About the Author :

V. N. HARI
Partner

Sudhakar & Kumar Associates,

Chartered Accountant
# 10-1-12, II Floor,
Krishna Kamal Enclave,
Asilmetta Junction,
Visakhapatnam - 530 003
Ph. (O) : 0891-2755814
(M) : 9866531022

E-mail ID : vnhari.ca@gmail.com

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 ITR - 2
A.Y. 2010-11

For Individuals
and HUFs not
having Income
from Business
or Profession
 D.No. 10-1-12, II Floor,

SUDHKAR & KUMAR ASSOCIATES Krishna Kamal Enclave

Asilmetta Juncton,
Chartered Accounants Visakhapatnam - 530
003 ,
Ph. 0891-2755814
CLIENT DATA SHEET - ITR - 2 - A.Y. 2010-11
email :
vnhari.ca@gmail.com
GENERAL INFORMATION
1. Name of the Assessee

2. Father's Name

3. Date of Birth 30-Dec-1899 Senior Citizen YES

4. Sex FEMALE

4. Address Flat/Door No./Block No.

2 Name of premises/Building/Village
`
Road / Street / Post Office

Area/ Locality

Town / City /Municipality

Pin Code (Please affix { ' } befoe the Number)

E-mail ID sudhkar_kumarasst@yahoo.com

5. PAN PAN Verification Status Individual HUF

6. Assessment Year 2010-2011

7. Financial Year 2009-2010

6. Due date of filing 31-Jul-2010

7. Month of filing 30-Apr-2010

8. Financial Year Ending 31-Mar-2010

9. Name of the Employer

9a. Permanent Account Number TAN PAN

9b. Address of the employer

10. Type of Employer Govt Others

10a. Type of Return

Original Revised Revised 10d. Tye of return ORIGINAL REVISED

10b. Residential Status Resident Non Resident Resident but not ordinarily resident
FALSE
10c. If this return is filed by a representative Assessee Yes No
 HEADS OF INCOME
11. INCOME FROM SALARY

Gross Salary Received -

Deduction u/s 10

a) HRA u/s 10(13A) -

b) Conveyance Allowance U/10(14) -

c) Any Other Allowance u/s 10 -

Deduction u/s 16

a) Profession Tax -

INCOME CHARGEABLE UNDER THE HEAD SALARIES -

12. INCOME FROM HOUSE PROPERTY

1. House Property 1 FALSE

Address :
D.No.
Town/City

PIN Code

Let Out Self Occupied

Gross Annual Value -

Less: Municipal Taxes -

Net Annual Value -

Less: Deduction U/s 24

a) Standard Deduction @ 30% -
b) Interest on borrowed capital -
c) Prior Period Interest -
Total of Deductions u/s 24 -

Income/loss from house property - 0

Net Income from Property -

2. House Property 2 FALSE

Address :
D.No.
Town/City
PIN Code
Let Out Self Occupied

Gross Annual Value -

Less: Municipal Taxes -

 Net Annual Value -

Less: Deduction U/s 24

a) Standard Deduction @ 30% -

b) Interest on borrowed capital -

c) Prior Period Interest -

Total of Deductions u/s 24 -

Income/loss from house property - 0

Net Income from Property -

INCOME CHARGEABLE UNDER THE HEAD HOUSE PROPERTY -

13. INCOME FROM CAPITAL GAINS

A. Short Term Capital Gains

a. Full Value of Consideration -

Less: Deduction u/s 48 Date of Transfer1-Apr-2009

i. Cost of acquisition -

ii. Cost of Improvement -

iii Expenditure on transfer -
Total : -

b. Short Term Capital Gains -

c. Exemption u/s 54/54B/54D/54EC/54ED/54F -
d. Income from Short Term Capital Gains -

B. Short Term Capital Gains (Chargeable at special Rates (Shares sold within 12 months holding))

a. Full Value of Consideration -

Less: Deduction u/s 48 Date of Transfer1-Apr-2009

i. Cost of acquisition -

ii. Expenditure on transfer -

Total : -
b. Income from Short Term Capital Gains chargeable at special rates -

C. Long Term Capital Gains

Description of Long Term Capital Gains

a. Full Value of consideration

a. Sale value as mentioned in sale Document -

b. Market Value as mentioned in sale Document - Date of Transfer1-Apr-2009

Full Value of Consideration -

b. Indexed cost of acuisition

a. Cost of acquisition - Index Number

Year of purchase (YYYY-YY)1984-85
2001-02
1981-82 4 125
Year of Transfer (YYYY-YY)2009-10
2008-09 29 632

Indexed cost of acquisition -

 b. Cost of Improvement - Index Number

Year of Improvement (yyyy-yy)

