Instructions Home PART A - GENERAL Schedule S Schedule HP Schedule CG Schedule 112A Schedule 115AD(1)(iii) proviso Schedule OS Schedule CYLA Schedule BFLA Schedule CFL Schedule VI-A Schedule 80D Schedule 80G Schedule 80GGA Schedule AMT Schedule AMTC Schedule SPI Schedule SI Schedule EI Schedule PTI Schedule FSI Schedule TR Schedule FA Schedule 5A Schedule AL Schedule DI Part B - TI Part B - TTI IT TDS TCS Verification #### Home
S.No | Schedule Name | Schedule Description | Schedule Selection
--- | --- | --- | ---
1 | PART A - GENERAL | Details of Personal Information and filing status | Yes
2 | Schedule S | Details of Income from Salary |
3 | Schedule HP | Details of Income from House Property |
4 | Schedule CG | Capital Gains |
5 | Schedule 112A | Details of Income from 112A |
6 | Schedule 115AD(1)(iii) proviso | Details of Income from 115AD(1)(iii) proviso |
7 | Schedule OS | Income from other sources |
8 | Schedule CYLA | Details of Income after Set off of Current years losses | Yes
9 | Schedule BFLA | Details of Income after Set off of Brought Forward Losses of earlier years | Yes
10 | Schedule CFL | Details of Losses to be carried forward to future Years |
11 | Schedule VI-A | Deductions under Chapter VI-A |
12 | Schedule 80D | Details of deduction under Section 80G |
13 | Schedule 80G | Details of donation entitled for deduction under Section 80G |
14 | Schedule 80GGA | Details of donations for scientific research or rural development |
15 | Schedule AMT | Computation of Alternate Minimum Tax payable under section 115JC |
16 | Schedule AMTC | Computation of tax credit under section 115JD |
17 | Schedule SPI | Income of specified persons (spouse, minor child etc) includable in income of the assessee |
18 | Schedule SI | Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code and rate of tax] |
19 | Schedule EI | Details of Exempt Income (Income not to be included in Total Income) |
20 | Schedule PTI | Pass Through Income details from business trust or investment fund as per section 115UA,115UB |
21 | Schedule FSI | Details of Income accruing or arising outside India |
22 | Schedule TR | Details of Tax Relief claimed under Section 90 or Section 90A or Section 91 | Yes
23 | Schedule FA | Details of foreign assets |
24 | Schedule 5A | Information regarding apportionment of Receipts between spouses governed by Portuguese Civil Code |
25 | Schedule AL | Assets and Liabilities at the end of the year (Applicable in the case of total income exceeds Rs.50 lakh) |
26 | Schedule DI | Details of investments |
27 | Part B - TI | Computation of total income | Yes
28 | Part B - TTI | Computation of tax liability on total income | Yes
29 | Schedule IT | Details of Advance Tax and Self Assessment Tax Payments of Income-tax |
30 | Schedule TDS | Details of Tax Deducted at Source on Income [As per Form 16 A, 27D issued by Deductor(s)] |
31 | Schedule TCS | Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)] |
32 | Verification | Verification | Yes
#### INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or profession] (Please see rule 12 of the Income-tax Rules,1962) (Please refer instructions)
1. All amounts are in Indian Rupees.
2. A calendar is provided for selecting the date field (format DD/MM/YYYY)
3. All greyed out fields are either auto-filled or non-editable.
4. In ITR wherever information is captured in tables Adding new Row : Click ADD button to insert a new row and then enter values in the field provided. Make sure you provide information in all mandatory columns(*) marked Deleting Row : Select the row to delete from the list and click DELETE button Remove unnecessary blank rows from the table by selecting the row and clicking on DELETE button.
5. Please enter only the value wherever the information is needed in percentage i.e. % sign not required.
6. Please verify the Return before submitting or saving the final XML.
#### Personal Information
First name |  | Middle name |
Last name* |  | PAN * |
Date of Birth/ Formation(DD/MM/YYYY) * |  | Status * |
ADDRESS
Flat/Door/Block No * |  | Name of Premises/Building/Village |
Road/Street/Post Office |  | Area/Locality* |
Town/City/District * |  | State* |
Country* |  | Pin Code * |
Zip Code * |  | No Zip Code
Residential/Office Phone Number with STD code | Do not prefix STD code with '0'
Mobile No. 1* |  | Mobile No. 2 |
Email Address-1 (self)* |  | Email Address-2 |
Aadhaar Number (Please enter the Aadhaar Number. Applicable to Individual only.) |  | Aadhaar Enrolment Id [Note: If Aadhaar Number is not yet allotted, then Aadhaar Enrolment Id is required. All the digits in enrolment ID & Date and time of enrolment to be entered continuously. For example Enrolment ID: 1234/12345/12345 & Date/Time of enrollment: 01/12/2016 11:50:22 to be entered as 1234123451234501122016115022] |
#### Filing Status
Filed u/s * |  | Or | Filed in response to notice u/s |
b | Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income?If yes, please furnish following information |
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling one or more conditions mentioned in the seventh proviso to section 139(1)]
bi | Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current account during the previous year? (Yes/No) |  |
bii | Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a foreign country for yourself or for any other person? (Yes/ No) |  |
biii | Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on consumption of electricity during the previous year? (Yes/No) |  |
If revised/defective/modified enter Receipt No |  | Date of filing original return (DD/MM/YYYY) |
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C or order u/s 119(2)(b) enter unique number/ Document Identification Number (DIN) and date of such notice/order, or if filed u/s 92CD, enter date of advance pricing agreement |  |
Residential Status * |  |
(i) Please specify the jurisdiction(s) of residence during the previous year -
S.No. |  | Jurisdiction(s) of residence | Taxpayer Identification Number(s)
1 |  |  |
(ii) In case you are a Citizen of India or a Person of Indian Origin (POI), please specify -
Total period of stay in India during the previous year (in days) | Total period of stay in India during the 4 preceding years (in days)
Do you want to claim the benefit under section 115H? (applicable in case of resident) |
Are you governed by Portuguese Civil Code as per section 5A? (If “YES” please fill Schedule 5A)* |
#### Other Details
Whether this return is being filed by a representative assessee? If yes, please furnish following information -* |
Name of the representative | Capacity of representative | Address of the representative | Permanent Account Number (PAN) of the representative | Aadhaar No. of the representative
Whether you are Director in a company at any time during the previous year? If yes, please furnish following information -* |
Sl. No. |  | Name of company | Type of Company | PAN | Whether its shares are listed or unlisted | Director Identification Number (DIN)
1 |  |  |  |  |  |
Whether you have held unlisted shares at any time during the previous year? If yes, please furnish following information -* |
Sl. No. |  | Name of company | Type of company | PAN | Opening balance | Shares acquired during the year | Shares transferred during the year | Closing balance
|  |  |  |  | No. of shares | Cost of acquisition | No. of shares | Date of subscription / purchase | Face value per share | Issue price per share (in case of fresh issue) | Purchase price per share (in case of purchase from existing shareholder) | No. of shares | Sale consideration | No. of shares | Cost of acquisition
|  | (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14)
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
#### Details of Income from Salary
Detail of Employer 1 | Name of Employer* |  | Nature of employer* |  | TAN of Employer (mandatory if tax is deducted) |
Address of Employer* |  | Town/City* |
State* |  | Pincode* |  | ZIP Code* |
1 | Gross Salary (1a + 1b + 1c) | 1 |
1a | Salary as per section 17(1) |
S. No. |  | Nature of salary* | Description | Amount*
1 |  |  |  |
1b | Value of perquisites as per section 17(2) |
S. No. |  | Nature of perquisites* | Description | Amount*
1 |  |  |  |
1c | Profit in lieu of salary as per section 17(3) |
S. No. |  | Nature of Profit in lieu of Salary | Description | Amount
1 |  |  |  |
2 | Total Gross Salary (from all employers) | 2 |  |
