xi of schedule CFL)
C Income chargeable under the head CAPITAL GAINS (A9 + B11) (take B11 as nil, if loss)
D Information about deduction claimed
1 In case of deduction u/s 54/54B/54D/54EC/54F/54G/54GA/54GB/115F give following details
Section
Amount of Deduction Cost of New Asset
Date of its acquisition/
construction
1
2
3
4
5
6
7
8
Amount deposited in
Capital Gains Accounts
Scheme before due date
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
Total deduction claimed
1c
2 In case of deduction u/s 54GB, furnish PAN of the company

E Set-off of current year capital losses with current year capital gains (excluding amounts included in A8 & B10 which is chargeable under DTAA)
Gain of current year
SI.
Short term capital loss set off
Type of Capital Gain
(Fill this column only if

computed figure is
positive)
ii
iii
Loss to be set off (Fill this row if

figure computed is negative)
------>
Short term
capital gain
15%
30%
Long term capital loss set off
15%
30%
applicable rate
10%
20%
iv
v
vi
Short term
capital gain
10%
20%
applicable rate
Long term
capital gain
vii Total loss set off

(ii + iii + iv + v + vi)
viii Loss remaining after set off
(i vii)
F Information about accrual/receipt of capital gain
Type of Capital gain / Date
Short-term capital gains taxable at the rate of 15%. Enter value from item 5vi of schedule BFLA, if any.
Short-term capital gains taxable at the rate of 30%. Enter value from item 5vii of schedule BFLA, if any.
Short-term capital gains taxable at applicable rates. Enter value from item 5viii of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 10%. Enter value from item 5ix of schedule BFLA, if any.
5 Long- term capital gains taxable at the rate of 20%. Enter value from item 5xi of schedule BFLA, if any.
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Upto 15/9
(i)
16/9 to 15/12
(ii)
1A [for others]
ai
aii
aiii
bi
bii
biii
biv
1c
di
dii
diii
div
1d
0
0
0
A1e
A2c
A3ie
2a
2b
3ia
bi
bii
biii
ibiv
3ic
3id
15AD(1)(b)(ii) [for FII]

3iia
0
0
bi
bii
biii
iibiv
3iic
3iid
0
0
for FII] (3iic +3iid)
A3iie
A6g
6a
bi
bii
biii
biv
6c
0
0
6d
fi
fii
fiii
6f
(Select)
7b
A7
A9
0
0
B1e
ai
aii
aiii
bi
bii
biii
biv
1c
di
dii
diii
div
dv
dvi
dvii
dviii
1d
2a
0
0
2b
2c
di
dii
d
0
B2e
B3e
B4ie
3a
bi
bii
biii
biv
2c
di
dii
2d
0
0
4ia
bi
bii
biii
ibiv
4ic
di
dii
3id
4iia
bi
bii
biii
0
0
iibiv
4iic
di
dii
4iid
0
0
0
B4iie
B8e
B9
8a
bi
bii
biii
biv
8c
di
di
dii
dii
dii
8d
0
0
(Select)
9b
B11
loss take the figure to 9xi of schedule CFL)
C
Current years capital gains

remaining after set off
(7= 1-2-3-4-5-6)
0
0
0
0
0
0
0
16/9 to 15/12
(ii)
16/12 to 15/3
(iii)
16/3 to 31/3
(iv)
OTHER SOURCES
Sch OS
1
Income from other Sources

Income other than from owning race horse(s):a Dividends, Gross
b Interest, Gross
c Rental income from machinery, plants, buildings, etc., Gross
d Others, Gross (Fill up the Source and the Income Below).
Note: For source other than the available Section Codes in Sl no 3 dropdown
and Sl no1, Pl enter description in Sl no 2
Source
below.
(i)
1a
1b
1c
0
0
0
Income
(2)
5BB-Winnings
lotteries,Description.
crossword puzzles
etc. is mandatory.
1 without selecting
Note: Do not enter amount
Section from
Code/Filling
1st coumn
2
3
4
5
6
1d
Total
e
f
i
ii
iv
g
h
2
3
Total (1a + 1b + 1c + 1d)