2004-05
1981-82 1 100

Year of Transfer (yyyy-yy) 2008-09

2009-10 29 632

Indexed cost of Improvement -

c. Expenditure on Transfer -

d. Long Term Capital Gains -

e. Exemption u/s 54/54B/54D/54EC/54ED/54F -

f. Income from Long Term Capital Gains -

INCOME CHARGEABLE UNDER THE HED CAPITAL GAINS -

14. Income from Other Sources

a. Income other than from owning race horse(s):-
a. Dividends -
b. Interest
a. -
b. -
c. -
d. -
e. -
f. -
g. - -

c. Rental Income from Machinery -

d. Other Income
a. -
b. -
c. -
d. -
e. -
f. -
g. -
h. -
i. - -

-
Less: Deduction U/s 54
a. Expenses -
b. Depreciation -
c. Other Expenses -

b. Winnings from lotteries, crossword puzzles, races, etc., -

c. Income from owning and maintaining race horses

a Receipts -

b Deductions under section 57 -

INCOME CHARGEABLE UNDER THE HED OTHER SOURCES -

COMPUTATION OF TOTAL INCOME

15. GROSS TOTAL INCOME

Income Chargeable under the head salaries -

Income Chargeable under the head House Property -

Income Chargeable under the head Capital Gains -

Income Chargeable under the head Other Sources -

Gross Total Income -

16. DEDUCTIONS UNDER CHAPTER - VIA

Gross Amount Qualifing Amount

a) Deduction U/s 80C
Life Insurance Premium -

Housing Loan Repayment -

Contribution to PF -

Purchase of NSC -

Investment in MF -
Investment in Pension Plan -
Children Tuition Fee -
Registration Fee of Res. House -
Other Savings - -

b) Deduction U/s 80D - -

c) Deduction U/s 80G -

d) Deduction U/s 80GG YES NO

### Least of the below :

a) Amount Specified 24,000

b) Rent Paid in excess of 10% of Adj. Income -

a) Rent Paid -

b) 10% of Adj. Income -

-

c) 25% of Adj. Income -

-
-

e) Other Deductions (Please Specify) 4 80GGA -

Total of Deduction under chapter VIA -

NET TAXABLE INCOME

16. Taxable Income -

17. Agricultural Income -

18. Agrigate of (Item No. 16 and 17) -

COMPUTATION OF TOTAL INCOME

19. Tax at normal rates -

20. Tax at special rates -

21. Tax Payable on total Income -

23. Education Cess -

24. Total Tax Payable (Item No.21+22+23) -

25. Relief U/s 89 -

26. Relief U/s 90/91 -

27. Balance Tax Payable -

28. Interest Payable U/s 234

a) U/s 234 A -
-
b) U/s 234 B -
c) U/s 234 C -
-

29. Total Tax Payable -

30. Taxes Paid

Advance Tax Paid

Sl.N Name of Bank & Branch BSR Code Date of Serial No. of Amount
o. Deposit Challan
1 -
2 -
3 -

TOTAL : -
Tax Deducted At Source (As per Form NO. 16 issued by the employer)
Sl. TAN of the Name and Income Deduction Tax Payable Total tax Tax
No. Employer address of Chargeable under (including deposited Payable/
the Employer under the head Chapter VI- surchage) refundable
A
1

, , - - - - -

- - -

TOTAL : -
Tax Deducted At Source (As per Form No. 16A issued by the deductee)
Sl. TAN of the Name and address of the Amount Date of Total tax Amount
No. Deductor deductor Paid/ Payment/ deposited claimed for
Credit Credit this year

1 ###
- -

2 -

3 -

4 -

5 -

6 -

7 -

8 -

9 -
 10 -

11 -

12 -

TOTAL : -
Self Assessment Tax Paid
Sl. Name of Bank & BranchBSR Code Date of Serial No. of Amount
No. Deposit Challan
1 -
-
-

TOTAL : -

Total Taxes paid -

31. Tax Pyable ###

### -

32 Refund Receivable 1 -

BANK DETAILS

a) Name of the Bank -Select

-Select Bank Name and
Bank Name andBranch-
Branch-

b) Name of the Branch - Select the Branch -

c) Account Number

d) MICR Code - MICR -

OTHER INFORMATION

Annual Information Return Particulars

Code Description Yes/No. Amount in
Rs.