3 | Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in Total Gross salary in (2) above) | 3 |
S. No. |  | Nature of Exempt Allowance | Description | Amount
1 |  |  |  |
4 | Net Salary (2 – 3) | 4 |
5 | Deduction u/s 16 (5a + 5b + 5c) | 5 |
5a | Standard deduction u/s 16(ia) | 5(a) |
5b | Entertainment allowance u/s 16(ii) | 5(b) |
5c | Professional tax u/s 16(iii) | 5(c) |
6 | Income chargeable under the Head ‘Salaries’ (4-5) | 6 |
#### Details of Income from House Property
1 | Address of property 1 |
| Town/ City |
State |
Country |
Pincode |
Zip Code |
Owner of the Property |  |
Is the property co-owned?* (if "YES" please enter following details) |
Your percentage of share in the Property(%) | %
S. No. |  | Name of Co-owner(s) | PAN of Co-owner (s) | Aadhaar No. of Co-owner(s) | Percentage share of co-owner(s) in property in (%)
1 |  |  |  |  | %
Type Of House Property |
S. No. |  | Name(s) of Tenant (if let out) | PAN of Tenant(s) (if available) | Aadhaar No. of Tenant(s) (if available) | PAN/TAN of Tenant(s) (if TDS credit is claimed)
1 |  |  |  |  |
(a) | Gross rent received or receivable or letable | 1a |
(b) | The amount of rent which cannot be realized | 1b |  |
(c) | Tax paid to local authorities | 1c |
(d) | Total (1b + 1c) | 1d |
(e) | Annual value (1a – 1d) (nil, if self -occupied etc. as per section 23(2)of the Act) | 1e |
(f) | Annual value of the property owned (own percentage share x 1e) | 1f |
(g) | 30% of 1f | 1g |  |
(h) | Interest payable on borrowed capital | 1h |
(i) | Total (1g + 1h) | 1i |
(j) | Arrears/Unrealized Rent received during the year Less 30% | 1j |  |
(k) | Income from house property 1 (1f - 1i + 1j) | 1k |
2 | Pass through income/loss if any * | 2 |
3 | Income under the head “Income from house property” (1k) + 2 (if negative take the figure to 2i of schedule CYLA) | 3 |
Note: Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred to in schedule PTI while computing the income under this head Furnishing of PAN of tenant is mandatory, if tax is deducted under section 194-IB. Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I.
#### Capital Gains
A | Short-term capital gain (STCG) (Sub-items 3 & 4 are not applicable for residents)
1
1 | From sale of land or building or both (fill up details separately for each property)
a | i | Full value of consideration received/receivable | ai |
ii | Value of property as per stamp valuation authority | aii |
iii | Full value of consideration adopted as per section 50C for the purpose of Capital Gains [in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else take (aii)] | aiii |
b | Deductions under section 48
i | Cost of acquisition without indexation | bi |
ii | Cost of Improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii + biii) | biv |
c | Balance (aiii – biv) | 1c |
d | Deduction under section 54B (Specify details in item D below) | 1d |
e | Short-term Capital Gains on Immovable property (1c - 1d) | A1e |
f |  |
In case of transfer of immovable property, please furnish - the following details (see note)
S.No. |  | Name of Buyer(s) | PAN of Buyer(s) | Aadhaar No. of buyer(s) | Percentage share | Amount | Address of Property | Pincode
1 |  |  |  |  |  |  |  |
| Note1: | Furnishing of PAN/ Aadhaar No. is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents.
| Note2: | In case of more than one buyer, please indicate the respective percentage share and amount.
2 |
1 | From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section
a | Full value of consideration | 2a |
b | Deductions under section 48
| i | Cost of acquisition without indexation | bi |
ii | Cost of Improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (i + ii + iii) | biv |
c | Balance (2a - 2biv) | 2c |
d | 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) | 2d |
e | Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) | A2e |
3 | For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange adjustment under first proviso to section 48)
a | STCG on transactions on which securities transaction tax (STT) is paid | A3a |
b | STCG on transactions on which securities transaction tax (STT) is not paid | A3b |
4 | For NON-RESIDENT- from sale of securities (other than those at A2) by an FII as per section 115AD
a | i | In case securities sold include shares of a company other than quoted shares, enter the following details
a | Full value of consideration received/receivable in respect of unquoted shares | ia |
b | Fair market value of unquoted shares determined in the prescribed manner | ib |
c | Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) | ic |
ii | Full value of consideration in respect of assets other than unquoted shares | ii |
iii | Total (ic + ii) | iii |
b | Deductions under section 48
i | Cost of acquisition without indexation | bi |
ii | Cost of Improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (i + ii + iii) | biv |
c | Balance (4aiii - 4biv) | 4c |
d | Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such security to be ignored (Enter positive value only) | 4d |
e | Short-term capital gain on sale of securities by an FII (other than those at A2) (4c +4d) | A4e |
5 | From sale of assets other than at A1 or A2 or A3 or A4 above
a | i | In case assets sold include shares of a company other than quoted shares, enter the following details
a | Full value of consideration received/receivable in respect of unquoted shares | ia |
b | Fair market value of unquoted shares determined in the prescribed manner | ib |
c | Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) | ic |
ii | Full value of consideration in respect of assets other than unquoted shares | ii |
iii | Total (ic + ii) | iii |
b | Deductions under section 48
| i | Cost of acquisition without indexation | bi |
ii | Cost of Improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (i + ii + iii) | biv |
c | Balance (5aiii - 5biv) | 5c |
d | 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 ignored (Enter positive value only) | 5d |
e | STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) | A5e |
6 | Amount deemed to be short-term capital gains
a | 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 |
Note: In case any amount is utilised out of Capital Gains account please fill sl no "B" of Schedule DI
Sl.No. |  | Previous year in which asset transferred | 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)
Year in which asset acquired/constructed | Amount utilised out of Capital Gains account
1 |  |  |  |  |  |
b | Amount deemed to be short term capital gains, other than at 'a' |
Total amount deemed to be short term capital gains (aXi + b) | A6 |
7 | Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b + A7c) | A7 |
a | Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable @ 15% | A7a |
b | Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable @ 30% | A7b |
c | Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable at applicable rates | A7c |
8 | Amount of STCG included in A1-A7 but not chargeable to tax or chargeable at special rates in India as per DTAA
Sl.No. (1) |  | Amount of income (2) | Item no. A1 to A7 above in which included (3) | Country Name,Code (4) | Article of DTAA (5) | Rate as per Treaty (enter NIL, if not chargeable) (6) | Whether Tax Residency Certificate obtained? (7) | Section of I.T. Act (8) | Rate as per I.T. Act (9) | Applicable rate [lower of (6) or (9)] (10)
1 |  |  |  |  |  |  |  |  |  |
a | Total amount of STCG not chargeable to tax in India as per DTAA | A8a |
b | Total amount of STCG chargeable to tax at special rates in India as per DTAA | A8b |
9 | Total Short-term Capital Gain (A1e+ A2e…… + A3a + A3b + A4e + A5e + A6 + A7 - A8a) | A9 |
B | Long-term capital gain (LTCG) (Sub-items 5, 6 , 7 & 8 are not applicable for residents)
1
1 | From sale of land or building or both (fill up details separately for each property)
a | i | Full value of consideration received/receivable | ai |
ii | Value of property as per stamp valuation authority | aii |
iii | Full value of consideration adopted as per section 50C for the purpose of Capital Gains ([in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else take (aii)] | aiii |
b | Deductions under section 48
| i | Cost of acquisition with indexation | bi |
ii | Cost of Improvement with indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii + biii) | biv |
c | Balance (aiii – biv) | 1c |
d | Deduction under section 54/54B/54EC/54F/54GB (Specify details in item D below)
S. No. |  | Section | Amount
1 |  |  |
| Total | 1d |