Income included in 1e chargeable to tax at special rate (to be taken to schedule SI)
Winnings from lotteries, crossword puzzles, races, games, gambling, betting etc (u/s 115BB)
Any other income chargeable to tax at the rate specified under chapter XII/XII-A
Income included in 1e chargeable to tax at special rate (1fi +1fii+1fiii)
Gross amount chargeable to tax at normal applicable rates (1e-1fiv)
Deductions under section 57 (other than those relating to income under 1fi, 1fii & 1fiii for non-residents)
i
Expenses / Deductions
ii
Depreciation
iii
Total
1fi
1fii
1fiv
1g
0
0
0
0
hi
hii
hiii
Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g hiii) (If negative take the figure to 4i of
schedule CYLA)
Income from other sources (other than from owning and maintaining race horses) (1fiv + 1i) (enter 1i as nil if negative)
Income from the activity of owning and maintaining race horses
a Receipts
3a
b Deductions under section 57 in relation to (3)
3b
c Balance (3a 3b) (if negative take the figure to 10xi of Schedule CFL)
NOTE
4 Income under the head Income from other sources (2 + 3c) (take 3c as nil if negative)
Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
1e
1i
0
0
3c
under this head
Schedule CYLA
Sl.No
Head/ Source of Income
Details of Income after set-off of current years losses

Income of current
year (Fill this column House property loss of
only if income is zero the current year set off
or positive)
CURRENT YEAR LOSS ADJUSTMENT
iii
iv
vi
vii
viii
Total loss
(2v of item E of Schedule BP)
Total loss
(1i of Schedule-OS)
Salaries
House property
Business Income
(excluding speculation
profit and income from
specified business)
Speculative Income
Specified Business
Income
Short-term capital gain

taxable @ 15%

taxable @ 30%

taxable @ applicable
rates
1
ii
Other sources loss (other

than loss from owning
race horses) of the
current year set off
Total loss
(3c of Schedule HP)
0
2
0
0
0
Loss to be setoff ->
Business Loss
(other than speculation
loss or specified business loss) of the
current year
set off
0
3
0
0
4
0
0
CURR
ix
Long term capital gain

taxable @ 10%

taxable @ 20%
0
0
0
0
0
0
Other sources (excluding

profit from owning race
horses and amount
chargeable to special rate
of tax)
xi
xii
xiii
xiv
Profit from owning and

maintaining race horses
Total loss set-off
Loss remaining after set-off
Schedule BFLA
Sl.
No.
Details of Income after Set off of Brought Forward Losses of earlier years
Income after set off, if

any, of current years
losses as per 5 of
Head/ Source of Income
Schedule CYLA)
1
i
ii
TMENT
iii
0
0
0
Brought forward loss

set off
Brought forward
depreciation set off
Brought forward
allowance under section
35(4) set off
Salaries
House property
0
0
Business Income
(excluding speculation
profit and income from
specified business)
BROUGHT FORWARD LOSS ADJUSTMENT
iv
v
vi
vii
viii
ix
xi
xii
xiii
xiv
Speculative Income
Specified Business
Income

taxable @ 15%

taxable @ 30%

taxable @ applicable
rates

taxable @ 10%

taxable @ 20%
Other sources income

(excluding profit from
owning and maintaining
race horses and amount
chargeable to special rate
of tax)
Profit from owning and

maintaining race horses
Total of brought forward loss set off (ii2 + iii2 +

iv2 + v2+vi2+vii2+viii2+ix2+x2+xii2)
Current years income remaining after set off Total (i5 + ii5 + iii5 + iv5+v5 + vi5 + vii5 + viii5 + ix5 + x5 + xi5 +xii5)
Current years
Income remaining
after set off
5=1-2-3-4
0
0
0
0
s of earlier years
Current years
income remaining
after set off
5
0
0
Schedule CFL
CARRY FORWARD OF LOSS
Sl.
No.
Assessment Year
Details of Losses to be carried forward to future Years