cash deposit aggregating ten lakh rupees or more in a year

in any savings account by you maintained in abankig
001 company to which the Banking Regulations Act, 1949 (10 of
1949), applied (including any bank or banking institution
referred to in section 51 of that Act) - FALSE
Payment made by you against bills raised in respect of a
002 credit card aggregating to tow lakh rupees or more in a - FALSE
year
Payment made by you of an amount of two lakh rupees or
003 more for purchase of units of Mutual Fund - FALSE
Payment by you of an amount of five lakh rupees or more
004 for acquiring bonds or debentures issued by a company or - FALSE
institution.
 Payment made by you of an amount of one lakh rupees or
005 more for acquiring shares issued by a compnay - FALSE
Purchase by you of any immovable property valued at
006 thirty lakh rupees or more - FALSE
Sale by you of any immovable property valued at thirty
007 lakh rupees or more
- FALSE
Payment made by you of an amount of five lakh rupees or
008 more in a year for investment in bonds issued by Reserve
- FALSE
Bank of India

FALSE FALSE
I Floor,

Enclave,

on,

- 530

814

il.com

PSU

FALSE FALSE
Name of the Assessee #VALUE!
Father's Name #VALUE!
Date of Birth 30-Dec-99 Sex : FEMALE
Address #VALUE!
(Not Applicable ) #VALUE!
#VALUE!
#VALUE!
(Being a Women Assessee) #VALUE!
PAN Assessment Year 2010-2011
STATUS 2 HUF Previous Year 2009-2010
Due date of filing 31-Jul-10 Ward/Circle
Month of filing 30-Apr-10 Previous Year ended on 31-Mar-10

COMPUTATION OF TOTAL INCOME

(Being a senior citizen) AMOUNT AMOUNT
Since the assessee does not RS. RS.
I. INCOME FROM SALARY:
GrossExemptions
Less: Salary Received
U/S 10: -
a) HRA u/s 10(13A) -
b) Conveyance Allowance u/s 10(14) -
c) Any other Allowance - -
Balance -
Less: Deductions U/S 16:
(i) Professional Tax -
-
II. INCOME FROM HOUSE PROPERTY : let out
1. , - Let Out

Gross Annual Value -

Less: Municipal Taxes -
Net Annual Value -
Less: Deduction u/s 24
a) Standard Deduction -
b) Interest on borrowed Capital -
-
Net Income from Property -

2. , - Let Out

Gross Annual Value -

Less: Municipal Taxes -
Net Annual Value -
Less: Deduction u/s 24
a) Standard Deduction -
b) Interest on borrowed Capital -
-
 Net Income from Property -

et Income chargeable under the head income from house property -

IV. INCOME FROM CAPITAL GAINS :

a. Long Term Capital Gain :
Income from Long Term Capital Gains -
b. Short Term Capital Gains :
Short Term Capital gains chargeable at special rates -
Short Term Capital gains chargeable at normal rates -
-
-
V. INCOME FROM OTHER SOURCE :
A. Income other than from owning race horse(s):-
a. Dividends -
Less: Exemtion U/s 10(33) -
-

b. Interest
Err:517 -
Err:517 -
Err:517 -
Err:517 -
Err:517 -
Err:517 -
Err:517 -
-

c. Rental Income from Machinery -

d. Other Income -
a. #VALUE! -
b. #VALUE! -
c. #VALUE! -
d. #VALUE! -
e. #VALUE! -
f. #VALUE! -
g. #VALUE! -
h. #VALUE! -
i. #VALUE! -
-
-
Less: Deduction u/s 54
a. Expenses -
b. Depreciation -
c. Other Expenses -
-
-
B. Winnings from lotteries, crossword puzzles, races, etc., -
C. Income from owning and maintaining race horses -
-
-
Gross Total Income Gross Total Income -
Less: Deduction under chapter VIA :
a) Deduction U/s 80C Amount in Rs. Qlf. Amount
Life Insurance Premium -
Housing Loan Repayment -
Contribution to PF -
Purchase of NSC -
Investment in MF -
Investment in Pension Plan -
Children Tuition Fee -
Registration Fee of Res. House -
Other Savings -
- -

b) Deduction U/s 80D - -

c) Deduction U/s 80G - -

d) Deduction U/s 80GG -

e) Other Deductions (Please Specify) -

-
Taxable Income -
Rounded to 39,690 -
Agriculture Income -
Tax on Income returned
Income Chargeable Income Tax
At special Rates (@ 20%) -
Less: Short fall of Basic exeption if any -
- - -
240000
At special Rates (i.e. @ 15%) -
Less: Short fall of Basic exemption if any 240,000
240,000 - -

At Normal Rates - -
Tax on Income returned -
Add: Education Cess -
Total Tax Payable -
Less: Tax Deducted At Source -
Refund Receivable -
Less: Advance Tax
BSR Code Date Amount in Rs.
#VALUE! - -
#VALUE! -
#VALUE! - - -
-
-
-
- -
- - -
-
-
 Government of India

INCOME-TAX DEPARTMENT

ACKNOWLEDGEMENT

Received with thanks #VALUE! a return of

in Form from
No. ITR - 2 for assessment year 2010-11, having the following particulars income