e | Long-term Capital Gains on Immovable property (1c - 1d) | B1e |
f |  |
In case of transfer of immovable property, please furnish - the following details (see note)
S.No. |  | Name of Buyer(s) | PAN of Buyer(s) | Aadhaar No. of buyer(s) | Percentage share | Amount | Address of Property | Pincode
1 |  |  |  |  |  |  |  |
| Note1: | Furnishing of PAN/ Aadhaar No. is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents.
| Note2: | In case of more than one buyer, please indicate the respective percentage share and amount.
2 | From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a | Full value of consideration | 2a |
b | Deductions under section 48
| i | Cost of acquisition without indexation | bi |
ii | Cost of improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii +biii) | biv |
c | Balance (2a - 2biv) | 2c |
d | Deduction under sections 54F (Specify details in item D below) | 2d |
e | LTCG on bonds or debenture (2c – 2d) | B2e |
3 |
1 | From sale of,
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 wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii +biii) | biv |
c | Balance (3a - 3biv) | 3c |
d | Deduction under sections 54F (Specify details in item D below) | 3d |
e | Long-term Capital Gains on assets at B3 above (3c – 3d) | B3e |
4 | From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a | LTCG u/s 112A (column 14 of Schedule 112A) | 4a |
b | Deduction under sections 54F (Specify details in item D below) | 4b |
c | Long-term Capital Gains on sale of capital assets at B4 above (4a - 4b) | 4c |
5 | For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment under first proviso to section 48)
a | LTCG computed without indexation benefit | 5a |
b | Deduction under sections 54F (Specify details in item D below) | 5b |
c | LTCG on share or debenture (5a – 5b) | B5c |
6 |
1 | For NON-RESIDENTS- from sale of,
a | i | In case securities sold include shares of a company other than quoted shares, enter the following details
a | Full value of consideration received/receivable in respect of unquoted shares | ia |
b | Fair market value of unquoted shares determined in the prescribed manner | ib |
c | Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) | ic |
ii | Full value of consideration in respect of assets other than unquoted shares | ii |
iii | Total (ic + ii) | iii |
b | Deductions under section 48
i | Cost of acquisition without indexation | bi |
ii | Cost of improvement without indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii +biii) | biv |
c | Balance (6aiii - 6biv) | 6c |
d | Deduction under sections 54F (Specify details in item D below) | 6d |
e | Long-term Capital Gains on assets at 6 above in case of NON-RESIDENT (6c – 6d) | B6e |
7 | For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a | LTCG u/s 112A (column 14 of Schedule 115AD(1)(iii)) | 7a |
b | Deduction under sections 54F (Specify details in item D below) | 7b |
c | Long-term Capital Gains on assets at B7 above (7a ‐ 7b) | 7c |
8 | From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a | LTCG on sale of specified asset (computed without indexation) | 8a |
b | Less deduction under section 115F (Specify details in item D below) | 8b |
c | Balance LTCG on sale of specified asset (8a – 8b) | B8c |
d | LTCG on sale of asset, other than specified asset (computed without indexation) | 8d |
e | Less deduction under section 115F (Specify details in item D below) | 8e |
f | Balance LTCG on sale of asset, other than specified asset (8d – 8e) | B8f |
9 | From sale of assets where B1 to B8 above are not applicable
a | i | In case assets sold include shares of a company other than quoted shares, enter the following details
a | Full value of consideration received/receivable in respect of unquoted shares | ia |
b | Fair market value of unquoted shares determined in the prescribed manner | ib |
c | Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b) | ic |
ii | Full value of consideration in respect of assets other than unquoted shares | ii |
iii | Total (ic + ii) | iii |
b | Deductions under section 48
| i | Cost of acquisition with indexation | bi |
ii | Cost of improvement with indexation | bii |
iii | Expenditure wholly and exclusively in connection with transfer | biii |
iv | Total (bi + bii +biii) | biv |
c | Balance (9aiii - 9biv) | 9c |
d | Deduction under sections 54F (Specify details in item D below) | 9d |
e | Long-term Capital Gains on assets at B9 above (9c-9d) | B9e |
10 | Amount deemed to be long-term capital gains
Note: In case any amount is utilised out of Capital Gains account please fill sl no "B" of Schedule DI
a | Whether any amount of unutilized capital gain on asset transferred during the previous year shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? If yes, then provide the details below |
Sl.No. |  | Previous year in which asset transferred | 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)
Year in which asset acquired/constructed | Amount utilised out of Capital Gains account
1 |  |  |  |  |  |
b | Amount deemed to be long-term capital gains, other than at 'a' |
Total Amount deemed to be long-term capital gains (aX……+ b) | B10 |
11 | Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a1 + B11a2 + B11b) | B11 |
a1 | Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @ 10% u/s 112A | B11a1 |
a2 | Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @ 10% under section other than u/s 112A | B11a2 |
b | Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @ 20% | B11b |
12 | Amount of LTCG included in B1- B11 but not chargeable to tax or chargeable at special rates in India as per DTAA
Sl.No. (1) |  | Amount of income (2) | Item no. B1 to B11 above in which included (3) | Country Name & Code (4) | Article of DTAA (5) | Rate as per Treaty (enter NIL, if not chargeable) (6) | Whether Tax Residency Certificate obtained? (7) | Section of I.T. Act (8) | Rate as per I.T. Act (9) | Applicable rate [lower of (6) or (9)] (10)
1 |  |  |  |  |  |  |  |  |  |
a | Total amount of LTCG not chargeable to tax as per DTAA | B12a |
b | Total amount of LTCG chargeable to tax at special rates as per DTAA | B12b |
13 | Total long term capital gain chargeable under I.T. Act (B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e+B10+B11-B12a) | B13 |
C | Income chargeable under the head "CAPITAL GAINS" (A9 + B13) (take B13 as nil, if loss) | C |
D | Information about deduction claimed against Capital Gains
1 | In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
a | Deduction claimed u/s 54
S. No. |  | Date of transfer of original asset | Cost of new residential house | Date of purchase/construction of new residential house | Amount deposited in Capital Gains Accounts Scheme before due date | Amount of deduction claimed |
1 |  |  |  |  |  |
b | Deduction claimed u/s 54B
S. No. |  | Date of transfer of original asset | Cost of new agricultural land | Date of purchase of new agricultural land | Amount deposited in Capital Gains Accounts Scheme before due date | Amount of deduction claimed |
1 |  |  |  |  |  |
c | Deduction claimed u/s 54EC
S. No. |  | Date of transfer of original asset | Amount invested in specified/notified bonds (not exceeding fifty lakh rupees) | Date of investment | Amount of deduction claimed |
1 |  |  |  |  |
d | Deduction claimed u/s 54F
S. No. |  | Date of transfer of original asset | Cost of new residential house | Date of purchase/construction of new residential house | Amount deposited in Capital Gains Accounts Scheme before due date | Amount of deduction claimed |
1 |  |  |  |  |  |
e | Deduction claimed u/s 54GB
S. No. |  | Date of transfer of original residential property | PAN of the eligible company | Amount utilised for subscription of equity shares of eligible company | Date of subscription of shares | Cost of new plant and machinery purchased by the eligible company | Date of purchase of plant and machinery | Amount deposited in Capital Gains Accounts Scheme before due date | Amount of deduction claimed |
1 |  |  |  |  |  |  |  |  |
f | Deduction claimed u/s 115F (for Non-Resident Indians)
S. No. |  | Date of transfer of original foreign exchange asset | Amount invested in new specified asset or savings certificate | Date of investment | Amount of deduction claimed |
1 |  |  |  |  |
g | Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) | 1g |
E | Set-off of current year capital losses with current year capital gains (excluding amounts included in A8a & B12a which is not chargeable under DTAA)