Date of
Filing
(DD/MM/
YYYY)
House
property loss
Loss from business other

Loss from
Loss from Specified
than loss from
speculative business
business
speculative business and
specified business
Short-term
capital loss
Long-term
Capital loss
i
ii
iii
iv
v
vi
vii
viii
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14
2014-15
2015-16
ix
Total of earlier year

losses b/f
Adjustment of above
losses in Schedule
BFLA
xi
xii
2016-17 (Current
year losses)
Total loss Carried
Forward to future
years
Loss
from owning
and maintaining
race horses
0
0
0
0
Schedule UD
Unabsorbed depreciation and allowance under section 35(4)
Depreciation
SrNo
(1)
Assessment Year (2)
1 2016-17
2
3
4
5
6
7
8
9
Total
Amount of brought
forward unabsorbed
depreciation
(3)
Allowance und
Amount of depreciation set-off Balance Carried forward to the

against the current year
next year
income
(5)
(4)
0
0
0
0
0
0
0
0
0
Amount of brought forward

unabsorbed allowance
(6)
Allowance under section 35(4)

Amount of allowance set-off
against the current year income
(7)
Balance Carried forward to the

next year
(8)
0
0
0
0
0
0
0
0
0
Schedule ICDS
Effect of Income Computation Disclosure Standards on profit
Sl. No.
ICDS
(i)
I
II
III
IV
V
(ii)
Accounting Policies
Valuation of Inventories
Construction Contracts
Revenue Recognition
Tangible Fixed Assets
VI
Changes in Foreign Exchange Rates
VII
VIII
IX
Government Grants
Securities
Borrowing Costs
Provisions, Contingent Liabilities and Contingent Assets
XI
Total Net effect (I+II+III+IV+V+VI+VII+VIII+IX+X)
isclosure Standards on profit

Amount
(iii)
Schedule 10A
Deduction under section 10A
1 Deductions in respect of units located in Special Economic Zone
1
2
DEDUCTION
U/S 10AA
Schedule 10AA
1
Undertaking No.1
Undertaking No.2
Total Deductions under Section 10A
Assessment Year Assessment year in which unit begins to

manufacture/produce
(Select)
(Select)
Amount of
deduction
Deduction under section 10AA
Deductions in respect of units located in Special Economic Zone

Assessment year in which unit begins to manufacture/produce Amount of
deduction
1
2
Undertaking No.1
Undertaking No.2
Total Deduction Under Section 10AA
(Select)
(Select)
0
(Note: If no entry is made in first row then other rows will not be considered)
Schedule 80-IA
a
Deductions under section 80-IA

Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services]
1
2
b
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs]
1
2
c
Undertaking 1
Undertaking 2
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(v) [Revival of power generating plant]
and deduction in respect of profits of an undertaking referred to in section 80-IA(4)(vi) [Cross-country natural gas
distribution network]
1
2
Undertaking 1
Undertaking 2
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power]

1
2
Undertaking 1
Undertaking 2
Undertaking 1
Undertaking 2
Total deductions under section 80-IA (a + b + c + d + e)
Schedule 80-IB
a
Deductions under section 80-IB
Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)]
1
2
b
Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule
[Section 80-IB(4)]
1
2
Undertaking 1
Undertaking 2
Deduction in the case of undertaking which begins commercial production or refining of mineral oil [Section 80-IB(9)]
1
2
g
Undertaking 1
Undertaking 2
Deduction in the case of convention centre [Section 80-IB(7B)]

1
2
Undertaking 1
Undertaking 2
Deduction in the case of multiplex theatre [Section 80-IB(7A)]

1
2
Undertaking 1
Undertaking 2
Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB(5)]
1
2
d
Undertaking 1
Undertaking 2
Undertaking 1
Undertaking 2
Deduction in the case of an undertaking developing and building housing projects

[Section 80-IB(10)]
1
2
h
Deduction in the case of an undertaking operating a cold chain facility

[Section 80-IB(11)]
1
2
Undertaking 1
Undertaking 2
Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB(11B)]
1
2
Undertaking 1
Undertaking 2
Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of
foodgrains [Section 80-IB(11A)]
1
2
Undertaking 1
Undertaking 2
Deduction in the case of an undertaking engaged in processing, preservation

and packaging of fruits and vegetables [Section 80-IB(11A)]
1
2
Undertaking 1
Undertaking 2
Undertaking 1
Undertaking 2
Deduction in the case of an undertaking engaged in operating and maintaining a hospital in any area, other than
excluded area [Section 80-IB(11C)
1
2
Undertaking 1
Undertaking 2
Total deduction under section 80-IB (Total of a to l)
Schedule 80-IC or 80-IE
Deductions under section 80-IC or 80-IE
Deduction in respect of industrial undertaking located in Sikkim