Name PAN

#VALUE!
Flat/Door/Block No Name of Premises/Building/Village
PERSONAL INFORMATION

#VALUE!
Road/Street/Post Office Area/Locality

Town/City/District State
Status (fill the
code)
###

Designation of Assessing Officer (Ward/Range) Original or Revised

1 Gross Total Income 1 -

2 Deductions Under Chapter VI-A 2 -

3 Total Income 3 -
COMPUTATION OF INCOME AND TAX THEREON

3a Current Year loss (if any) 3a -

4 Net tax payable 4 -

5 Interest payable 5 -

6 Total tax and interest payable 6 -

7 Taxes paid

a Advance Tax 7a -

b TDS 7b -

c TCS 7c -

d Self Assessment Tax 7d -

e Total Taxes Paid (7a+7b+7c+7d) 7e -

8 Tax Payable (6-7d) 8 -

9 Refund (7e-6) 9 -
Receipt No Seal and Signature of receiving official
Date

Sudhakar Kumar Associates

 ### ### ######
INDIAN INCOME TAX RETURN Assessment Year
FORM [For Individuals and HUFs not having Income from Business or Profession]
ITR-2
(Please see Rule 12 of the Income-tax Rules, 1962) 2 0 1 0 - 1 1
(Also see attached instructions)

Part A-GEN GENERAL TRUE ###

First Name Middle Name Last Name PAN

#VALUE!
Flat /Door/Block No. Name of Premises/building/Village Status (Tick)
PERSONAL INFORMATION

#VALUE! Individual HUF

Road/Street/Post Office Area/Locality Date of Birth (DD/MM/YYYY)
(in case of individual)
30-Dec-99
Town/City/District State Pin Code Sex(in case of individual) (Tick)

ANDHRA PRADESH Male Female

Email Address (STD Code) - Phone Number Employer Category (if in employment)
Govt. PSU Others
#VALUE!

Designation of Assessing Officer (Ward/Circle) Return Filed Under Section

[Please see instruction number-9(I)]

Whether original or Revised return? (Tick) Original Revised

If revised, enter Receipt No and Date of filing original return

FILING STATUS

(DD/MM/YYYY)

Residential Status (Tick) Resident Non-Resident Resident but not ordinarily Resident

Whether this return is being filed by a representative assessee? (Tick)

### Yes ### No
If Yes, please furnish following information:-
a Name of the representative

b Address of the representative

c Permanent Account Number (PAN) of the representative

PART - B
Part B - TI Computation of total income
-
1 Salaries (6 of Schedule S) 1
2 Income from house property (3c of Schedule HP) (enter nil if loss) 2 -

3 Capital gains
TOTAL INCOME

a Short Term
(i) 3ai
Short-term (U/s.111A) (enter nil, if loss) (A5 of Schedule CG) -
(ii) Short-term (others) (A6 of Schedule CG) 3aii -

(iii) Total Short-term(3ai +3aii) (A4 of schedule CG) 3aiii -

b Long-term (B5 of Schedule CG) (enter nil if loss) 3b -
c Total capital gains (3aiii + 3b) (enter nil if 3c is a loss) 3c -

4 Income from other sources

a From sources other than from owning race horses (3 of Schedule OS) 4 -

b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b -

c Total (a + b) (enter nil if 4c is a loss) 4c -

5 Total (1+2+3c+4c) 5 -

Do not write or stamp in this area (Space for bar code) For Office Use only

Receipt No.

Date

Seal and Signature of receiving official

 6 Lossess of current year set off against 5 (total of 2vi and 3vi of schedulce CYLA) 6 -
7 Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA) 7 -
8 brought forward losses set off against 7 (2vi of Schedule BFLA) 8 -
9 Gross Total income (7-8) (also 3vii of Schedule BFLA) 9 -
10 Deductions under Chapter VI-A (n of Schedule VIA) 10 -
11 Total income (9-10) 11 -
12 Net agricultural income / any other income for rate purpose (4 of Schedule EI) 12 -
13 Aggregate income' (11 + 12) 13 -

14 Losses of current year to be carried forward (total of row xi of Schedule CFL) 14 -

Part B - TTI Computation of tax liability on total income

1 Tax payable on total income
a Tax at normal rates 1a -
b Tax at special rates (11 of Schedule SI) 1b -
c Tax payable on total income (1a + 1b) 1c -
COMPUTATION OF TAX LIABILITY