Sl.No | Type of Capital Gain | Gain of current year (Fill this column only if computed figure is positive) | Short term capital loss set off | Long term capital loss set off | Current year’s capital gains remaining after set off(9=1-2-3-4-5-6-7-8)
15% | 30% | applicable rate | DTAA rate | 10% | 20% | DTAA rate
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9
i | Loss to be set off (Fill this row if computed figure is negative) |  |  |  |  |  |  |  |  |
ii | Short term capital gain | 15% |  |  |  |  |  |  |  |  |
iii | 30% |  |  |  |  |  |  |  |  |
iv | applicable rate |  |  |  |  |  |  |  |  |
v | DTAA rates |  |  |  |  |  |  |  |  |
vi | Long term capital gain | 10% |  |  |  |  |  |  |  |  |
vii | 20% |  |  |  |  |  |  |  |  |
viii | DTAA rates |  |  |  |  |  |  |  |  |
ix | Total loss set off (ii + iii + iv + v + vi + vii + viii) |  |  |  |  |  |  |  |
x | Loss remaining after set off (i – ix) |  |  |  |  |  |  |  |
F | Information about accrual/receipt of capital gain |
| Type of Capital gain / Date | Upto 15/6 (i) | 16/6 to 15/9 (ii) | 16/9 to 15/12 (iii) | 16/12 to 15/3 (iv) | 16/3 to 31/3 (v)
1 | Short-term capital gains taxable at the rate of 15% Enter value from item 3iii of schedule BFLA, if any. |  |  |  |  |
2 | Short-term capital gains taxable at the rate of 30% Enter value from item 3iv of schedule BFLA, if any. |  |  |  |  |
3 | Short-term capital gains taxable at applicable rates Enter value from item 3v of schedule BFLA, if any. |  |  |  |  |
4 | Short-term capital gains taxable at DTAA rates Enter value from item 3vi of schedule BFLA, if any.. |  |  |  |  |
5 | Long- term capital gains taxable at the rate of 10% Enter value from item 3vii of schedule BFLA, if any. |  |  |  |  |
6 | Long- term capital gains taxable at the rate of 20% Enter value from item 3viii of schedule BFLA, if any. |  |  |  |  |
7 | Long term capital gains taxable @ DTAA rates Enter value from item 3ix of schedule BFLA, if any. |  |  |  |  |
Note:Please include the income of the specified persons(spouse, minor child, etc.)referred to in Schedule SPI while computing the income under this head.