1
2
Deduction in respect of industrial undertaking located in

Himachal Pradesh
1
2
Undertaking 1
Undertaking 2
Deduction in respect of industrial undertaking located in Uttaranchal

1
2
Undertaking 1
Undertaking 2
Undertaking 1
Undertaking 2
Deduction in respect of industrial undertaking located in North-East

a
Assam
1
2
Undertaking 1
Undertaking 2
Arunachal Pradesh
1
2
Undertaking 1
Undertaking 2
1
2
Undertaking 1
Undertaking 2
Manipur
Mizoram
1
2
Undertaking 1
Undertaking 2
1
2
Undertaking 1
Undertaking 2
1
2
Undertaking 1
Undertaking 2
1
2
Undertaking 1
Undertaking 2
Meghalaya
Nagaland
Tripura
Total of deduction for undertakings located in North-east (Total of 4a to 4g)
Total deduction under section 80-IC or 80 IE (1 + 2 + 3 + 4h)
TOTAL
DEDUCTIONS
Schedule VI-A
1. Part B- Deduction in respect of certain payments

80C
a
80CCC
b
80CCD(1)
c
d
80CCD(1B)
e
80CCD(2)
f
80CCG
g
80D
80DD
h
80DDB
i
80E
j
80G
k
80GG
l
80GGC
m
Total Deduction under Part B (total of a to m)
2. Part C- Deduction in respect of certain incomes
80IA (e of Schedule80-IA)
n
80IAB
o
80IB (m of Schedule 80-IB
p
80IC / 80-IE (e of Schedule 80-IC/ 80-IE)
q
r
s
t
u
v
80ID
80JJA
80JJAA
80QQB
80RRB
Total Deduction under Part C (total of n to v)

3. Part CA and D Deduction in respect of certain incomes / other Deductions
w
80TTA
x
80U
Total Deduction under Part CA and D (total of w to x)
System Calculated
a
b
c
d
e
f
g
h
i
j
k
l
m
1
n
o
p
q
r
s
t
u
v
2
w
x
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Deductions under Chapter VI-A (1 + 2 + 3)
Schedule 80G
A
Details of donations entitled for deduction under section 80G (Please read NOTE below)
Donations entitled for 100% deduction without qualifying limit
Name of donee
Address
City or Town or
District
State Code
PinCode
PAN of Donee
Amount of donation
(SELECT)
(SELECT)
(SELECT)
(SELECT)
1
2
3
4
Total 80GA
Donations entitled for 50% deduction without qualifying limit

Name of donee
Address
City or Town or
District
State Code
PinCode
PAN of Donee
Amount of donation
(SELECT)
(SELECT)
(SELECT)
(SELECT)
1
2
3
4
Total 80GB :
Donations entitled for 100% deduction subject to qualifying limit

Name of donee
1
2
3
4
Address
City Or Town Or
District
State Code
(SELECT)
(SELECT)
(SELECT)
(SELECT)
PinCode
PAN of Donee
Amount of donation
Total 80GC :
Donations entitled for 50% deduction subject to qualifying limit

Name of donee
1
2
3
4
Address
City Or Town Or
District
State Code
PinCode
Amount of donation
(SELECT)
(SELECT)
(SELECT)
(SELECT)
Total 80GD
PAN of Donee
TOTAL ELIGIBLE AMOUNT OF DONATIONS (AIII + BIII + CIII + DIII)
NOTE : IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),

PLEASE USE PAN AS "GGGGG0000G"
Name of Donee must be filled to include the donation in the Total
0G (Please read NOTE below)