2 Education cess, including secondary and higher education cess 1c 2 -

3 Gross tax liability (1c + 2) 3 -
4 Tax relief
a Section 89 4a -
b Section 90 4b -
c Section 91 4c -
d Total (4a + 4b+ 4c) 4d -
5 Net tax liability (3 - 4d) 5 -
6 Interest Payable
a For default in furnishing the return (section 234A) 6a -
b For default in payment of advance tax (section 234B) 6b -
c For deferment of advance tax (section 234C) 6c -
d Total Interest Payable (6a + 6b + 6c) 6d -
7 Aggregate liability (5 + 6d) 7 -
8 Taxes paid
a Advance Tax (from Schedule - IT) 8a -
TAXES PAID

b TDS (total of column 7 of Schedule - TDSI and column 7 of

schedule - TDS2) 8b -
c Self Assessment Tax (from Schedule - IT) 8c -
d Total Taxes paid (8a + 8b + 8c) 8d -
9 Amount payable (enter if 7 is greater than 8d, else enter 0) 9 -
10 Refund (if 8d is greater than 7, also give bank account details below) 10 -
11 Enter your bank account number (mandatory in case of refund)
REFUND

12 Do you want your refund by Cheque, or deposited directly into your bank account ? (tick as applicable)

13 In case of direct deposit to your bank account give additional details-Select Bank Name and Branch-
MICR Code - MICR - Type of account (tick as applicable ) Savings Current

VERIFICATION

I, #VALUE! Daughter of #VALUE! holding PAN

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 particulars shown therein are truly 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 2010-2011.

Place #VALUE! Date 14-Jun-10 Sign here

14 If the return has been prepared by a Tax Return Preparer(TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP

If TRP is entitled for nay reimbursement from the Government, amount thereof 15

Schedule S Details of Income from Salary

Name of Employer PAN of Employer (optional)

#VALUE!
Address of employer Town/City State Pin Code
SALARIES

#VALUE! #VALUE! ANDHRA PRADESH

1 Salary (Exculding all allowances, perquisites & profit in lieu of salary) 1 -
2 Allowances exempt under section 10 (Not to be included in 62below) -
3 Allowances not exempt (refer Form 16 from employer) 3 -
4 Value of perquisites (refer Form 16 from employer) 4
5 Profits in liew of salary (refer Form 16 from employer) 5 -
6 Income chargeable under the Head 'Salaries' (1+3+4+5) 6 -
Schedule HP Details of Income from House Property (Please refer to instructions)
1 Address of property 1 Town / City State PIN Code

#VALUE! ANDHRA PRADESH #VALUE!

(Tick) If let out Name of Tenant PAN of Tenant (optional)

Annual letable value/rent received or receivable (higher if let out for whole of
a the year, lower if let out for part of the year -
1a
b The amount of rent which cannot be realized 1b -
c Tax paid to local authorities 1c -
d Total (1b + 1c) 1d -
e Balance (1a - 1d) 1e -
f 30% of 1e 1f -
g Interest payable on borrowed capital 1g -
h Total (1f + 1g) 1h -
i Income from house property 1 (1e-1h) 1i -
HOUSE PROPERTY

2 Address of property 2 Town / City State PIN Code

#VALUE! ANDHRA PRADESH #VALUE!
(Tick) If let out Name of Tenant PAN of Tenant (optional)

Annual letable value/rent received or receivable (higher if let out for whole of
a the year, lower if let out for part of the year -
2a
b The amount of rent which cannot be realized 2b -
c Tax paid to local authorities 2c -
d Total (2b + 2c) 2d -
e Balance (2a - 2d) 2e -
f 30% of 1e 2f -
g Interest payable on borrowed capital 2g -
h Total (2f + 2g) 2h -
i Income from house property 2 (2e-2h) 2i -

3 Income under the head "Income from house property"

a Rent of earlier years realized under section 25A/AA 3a -
b Arrears of rent received during the year under section 25B after deducting 30% 3b -
c Total(3a+3b+1i+2i) 3c -
NOTE Please including the income of the specified persons referred to in schedule SPI while computing the income under this head
Schedule CG Capital Gains
A Short-term capital gain
1 From assets in case of non-resident to which first proviso to section 48 applicable 1
2 From other assets
a Full value of consideration 2a -
b Deductions under section 48
I Cost of acquisition bi -
CAPITAL GAINS