#### From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A

Sl. No. |  | Share/Unit acquired | ISIN Code | Name of the Share/Unit | No. of Shares/Units | Sale-price per Share/Unit | Full Value of Consideration If shares/units are acquired on or before 31st January, 2018 (Total Sale Value) (4*5) or If shares/units are acquired after 31st January, 2018 - Please enter Full Value of Consideration | Cost of acquisition without indexation (higher of 8 or 9) | Cost of acquisition | If the long term capital asset was acquired before 01.02.2018, Lower of 6 & 11 | Fair Market Value per share/unit as on 31st January,2018 | Total Fair Market Value as on 31st January,2018 of capital asset as per section 55(2)(ac)- (4*10) | Expenditure wholly and exclusively in connection with transfer | Total deductions (7+12) | Balance (6–13) -Item 4(a) of LTCG Schedule of ITR2
(1) |  | (1a) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14)
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total of each column |  |  |  |  |  |  |  |  |

#### For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A

Sl. No. |  | Share/Unit acquired | ISIN Code | Name of the Share/Unit | No. of Shares/Units | Sale-price per Share/Unit | Full Value of Consideration If shares/units are acquired on or before 31st January, 2018 (Total Sale Value) (4*5) or If shares/units are acquired after 31st January, 2018 - Please enter Full Value of Consideration | Cost of acquisition without indexation (Higher of 8 & 9) | Cost of acquisition | If the long term capital asset was acquired before 01.02.2018, Lower of 6 & 11 | Fair Market Value per share/unit as on 31st January,2018 | Total Fair Market Value as on 31st January,2018 of capital asset as per section 55(2)(ac)- (4*10) | Expenditure wholly and exclusively in connection with transfer | Total deductions (7+12) | Balance (6-13) Item 7 (a) of LTCG Schedule of ITR2
(1) |  | (1a) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14)
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total of each column |  |  |  |  |  |  |  |  |

#### Income from other sources

1 | Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) | 1 |
| a | Dividends, Gross [(not exempt u/s 10(34) and 10(35)] | 1a |
b | Interest, Gross (bi + bii + biii + biv + bv) | 1b |
bi | From Savings Bank | 1bi |
bii | From Deposit (Bank/ Post Office/ Co-operative) | 1bii |
biii | From Income Tax Refund | 1biii |
biv | In the nature of Pass through income/ loss | 1biv |
bv | Others | 1bv |
c | Rental income from machinery, plants, buildings, etc., Gross | 1c |
d | Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div + dv) | 1d |
di | Aggregate value of sum of money received without consideration | di |
dii | In case immovable property is received without consideration, stamp duty value of property | dii |
diii | In case immovable property is received for inadequate consideration, stamp duty value of property in excess of such consideration | diii |
div | In case any other property is received without consideration, fair market value of property | div |
dv | In case any other property is received for inadequate consideration, fair market value of property in excess of such consideration | dv |
e Any other income (please specify nature)
Sl.No. |  | Nature | Amount
|  | Family pension |
1 |  |  |
Total |
2 | Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e+ 2f related to Sl No.1) | 2 |
S. No. |  | Nature | Income
a |  | Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB |
b |  | Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) |
| i | Cash credits u/s 68 |
| ii | Unexplained investments u/s 69 |
| iii | Unexplained money etc. u/s 69A |
| iv | Undisclosed investments etc. u/s 69B |
| v | Unexplained expenditurte etc. u/s 69C |
| vi | Amount borrowed or repaid on hundi u/s 69D |
c | Accumulated balance of recognised provident fund taxable u/s 111 |
Sl.No. (1) |  | Assessment Year (2) | Income Benefit (3) | Tax Benefit (4)
1 |  |  |  |
Total |
d | Any other income chargeable at special rate (total of di to dxix) |
1 |  |  |
e |  | Pass through income in the nature of income from other sources chargeable at special rates |
1 |  |  |
f | Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA (total of column (2) of table below) |
Sl.No. (1) |  | Amount of income (2) | Item No.1a to 1d & 2a to 2e in which included (3) | Country Name & Code (4) | Article of DTAA (5) | Rate as per Treaty (enter NIL, if not chargeable) (6) | Whether Tax Residency Certificate obtained? (7) | Section of I.T. Act (8) | Rate as per I.T. Act (9) | Applicable Rate [lower of (6) or (9)] (10)
1 |  |  |  |  |  |  |  |  |  |
3 | Deductions under section 57:- (other than those relating to income chargeable at special rates under 2a, 2b & 2d)
| a | Expenses / deductions (in case of other than family pension) | a(i) |
| a | Deduction u/s 57(iia) (in case of family pension only) | a(ii) |
b | Depreciation | b |
c | Total | c |
4 | Amounts not deductible u/s 58 | 4 |
5 | Profits chargeable to tax u/s 59 | 5 |
6 | Net Income from other sources chargeable at normal applicable rates (1(after reducing income related to DTAA portion) – 3 + 4 + 5) (If negative take the figure to 3i of schedule CYLA) | 6 |
7 | Income from other sources (other than from owning race horses)(2+6) (enter 6 as nil, if negative) | 7 |
8 | Income from the activity of owning and maintaining race horses
| a | Receipts | 8a |
b | Deductions under section 57 in relation to receipts at 8a only | 8b |
c | Amounts not deductible u/s 58 | 8c |
d | Profits chargeable to tax u/s 59 | 8d |
e | Balance (8a - 8b + 8c + 8d)) (if negative take the figure to 6xi of Schedule CFL) | 8e |
9 | Income under the head “Income from other sources” (7 + 8e) (take 8e as nil if negative) | 9 |
10 | Information about accrual/receipt of income from Other Sources
S. No. | Other Source Income | Upto 15/6 (i) | From 16/6 to 15/9 (ii) | From 16/9 to 15/12 (iii) | From 16/12 to 15/3 (iv) | From 16/3 to 31/3 (v)
1 | Dividend Income u/s 115BBDA |  |  |  |  |
2 | Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc. referred to in section 2(24)(ix) |  |  |  |  |
Note :Please include the income of the specified persons (spouse, minor child, etc.) referred to in Schedule SPI while computing the income under this head.