Eligible Amount of Donation
0
0
0
0
0

0
0
0
0
0

0
0
0
0

0
0
0
0
0
Schedule SPI
Sl No
Income of specified persons(spouse, minor child etc) includable in income of the assessee (income of the minor child, in excess of Rs. 1,500 per child, to be included)
(income of the minor child, in excess of Rs. 1,500 per child, to be included)
PAN of person
Name of person
Relationship
Nature of Income
Amount (Rs)
(optional)
1
2
3
4
5
6
0
Please clilck on Recalculate initially, and also subsequently if Gender, Date of Birth , Residential Status or Assessee Status (Indl / HUF etc) is changed (Note "Recalculate button is provided in Sheet P
Schedule SI
Income chargeable to Income tax at special rates IB [Please see instruction Number-9 for section code and rate of tax]
Sl
No
SPECIAL RATE
1
2
3
4
5
6
Section
code (Serial nos other than Sl no 1,2 are autofilled)
Special rate
(%)
Income
i
Taxable Income after

adjusting for Min
Chargeable to Tax
System calculated tax

thereon
111 - Tax on accumulated balance of recognised PF

Chargeable under DTAA rate
111A (STCG on shares where STT paid)
115AD(1)(b)(ii)- Short term capital gains referred to in
section 111A
112 (LTCG on others)
112 proviso (LTCG on listed securities/ units without
indexation)
1
1
15
0
0
0
0
0
#VALUE!
0
0
#VALUE!
15
20
0
0
0
#VALUE!
0
#VALUE!
10
#VALUE!
#VALUE!
SPECIAL
7
8
112(1)(c)(iii)(LTCG on unlisted securities in case of nonresidents)

115A(1)(a)(i)- Dividends interest and income from units
purchase in foreign currency
115A(1)(a)(ii)- Interest received from govt/Indian Concerns
recived in Foreign Currency
10
20
20
5
5
5
0
0
0
0
0
0
0
0
0
20
50
10
10
10
10
10
10
20
115A(1) (a)(iia) -Interest from Infrastructure Debt Fund

10
11
12
13
14
115A(1) (a)(iiaa) -Interest as per Sec. 194LC

115A(1) (a)(iiab) -Interest as per Sec. 194LD
115A(1) (a)(iiac) -Interest as per Sec. 194LBA
115A(1) (a)(iii) - Income received in respect of units of UTI
purchased in Foreign Currency
Para E II of Part I of Ist Sch of FA - Income from royalty or
technical services - Non-domestic company
15
15
115A(1)(b)(A)- Income from royalty & technical services

115A(1)(b)(B) Income from royalty & technical services
16
17
115AC(1)(a & b) - Income from bonds or GDR purchased in

foreign currency - non-resident
115AC(1)(c) -LTCG arising from the transfer of bonds or
GDR purchased in foreign currency - non-resident
18
19
115ACA(1)(a) - Income from GDR purchased in foreign

currency -resident
115ACA(1)(b) - LTCG arising from the transfer of GDR
purchased in foreign currency -resident
20
115AD(1)(i) -Income received by an FII in respect of
securities (other than units as per Sec 115AB)
21
115AD(1)(i) -Income received by an FII in respect of bonds

or government securities as per Sec 194LD
22
30
10
30
20
30
0
0
0
0
0
0
30
20
0
0
0
0
0
0
20
10
115AD(1)(ii) -STCG (other than on equity share or equity

oriented mutual fund referred to in section 111A) by an FII
23
24
25
26
27
28
29
115AD(1)(iii)-Long term capital gains by an FII

115BB (Winnings from lotteries, puzzles, races, games etc.)
115BBA - Tax on non-residents sportsmen or sports
associations
115BBC - Anonymous donations
115BBE - Tax on income referred to in sections 68 or 69 or
69A or 69B or 69C or 69D
30
115E(a) - Investment income

115E(a)-LTCG on any asset other than a specified asset-non
resident Indian
31
115E(b) - Income by way of long term capital gains
Tax at Spl Rate
FIRMS IN WHICH
PARTNER
Schedule IF
#VALUE!
Information regarding partnership firms in which you are partner
Details of firms in which you are partner

Sl no
1
2
3
4
5
6
Name of the Firm
PAN of the firm
Whether firm is Liable for

Audit? (Yes/ No)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
Whether section 92E is

applicable to firm? (Yes/
No)
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
is changed (Note "Recalculate button is provided in Sheet PART B - TI - TTI)
Please Click on
Compute Tax button in
Part B TI to re
calculate Tax at
Normal Rate and Tax
at Special Rate
Percentage
Share in the
profit of the firm
Amount of
share
in the profit
Capital balance
on 31st March in
the firm
ii
ALTERNATE MINIMUM TAX
Schedule AMT
1
2
Computation of Alternate Minimum Tax payable under section 115JC