ii Cost of Improvement bii -

iii Expenditure on transfer biii -
iv Total (I+ii+ii) biv -
c Balance (3a - biv) 2c -
d Loss, if any, to be ignored u/s. 94(7) or 94(8) 2d -
e Exemption under section54/54B/54D/54EC/54F 2e -
f Short-term capital gain (2c - 2d - 2e) 2f -
3 Amount deemed to be short term capital gains under sections 54B/54D/54EC/54ED/54G/54GAA3 -
4 Total short term capital gain (1+2f+3+4) A4 -
5 Short term capital gain under section 111A included in 4 A5 -
6 Short term capital gain other than referred to in section 111A (A4-A5) A6 -
B Long term capital gain
1 Asset in case of non-resident to which first proviso to section 48 applicable 1 -
2 Other assets where proviso to section 112(1) not applicable
a Full value of consideration 2a -
b Deductions under section 48
I Cost of acquisition after indexation bi -
ii Cost of Improvement after indexation bii -
iii Expenditure on transfer biii -
iv Total (bi+bii+biii) biv -
c Balance (2a - biv) 2c -
d Deductions under sections 54/54B/54D/54EC/54F 2d -
e Net balance (2c - 2d) 2e -
3 Other assets where proviso to section 112(1) not applicable
a Full value of consideration 3a -
b Deductions under section 48
I Cost of acquisition without indexation Bi -
ii Cost of Improvement without indexation bii -
iii Expenditure on transfer biii -
iv Total (bi+bii+biii) biv -
c Balance (3a - biv) 3c -
d Deductions under sections 54/54B/54D/54EC/54F 3d -
e Net balance (3c - 3d) 3e -
4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F 4 -
5 Total long term capital gain 1+2e [(enter 2e as nil if loss)+3e(enter 3e as nil if loss)+4)]
B5 -
C Income chargeable under the Head "CAPITAL GAINS:" (A6 + B5) (enter B5 as nil, if loss) C -
D Information about accrual / receipt of capital gain
Date Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii) (iii) (iv)
Long-term where proviso under section
112(1) is excecised (Without
Indexation)- Code in
SI Schedule is 22, Tax Rate is 10% :
Enter only positive value from item B3e of
Schedule CG AFTER loss adjustment under
this category in Schedule CYLA and BFLA, if
1
any
Long-term where proviso under section
112(1) is NOT excecised (With
Indexation)- Code in
SI Schedule is 21, Tax Rate is 20% :
Enter only positive value from item (B5-
B3e) of Schedule CG AFTER loss adjustment
under this category in Schedule CYLA and
BFLA, if any - - - -
 Short-term under 111A-
Code in SI Schedule is 1A, Tax Rate
is 15% : Enter only positive value
from item A7 of Schedule CG AFTER loss
adjustment under this category in Schedule
CYLA and BFLA, if any - - - -
Short-term OTHERS-
Taxed at normal rate
Enter only positive value
from item A8 of Schedule CG AFTER loss
adjustment under this category in Schedule
2 CYLA and BFLA, if any - - - -
NOTE: Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head

Schedule OS Income from other sources

1 Income other than from owning race horse(s):-
a Dividends, Gross 1a -
b Interest, Gross 1b -
c Rental income from machinery, plants, buildings, 1c -
d Others, Gross 1d -
e Total (1a + 1b + 1c + 1d) 1e -
f Deductions under section 57:-
OTHER SOURCES

i Expenses fi -
ii Depreciation fii -
iii Total fiii -
g Balance (1e - fiii) 1g -
2 Winnings from lotteries, crossword puzzles, races, etc., 2 -
3 Income from other sources (other than from owning race horses)(1g+2) 3 -
4 Income from owning and maintaining race horses
a Receipts 4a -
b Deductions under section 57 in relation to (4) 4b -
c Balance (4a - 4b) 4c -
5 Income chargeable under the head "income from other sources: (3+4c) 5 -
NOTE: Please include the income of the specified persons referred to in schedule SPI while computing the income under this head

Schedule CYLA Details of Income after Set off of current year losses
Head/Source of income Income of Other sources loss
current year House property loss of the (other than loss from race
(Fill this current year set off horses) of the current year set
Current year's Income
column only if off
remaining after set off
CURRENT YEAR LOSS ADJUSTMENT

Sl income is zero Total loss

No. Total loss (3 of
or positive) (4c of
Schedule-OS)
Schedule - HP)
1 2 3 4=1-2-3
Loss to be adjusted
I Salaries - - - -
ii House Property - - -
iii Short-term Capital -
gain - - -
iv Long term capital
gain - - - -
v Other sources(incl
profit from owning
race horses - - -
vi Total loss set off - -
vii Loss remaining after set-off out of 2&3 - -

Schedule BFLA Details of Income after set off of Brought Forward Losses of earlier years
Head/Source of Income Income after set off, if any, of current Brought forward loss set off Current year's Income
Sl
year's losses as per 4 of Schedule CYLA remaining after set off
No
BROUGHT FORWARD LOSS ADJUSTMENT

1 2 3
I Salaries - -
ii House Property - - -
iii Short-term Capital
gain - - -
iv Long term capital
gain - - -
v Other sources(incl
profit from owning
race horses - - -
BRO
vi Total of brought forward loss set off -
vii Current year's income remaining after set off total (i3 + ii3 + iii3 + iv3 + v3) -
Schedule CFL Details of Losses to be carried forward to future years
Assessment year Date of Filing House property loss Short-term Capital loss Long Term Capital Other sources
(DD/MM/YY)
loss (from owning
race horses)