#### Details of Income after set-off of current years losses

Sl.No | Head/ Source of Income | Income of current year (Fill this column only if income is zero or positive) | House property loss of the current year set off | Net loss from Other sources loss chargeable at normal applicable rates (other than loss from race horses) of the current year set off. | Current year's Income remaining after set off
(4 of Schedule–HP) | (6 of Schedule-OS)
1 | 2 | 3 | 4=1-2-3
i | Loss to be set off |  |  |  |
ii | Salaries |  |  |  |
iii | House property |  |  |  |
iv | Short-term capital gain taxable @ 15% |  |  |  |
v | Short-term capital gain taxable @ 30% |  |  |  |
vi | Short-term capital gain taxable at applicable rates |  |  |  |
vii | Short-term capital gain taxable at special rates in India as per DTAA |  |  |  |
viii | Long term capital gain taxable @ 10% |  |  |  |
ix | Long term capital gain taxable @ 20% |  |  |  |
x | Long-term capital gain taxable at special rates in India as per DTAA |  |  |  |
xi | Net income from other sources chargeable at normal applicable rates. |  |  |  |
xii | Profit from owning and maintaining race horses |  |  |  |
xiii | Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi + xii ) |  |  |
xiv | Loss remaining after set-off (i –xiii) |  |

#### Details of Income after Set off of Brought Forward Losses of earlier years

Sl.No | Head/ Source of Income | Income after set off, if any, of current year’s losses as per col. 4 of Schedule CYLA | Brought forward loss set off | Current year's income remaining after set off
1 | 2 | 3
i | Salaries |  |  |
ii | House property |  |  |
iii | Short-term capital gain taxable @ 15% |  |  |
iv | Short-term capital gain taxable @ 30% |  |  |
v | Short-term capital gain taxable at applicable rates |  |  |
vi | Short-term capital gain taxable at special rates in India as per DTAA |  |  |
vii | Long-term capital gain taxable @ 10% |  |  |
viii | Long term capital gain taxable @ 20% |  |  |
ix | Long-term capital gain taxable at special rates in India as per DTAA |  |  |
x | Net income from other sources chargeable at normal applicable rates. |  |  |
xi | Profit from owning and maintaining race horses |  |  |
xii | Total of brought forward loss set off (ii2 + iii2 + iv2 + v2 + vi2 + vii2 + viii2 + ix2 + xi2) |  |
xiii | Current year’s income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3+ vi3+ vii3 + viii3+ ix3 + x3 + xi3) |

#### Details of Losses to be carried forward to future years

Sl.No | Assessment Year (1) | Date of Filing (DD/MM/YYYY) (2) | House property loss (3) | Short-term capital loss (4) | Long-term Capital loss (5) | Loss from owning and maintaining race horses
Normal (3a) | PTI (3b) | Total 3c=3a+3b | Normal (4a) | PTI (4b) | Total 4c=4a+4b | Normal (5a) | PTI (5b) | Total 5c=5a+5b
i | 2012-13 |  |  |  |  |  |  |  |  |  |  |
ii | 2013-14 |  |  |  |  |  |  |  |  |  |  |
iii | 2014-15 |  |  |  |  |  |  |  |  |  |  |
iv | 2015-16 |  |  |  |  |  |  |  |  |  |  |
v | 2016-17 |  |  |  |  |  |  |  |  |  |  |
vi | 2017-18 |  |  |  |  |  |  |  |  |  |  |
vii | 2018-19 |  |  |  |  |  |  |  |  |  |  |
viii | 2019-20 |  |  |  |  |  |  |  |  |  |  |
ix | Total of earlier year losses |  |  |  |  |  |  |  |  |  |  |
x | Adjustment of above losses in Schedule BFLA |  |  |  |  |  |  |  |  |  |
xi | 2020-21 (Current year losses) |  |  |  |  |  |  |  |  |  |
xii | Total loss Carried Forward to future years |  |  |  |  |  |  |  |  |  |