Total Income as per item 14 of PART-B-TI
Adjustment as per section 115JC(2)
Deduction Claimed under any section included in

Chapter VI-A under the heading C.Deductions
in respect of certain incomes
2a
Deduction Claimed u/s 10AA

Deduction claimed u/s 35AD as reduced by the
amount of depreciation on assets on which such
deduction is claimed
2b
2c
d
Total Adjustment (2a+ 2b+2c)
Adjusted Total Income under section 115JC(1) (1+2d)
Tax payable under section 115JC [18.5% of (3)] (if 3 is greater than 20 lacs)
2d
0
3
4
0
0
Schedule AMTC
Computation of tax credit under section 115JD
Tax under section 115JC in assessment year 2016-17 (1d of Part-B-TTI)

Tax under other provisions of the Act in assessment year 2016-17 (2i of Part-B-TTI)
Amount of tax against which credit is available [enter (2 1) if 2 is greater than 1, otherwise enter 0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3 above and cannot exceed the sum
Brought Forward
S.No
Assessment Year
AMT Credit Gross
AMT Credit Set off in earlier AMT Credit Brought
AMT Credit Utilised
Balance AMT Credit
(A)
(B1)
years
Forward
during the Current Year Carried Forward
(B2)
(B3 = B1-B2)
(C)
(D)= (B3) (C)
AMT CREDIT
1
2
3
i
ii
iii
iv
5
6
2013-14
2014-15
2015-16
Current AY (enter 1 -2,
if 1>2 else enter 0
v
Total
0
0
Amount of tax credit under section 115JD utilised during the year [total of item no 4 (C)]
Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)]
1
2
3
0
0
0
0
5
6
0
#VALUE!
#VALUE!
ct to maximum of amount mentioned in 3 above and cannot exceed the sum of AMT Credit
Balance AMT Credit
Carried Forward
(D)= (B3) (C)
0
0
0
0
0
0
0
EXEMPT INCOME
Schedule EI
Details of Exempt Income (Income not to be included in Total Income)
Interest
income
1
2
3
4
5
6
1
2
3
Dividend income
Long-term capital gains from transactions on which Securities Transaction Tax is paid
i
Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B
or 8 of I.T. Rules)
ii
Expenditure incurred on agriculture
iii
Unabsorbed agricultural loss of previous eight assessment years
iv
Net Agricultural income for the year (i ii iii) (enter nil if loss)
Others, (including exempt income of minor child)
Total (1+2+3+4+5)
i
ii
iii
4
5
6
0
0
Schedule PTI
Sl.
1
Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Name of business trust/
PAN of the business trust/
Sl.
Head of income
investment fund
investment fund
i House property
ii Capital Gains
a
Short term
b
Long term
iii Other Sources
iv Income claimed to be exempt
a
u/s
b
u/s
c
u/s
i House property
ii Capital Gains
a
Short term
iii
iv
NOTE
Please refer to the instructions for filling out this schedule.
b
Long term
Other Sources
Income claimed to be exempt
a
u/s
b
u/s
c
u/s
A, 115UB
Amount of income
ort term
ong term
o be exempt
10(23FBB)
ort term
ong term
o be exempt
10(23FBB)
TDS on such amount, if any
FSI
Details of Income from outside India and tax relief

Sr No
Country Code
Taxpayer Identification
(Note : If no entry is
number
made in this column,
then other columns will
not be considered for
that row)
Sr No
Head of Income
(a)
(Select)
(Select)
(Select)
i
ii
iii
iv
v
Total
i
ii
iii
iv
v
Total
i
ii
iii
iv
v
Total
Salary
House Property
Business Income
Capital Gains
Other Sources
Salary
House Property
Business Income
Capital Gains
Other Sources
Salary
House Property
Business Income
Capital Gains
Other Sources
Income from
outside India
(included in PART
B-TI)
Tax paid outside

India
(b)
(c)
Tax payable on
Tax relief available
such income under
in India
normal provisions (e=lower of c and
in India
d)
(d)
Relevant article of
DTAA if relief
claimed u/s 90 or
90A
(e )
(f)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(Note : If no entry is made in the Country Code column, then other columns will not be considered for that row)
Schedule TR
1
Summary of tax relief claimed for taxes paid outside India