I 2002-03
ii 2003-04
CARRY FORWARD OF LOSS

iii 2004-05
iv 2005-06
v 2006-07
vi 2007-08
vii 2008-09
viii 2009-10
ix Total of earlier year -
losses - - -
x Adjustment of above -
losses in schedule BFLA - - -
xi 2010-11 (current -
year losses) - - -
xii Total loss carried
forward to future
years - - - -

Schedule VIA Deductions under Chapter VI-A (Section)

a 80C - h 80G
TOTAL DEDUCTIONS

b 80CCC - I 80GG -
c 80CCD - j 80GGA -
d 80D - k 80GGC -
e 80DD - l 80RRB -
f 80DDB - m 80U -
g 80E -
n Total deductions (total of a to m) n -

Schedule SPI Income of specified persons (spouse, minor child etc) includable in income of the assessee
Sl. No. Name of person PAN of person Relationship Nature of Income Amount(Rs.)
1
2

Schedule SI Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax]
Sl Section Code Special Income Tax thereon Section Income Tax thereon
Sl No Special rate (%)
No. rate (%) i ii Code i ii
SPECIAL RATE

1 20% - - 6
2 10% - - 7
3 8
4 9
5 10
11 Total (1ii to 10ii) -
### ### ######
### ######
###### ###
Schedule EI Details of Exempt Income (Income not to be included in Total Income)
1 Interest income 1
EXEMPT INCOME

2 Dividend Income 2 -
3 Long-term capital gains on which Securities Transaction Tax is paid 3
4 Net Agriculture income/any other Income for rate purpose 4 -
5 Others 6
6 Total (1+2+3+4+5+6) 7 -

Schedule AIR Other Information (transactions reported through Annual Information Return)[Please see instruction No-9(ii) for code]
Sl Code of Transaction Amount (Rs.) Sl Code of Transaction Amount(Rs.)
1 001 - 5 005 -
2 002 - 6 006 -
3 003 - 7 007 -
4 004 - 8 008 -
###### ######
Schedule IT Details of advance Tax and Self assessment Tax payments of Income-tax
Sl Date of Deposit Serial Number of
No
Name of Bank & Branch BSR Code Amount (Rs.)
(DD/MM/YYYY) Challan
(i) #VALUE! -
TAX PAYMENTS

(ii) -
(iii) -
(iv) #VALUE! -
(v) -
(vi) #VALUE! -
(vii) #VALUE!
Note: Enter the totals of Advance tax and Self Assessment Tax in Sl. No. 9a & 9c of Part B-TTI
FALSE### ### ###

Schedule TDS1 Details of Tax deducted at source from Salary [As per Form 16 issued by Employer(s)]

Tax Deduction Tax Tax

Income
Sl Account Name and Address of the Duduction under payable(incl. Total Tax payable /
No Chargeable under
Number(TAN) of Employer Chapter VI-A Surch. And Deposited refundabl
the head Salaries
the Employer edn. Cess) e
TDS ON SALARY

(1) (2) (3) (4) (5) (6) (7) (8)

(i)

#VALUE! #VALUE! - - - - -
(ii)
#VALUE! #VALUE! - - -

Schedule TDS2 Details of Tax Deducted at Source on Interest [As per Form 16A issued by Deductor(s)]
Amount
Tax Deduction Account Date of out of (6)
Sl Amount paid / Total Tax
No
Number(TAN) of the Name and Address of the Deductor Payment / claimed
credited Deposited
Deductor Credit for this
year
(1) (2) (3) (4) (5) (6) (7)
TDS ON OTHER INCOME

i. #VALUE! - - -
ii. #VALUE! - - -
iii. #VALUE! - - -
iv. #VALUE! - - -
v. #VALUE! - - -
vi. #VALUE! - - -
vii. #VALUE! - - -
viii. #VALUE! - - -
ix. #VALUE! - - -
x. #VALUE! - - -
xi. #VALUE! - - -
xii. #VALUE! - - -
Note: Please Enter the total of column 7 of Schedule - TDS1 and column 7 of Schedule - TDS2 in 9(b) of Part B-TTI
 Single copy ( to be sent to the ZAO)

Tax Applicable (Tick One) Assessment

Year
CHALLAN NO./ (0020) INCOME - TAX ON (0021) INCOME TAX
ITNS 280 COMPANIES (OTHER THAN COMPANIES) 2010-2011
(CORPORATION TAX)

Parmenent Account Number

Full Name
#VALUE!

Complete Address with City & State

#VALUE!