#### Deductions under Chapter VI-A

Whether, you have made any investment/ deposit/ payments between 01.04.2020 to 31.07.2020 for the purpose of claiming any deduction under Part B of Chapter VIA? [Yes/No] (If yes, please fill sl no "A" of schedule DI) |
#### 1.Part B- Deduction in respect of certain payments
a | 80C - Life insurance premia, deferred annuity, contributions to provident fund, subscription to certain equity shares or debentures, etc. |  |
b | 80CCC - Payment in respect Pension Fund |  |
c | 80CCD(1) - Contribution to pension scheme of Central Government |  |
d | 80CCD(1B) -Contribution to pension scheme of Central Government |  |
e | 80CCD(2) - Contribution to pension scheme of Central Government by the Employer |  |
f | 80D (Please fill 80D Schedule. This field is auto-populated from schedule.) |  |
Note: Total of 80D in system calculated value should not exceed Rs 1,00,000 in case of individual and Rs 50000 in case of HUF.
g | 80DD - Maintenance including medical treatment of a dependent who is a person with disability |  |  |
h | 80DDB - Medical treatment of specified disease |  |  |
i | 80E - Interest on loan taken for higher education |  |
j | 80EE - Interest on loan taken for residential house property |  |
k | 80EEA - Deduction in respect of interest on loan taken for certain house property |  |
l | 80EEB - Deduction in respect of purchase of electric vehicle |  |
m | 80G - Donations to certain funds, charitable institutions, etc. (Please fill 80G Schedule. This field is auto-populated from schedule.) |  |
n | 80GG - Rent paid |  |
o | 80GGA - Certain donations for scientific research or rural development (Please fill 80GGA Schedule. This field is auto-populated from schedule.) |  |
p | 80GGC - Donation to Political party |  |
#### 2.Part C, CA and D- Deduction in respect of certain incomes/other deduction
q | 80QQB - Royalty income of authors of certain books |  |
r | 80RRB - Royalty on patents |  |
s | 80TTA - Interest on saving bank Accounts in case of other than Resident senior citizens |  |
t | 80TTB - Interest on deposits in case of Resident senior citizens |  |
u | 80U - In case of a person with disability. |  |  |
v | Total deductions under Chapter VI-A (Total of a to u) |  |

#### Deductions under section 80D

1 | Whether you or any of your family member (excluding parents) is a senior citizen? |
a | Self & Family |
(i) | Health Insurance |
(ii) | Preventive Health Checkup |
b | Self & Family (Senior Citizen) |
(i) | Health Insurance |
(ii) | Preventive Health Checkup |
(iii) | Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) |
2 | Whether any one of your parents is a senior citizen? |
a | Parents |
(i) | Health Insurance |
(ii) | Preventive Health Checkup |
b | Parents (Senior Citizen) |
(i) | Health Insurance |
(ii) | Preventive Health Checkup |
(iii) | Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) |
3 | Eligible Amount of Deduction |

#### Schedule 80G - Details of donation entitled for deduction under Section 80G

#### A. Donations entitled for 100% deduction without qualifying limit

S No. |  | Name of donee * | Address Detail * | City or Town or District * | State Code * | PinCode * | PAN of Donee * | Amount of donation * | Eligible Amount of Donation
Donation in cash | Donation in other mode | Total Donation
1 |  |  |  |  |  |  |  |  |  |  |
Total A |  |  |  |

#### B.Donations entitled for 50% deduction without qualifying limit

S No. |  | Name of donee * | Address Detail * | City or Town or District * | State Code * | PinCode * | PAN of Donee * | Amount of donation * | Eligible Amount of Donation
Donation in cash | Donation in other mode | Total Donation
1 |  |  |  |  |  |  |  |  |  |  |
Total B |  |  |  |

#### C. Donations entitled for 100% deduction subject to qualifying limit

S No. |  | Name of donee * | Address Detail * | City or Town or District * | State Code * | PinCode * | PAN of Donee * | Amount of donation * | Eligible Amount of Donation
Donation in cash | Donation in other mode | Total Donation
1 |  |  |  |  |  |  |  |  |  |  |
Total C |  |  |  |

#### D. Donations entitled for 50% deduction subject to qualifying limit

S No. |  | Name of donee * | Address Detail * | City or Town or District * | State Code * | PinCode * | PAN of Donee * | Amount of donation * | Eligible Amount of Donation
Donation in cash | Donation in other mode | Total Donation
1 |  |  |  |  |  |  |  |  |  |  |
Total D |  |  |  |

####

E.Donation in cash(A + B + C + D) |
F.Donation in other mode(A + B + C + D) |
G.Total Amount of Donations (A+ B + C + D) |
H.Total eligible amount of donations (A+ B + C+ D) |
Note : In case of Donee is Government and PAN is not available then use "GGGGG0000G" as PAN.

#### Schedule 80GGA - Details of donations for scientific research or rural development

Sl.No. |  | Relevant Clause under which deduction is claimed | Name of Donee | Address | City Or Town Or District | State Code | Pin Code | PAN of Donee | Amount of Donation | Eligible Amount of Donation
Donation in Cash | Donation in Other Mode | Total Donation
1 |  |  |  |  |  |  |  |  |  |  |  |
Total Donation |  |  |  |

#### Schedule AMT - Computation of Alternate Minimum Tax payable under section 115JC

1 | Total Income as per item 12 of PART-B-TI* | 1 |
2 | Adjustment as per section 115JC(2)
| 2a | Deduction claimed under any section included in Chapter VI-A under the heading “C.—Deductions in respect of certain incomes” | 2a |
3 | Adjusted Total Income under section 115JC(1) (1+2a) | 3 |
4 | Tax payable under section 115JC [18.5% of (3),](if 3 is greater than Rs. 20 lakhs) | 4 |

#### Schedule AMTC - Computation of tax credit under section 115JD

1 | Tax under section 115JC in assessment year 2020-21 (1d of Part-B-TTI) |
2 | Tax under other provisions of the Act in assessment year 2020-21 (7 of Part-B-TTI) |
3 | Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1, otherwise enter 0] |
4 | 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 of AMT Credit Brought Forward
S.No | Assessment Year(A) | AMT Credit | AMT Credit Utilised during the Current Assessment Year(C) | Balance AMT Credit Carried Forward (D)= (B3) –( C)
|  | Gross (B1) | Set-off in earlier assessment years (B2) | Balance brought forward to the current assessment year (B3)=(B1)-(B2) |  |
i | 2013-14 |  |  |  |  |
ii | 2014-15 |  |  |  |  |
iii | 2015-16 |  |  |  |  |
iv | 2016-17 |  |  |  |  |
v | 2017-18 |  |  |  |  |
vi | 2018-19 |  |  |  |  |
vii | 2019-20 |  |  |  |  |
viii | Current AY (enter 1 - 2, if 1>2 else enter 0) |  |  |  |  |
ix | Total |  |  |  |  |
5 | Amount of tax credit under section 115JD utilised during the year [total of item no 4 (C)] |
6 | Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)] |