Details of Tax relief claimed
Country Code
Tax Identification number
(b)
(a)
Total taxes paid outside

Total tax relief available
India
(total of (e) of Schedule FSI in
(total of (c) of Schedule FSI
respect of each country)
in
respect of each country)
(d)
(c)
2
3
4
a
Schedule FA
A
Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the y
details
Amountbelow
of tax refunded
b) Assessment year in which tax relief allowed in India
Details of Foreign Assets and Income from any source outside India
NOTE : This Schedule is not Applicable for NRI \(Non Resident Indians) as per Reseidential Status
Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year
Sr No
1
2
3
4
5
Country Name & Code
Name of the Bank
Address of the Bank
Account Holder Name
(1)
(2)
(3)
(4)
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year
Sr No
Country Name and Code
Nature of entity
Name of the Entity
Address of the Entity
(1)
(2)
(3)
(3)
1
2
3
4
5
6
Details of Immovable Property held (including any beneficial interest) at any time during the previous year
Sr No
Country Name & Code
Address of the Property
OwnershipDirect/ Beneficial owner/

Beneficiary
Date of acquisition
(3)
(4)
(2)
(1)
1
2
3
4
5
6
Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year
Sr No
Country Name & Code
Nature of Asset
OwnershipDirect/ Beneficial owner/

Beneficiary
Date of acquisition
(1)
(2)
(3)
(4)
1
2
3
4
5
6
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been include
Sr No
Name of the Institution in which the

account is held
(Note : If no entry is made in this
column, then other columns will not be
considered for that row)
Address of the Institution
(1)
(2)
Name of the Account

Holder
Account Number
(3)
(4)
Sr No
Name of the Institution in which the

account is held
(Note : If no entry is made in this
column, then other columns will not be
considered for that row)
Address of the Institution
(1)
(2)
Name of the Account

Holder
Account Number
(3)
(4)
1
2
3
4
5
6
Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sr No
Country Name & Code
(1)
1
2
3
4
5
6
Name of the trust
Address of the trust
Name of Other trustees
(2)
(3)
(4)
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profess
Sr No
Country Name & Code
Name of the Person
(1)
(2)
Address of the Person
Income derived
(3)
(4)
1
2
3
4
5
6
NOTE
Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or student visa
schedule if no income is derived from that asset during the current previous year.
Section under which

relief claimed
(specify 90, 90A or 91)
(e)
0
0
(Select)
ax authority during the year? If yes, provide the
StatusOwner/ Beneficial owner/ Beneficiary
Account Number
(5)
Account opening date
(7)
(6)
Peak Balance
Interest accrued in
during the year (in
the account
Rupees)
(8)
Interest taxable and offered in this return

Amount
Schedule where
offered
(10)
(11)
(9)
Nature of InterestDirect/ Beneficial owner/ Beneficiary
Date since held
Total Investment (at cost) Income accrued

(in rupees)
from such Interest
(4)
Total Investment (at cost) (in rupees)
(7)
(5)
(6)
Income derived from the

property
Nature of Income
(6)
(7)
(5)
Nature of Income
(8)
Income taxable and offered in this return

Amount
Schedule where
offered
(9)

Amount
Schedule where
Item number of
offered
schedule
(8)
(9)
(10)
(10)
Total Investment (at cost) (in rupees)
Income derived from the

asset
Nature of Income
(6)
(7)
(5)

Amount
Schedule where
Item number of
offered
schedule
(8)
(9)
(10)
hich has not been included in A to D above.

Peak Balance/Investment during the Whether income accrued is
year (in rupees)
taxable in your hands?
(6)
(5)
If (6) is yes, Income

accrued in the account
(7)
If (6) is yes, Income offered in this return
Peak Balance/Investment during the Whether income accrued is

year (in rupees)
taxable in your hands?
(6)
If (6) is yes, Income

accrued in the account
Amount
Schedule where
offered
Item number of
schedule
(8)
(9)
(10)
(7)
(5)
Address of Other trustees
Name of Settlor
Address of Settlor
Name of
Beneficiaries
Address of
Beneficiaries
Date since position

held
Whether income
derived is taxable in
your hands?
(5)
(6)
(7)
(8)
(9)
(10)
(11)
head business or profession