Type of Payment (Tick One)

Advance Tax (100) Surtax (102)
Self Assessment Tax (300) Tax on Distributed Profits of Domestic Companies(106)
Tax on Regular Assessment (400) Tax on Distributed Income to Unit Holders (107)

DETAILS OF PAYMENTS FOR USE IN RECEIVING BANK

Income Tax - Debit to A/c / Cheque credited on
Surcharge
Education Cess DD MM YY
Interest
Penalty SPACE FOR BANK SEAL
Others
Total -
Total (in words)

Crores Lac Thousand Hundred Tens Units

Zero Zero Zero Zero

Paid in Cash/Debit to A/c/Cheque Dated

Drawn on
Name of the Bank and Branch)
Rs. -
Date 6/14/2010 Signature of person making payment

Taxpayers' Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL

PAN
Received from #VALUE!
(Name)

Cash/Debit to A/c/Chq. No. For Rs. -

Rs.(in words) Only
Drawn on
(Name of the Bank and Branch)

on account of INCOME TAX OTHER THAN COMPANIES

Type of Payment SELF ASSESSMENT TAX Rs. -
Assesment Year 2010-2011
 INDEXED COST OF ACQUISITION

FIN.YEAR INDEX NO. Number

1 1981-82 100 1
2 1982-83 109 2
3 1983-84 116 3
4 1984-85 125 4
5 1985-86 133 5
6 1986-87 140 6
7 1987-88 150 7
8 1988-89 161 8
9 1989-90 172 9
10 1990-91 182 10
11 1991-92 199 11
12 1992-93 223 12
13 1993-94 244 13
14 1994-95 259 14
15 1995-96 281 15
16 1996-97 305 16
17 1997-98 331 17
18 1998-99 351 18
19 1999-00 389 19
20 2000-01 406 20
21 2001-02 426 21
22 2002-03 447 22
23 2003-04 463 23
24 2004-05 480 24
25 2005-06 497 25
26 2006-07 519 26
27 2007-08 551 27
28 2008-09 582 28
29 2009-10 632 29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
 79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
0

1-Apr-2009 15-Sep-2009 15-Dec-2009 15-Mar-2010 31-Mar-2010

Long Term Capital Gain
164 254 344 360
1-Apr-2009 (Long Term)
0 1
1-Apr-2009 (Short Term normal rates)
0
1
1-Apr-2009 (Short Term special rates)
0
1

Long Term Capital Gains :

Income - - - -
Tax - - - -
Surcharge - - - -
 Edu. Cess - - - -
Total Tax - - - -

Short Term Capital Gains (At special rates)

Income - - - -
Tax - - - -
Surcharge - - - -
Edu. Cess - - - -
Total Tax - - - -

Short Term Capital Gains (At normal rates)

Income - - - -
Tax #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Surcharge - - - -
Edu. Cess #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Total Tax #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Chargeable at Normal Rates

Income - - - -
Tax - - - -
Surcharge - - - -
Edu. Cess
Total Tax

Tax #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Surcharge - - - -
Edu. Cess #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Total Tax #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Interest u/s 234C

Total Tax Payable #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Qtr. Installment #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Less: Ad.tax - - - -
Less: TDS - - - -
Short Fall #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Interest #DIV/0! #DIV/0! #DIV/0!
Total Interest #DIV/0!
In words
One
Two
Three
Four
Five
Six
Seven
Eight
Nine
Ten
Eleven
Twelve
Thirteen
Fourteen
Fifteen
Sixteen
Seventeen
Eighteen
Ninteen
Twenty
Twenty one
Twenty Two
Twenty Three
Twenty Four
Twenty Five
Twenty Six
Twenty Seven
Twenty Eight
Twenty Nine
Thirty
Thirty One
Thirty Two
Thirty Three
Thirty Four
Thirty Five
Thirty Six
Thirty Seven
Thirty Eight
Thirty Nine
Forty
Forty One
Forty Two
Forty Three
Forty Four
Forty Five
Forty Six
Forty Seven
Forty Eight
Forty Nine
Fifty
Fifty One
Fifty Two
Fifty Three
Fifty Four
Fifty Five
Fifty Six
Fifty Seven
Fifty Eight
Fifty Nine
Sixty
Sixty One
Sixty Two
Sixty Three
Sixty Four
Sixty Five
Sixty Six
Sixty Seven
Sixty Eight
Sixty Nine
Seventy
Seventy One
Seventy Two
Seventy Three
Seventy Four
Seventy Five
Seventy Six
Seventy Seven
Seventy Eight
Seventy Nine
Eighty
Eighty One
Eighty Two
Eighty Three
Eighty Four
Eighty Five
Eighty Six
Eighty Seven
Eighty Eight
Eighty Nine
Ninty
Ninty One
Ninty Two
Ninty Three
Ninty Four
Ninty Five
Ninty Six
Ninty Seven
Ninty Eight
Ninty Nine
Zero
#DIV/0!