Nature of income
Whether taxable in your

hands?
(5)
(6)

Amount
Schedule where
Item number of
offered
schedule
(7)
(8)
(9)
mployment or student visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this
Interest taxable and offered in this return

Item number of
schedule
(12)

Item number of
schedule
(11)
If (11) is yes,
Income derived
from the trust
(12)

Amount
Schedule
Item number
where offered of schedule
Schedule 5A
Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the Spouse

PAN of the Spouse
Heads of Income
1
2
3
4
5
House Property
Business or profession
Capital Gains
Other Sources
Total (1+2+3+4)
Income received under the head

(i)
1
2
3
4
5
Amount apportioned in the

hands of the spouse
(ii)
Amount of TDS deducted on

income at (ii)
(iii)
uguese Civil Code
TDS Apportioned In the hands of

spouse
(ii)
Schedule AL
A
Asset and Liability at the end of the year (other than those included in Part A BS) (Applicable in a case where total income exceeds Rs. 50 lakh)
Particulars of Asset
DETAILS OF ASSET AND LIABILTY
Amount (Cost) (Rs.)
Immovable Asset
Land
a
Building
b
Movable Asset
a
Financial Asset
i
Bank (including all deposits)
ii
Shares and securities
iii
Insurance policies
iv
Loans and Advances given
v
Cash in hand
Jewellery, bullion etc.
b
Archaeological collections, drawings, painting, sculpture or any work of

art
Vehicles, yachts, boats and aircrafts
d
Total
3
Liability in relation to Assets at A
c
1a
1b
2ai
2aii
2aiii
2aiv
2av
2b
2c
2d
3
B

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S.

Profit and Loss

Assesment Year 2016-17

Personal Info., Filing Status, Audit Info

Schedule SPI, Schedule SI, Schedule IF

Assesment Year 2016-17

Details of Personal Information and filing status

Select Applicable sheets below

Select Sheets to print and

INDIAN INCOME TAX RETURN

Flat / Door / Block No

Name of Premises / Building / Village

Road / Street / Post Office

Date of birth (DD/MM/Y

Email Address-1 (self)

Whether original or revised return?

Income Tax Ward/Circle

Return filed under Section

(Please see Rule 12 of the Income Tax-Rules,1962)

If filed, in response to a notice u/s 139(9)/

Whether you have Aadhaar Number?

If Yes, then please provide your Aadhaar

Are you governed by Portuguese Civil Code?

Date of furnishing of the audit

NATURE OF BUSINESS OR PROFESSION, IF MORE THAN ONE BUSINESS OR PROFESSION

Trade name of the

Trade name of the proprietorship, if any

Trade name of the

Equity Shares, including share application money

Loans and advances

Deposits, loans and advances to corporates and others

iii Balance with Revenue Authorities

Total (iA + iB + iC + iD)

Amount of total sundry debtors

Other operating revenues (specify nature and

CREDITS TO PROFIT AND LOSS ACCOUNT

Total (iiia + iiib + iiic + iiid)

Union Excise duties

Profit on sale of investment being securities chargeable to Securities

vii Profit on sale of other investment

Power and fuel

DEBITS TO PROFIT AND LOSS ACCOUNT

Any other benefit to employees in respect of which an expenditure

Whether any compensation, included in 14xi, paid to

If Yes, amount paid to non-residents

Other Insurance including factory, office, car, goods,etc.

Paid outside India, or paid in India to a non-resident other than a

Paid outside India, or paid in India to a non-resident other than a

Paid outside India, or paid in India to a non-resident other than a

Union excise duty

vi Total rates and taxes paid or payable (36i+36ii+36iii+36iv+36v)

Others (more than Rs. 1 lakh) where PAN is not available

iii Others (amounts less than Rs. 1 lakh)

Paid outside India, or paid in India to a non-resident other than a

Depreciation and amortization

Is there any change in stock valuation method (Select)

Amounts not credited to the profit and loss account, being

escalation claims accepted during the previous year

d Any other item of income

Premium paid for insurance on the health of employees [36(1)(ib)]

Any amount of interest paid in respect of borrowed capital [36(1)(iii)]

Amount of contributions to an approved gratuity [36(1)(v)]

Amount of bad and doubtful debts [36(1)(vii)]