#### 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)

S.No. |  | Name of person* | PAN of person (optional) | Aadhaar of person (optional) | Relationship* | Amount (₹) * | Head of Income in which included *
1 |  |  |  |  |  |  |

#### Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)

Sl.No. | Section/Description * | Special rate (%)* | Income (i)* | Taxable Income after adjusting for Min Chargeable to Tax* | Tax thereon (ii)*
1 | 111 - Tax on accumulated balance of recognised PF |  |  |  |
2 | 111A (STCG on shares units on which STT paid) |  |  |  |
3 | 112 (LTCG on others) |  |  |  |
4 | 112 proviso (LTCG on listed securities/ units without indexation) |  |  |  |
5 | 112(1)(c)(iii) - LTCG on unlisted securities in case of non-residents |  |  |  |
6 | 112A - LTCG on equity shares/units of equity oriented fund/units of business trust on which STT is paid |  |  |  |
7 | 115BB (Winnings from lotteries, puzzles, races, games etc.) |  |  |  |
8 | 115AD(1)(ii) -STCG (other than on equity share or equity oriented mutual fund referred to in section 111A) by an FII |  |  |  |
9 | 115ADiiiP - Proviso to 115AD(iii) |  |  |  |
10 | STCG Chargeable under DTAA rates |  |  |  |
11 | LTCG Chargeable under DTAA rates |  |  |  |
12 | Other source income chargeable under DTAA rates |  |  |  |
Total |  |  |

#### Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)

1 | Interest income | 1 |
2 | Dividend income from domestic company (amount not exceeding Rs. 10 lakh) | 2 |
3 | i | Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or 8 of I.T. Rules) | i |
| ii | Expenditure incurred on agriculture | ii |
| iii | Unabsorbed agricultural loss of previous eight assessment years | iii |
| iv | Net Agricultural income for the year (i – ii – iii) (enter nil if loss) | iv |
| v | In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the following details (Fill up details separately for each agricultural land)
Sl.No. |  | Name of district along with pin code in which agricultural land is located | Measurement of agricultural land in Acre | Whether the agricultural land is owned or held on lease | Whether the agricultural land is irrigated or rain-fed
Name of district | Pin code
1 |  |  |  |  |  |
4 | Others exempt income, (including exempt income of minor child) (please specify)
S. No. |  | Nature of Income |  | Amount
1 |  |  |  |
Total | 4 |
5 | Income not chargeable to tax as per DTAA
S. No. |  | Amount of Income | Nature of Income | Country name & code | Article of DTAA | Head of Income | Whether TRC obtained
1 |  |  |  |  |  |  |
Total Income from DTAA not chargeable to tax | 5 |
6 | Pass through income not chargeable to tax (Schedule PTI) | 6 |
7 | Total (1 + 2 + 3(iv) + 4 + 5 + 6) | 7 |

#### Pass Through Income details from business trust or investment fund as per section 115UA,115UB

Sl (1) |  | Investment entity covered by section 115UA/115UB (2) | Name of business trust/investment fund (3) | PAN of the business trust/investment fund (4) | Sl (5) | Head of income (6) | Current year income (7) | Share of current year loss distributed by Investment fund (8) | Net Income/ Loss(7-8) (9) | TDS on such amount, if any (10)
1. |  |  |  |  | i. | House property |  |  |  |
ii | Capital Gains
| a | Short term |  |  |  |
ai | Section 111A |  |  |  |
aii | Others |  |  |  |
b | Long term |  |  |  |
bi | Section 112A |  |  |  |
bii | Other than Section 112A |  |  |  |
iii | Other Sources |  |  |  |
a | Dividend (referred to in section 115O) |  |  |  |
b | Others |  |  |  |
iv | Income claimed to be exempt |  |  |  |
| a | u/s 10(23FBB) |  |  |  |
b | u/s |  |  |  |
c | u/s |  |  |  |
Note: Please refer to the instructions for filling out this schedule

#### Details of Income from outside India and tax relief (Available only in case of resident)

Sl.No. |  | Country Code | Taxpayer Identification Number | Sl.No. | Head of Income | Income from outside India(included in PART B-TI) | Tax paid outside India | Tax payable on such income under normal provisions in India | Tax relief available in India(e)= (c) or (d) whichever is lower | Relevant article of DTAA if relief claimed u/s 90 or 90A
(a) | (b) | (c) | (d) | (e) | (f)
1 |  |  |  | i | Salary |  |  |  |  |
ii | House Property |  |  |  |  |
iii | Capital Gains |  |  |  |  |
iv | Other Sources |  |  |  |  |
Total |  |  |  |  |
Note: Please refer to the instructions for filling out this schedule

#### Summary of tax relief claimed for taxes paid outside India (Available in case of resident)

1 | Summary of Tax relief claimed
Sl.No. | Country Code | Taxpayer Identification Number | Total taxes paid outside India (total of (c) of Schedule FSI in respect of each country) | Total tax relief available(total of (e) of Schedule FSI in respect of each country | Tax Relief Claimed under section (specify 90, 90A or 91)
(a) | (b) | (c) | (d) | (e)
1 |  |  |  |  |
Total |  |  |
2 | Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) | 2 |
3 | Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d)) | 3 |
4 | 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 year? If yes, provide the details below | 4 |
4a | Amount of tax refunded | 4a |
4b | Assessment year in which tax relief allowed in India | 4b |
| Note:Please refer to the instructions for filling out this schedule.

#### Details of Foreign Assets and Income from any source outside India

A1 | Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the relevant accounting period)
Sl No (1) |  | Country Code and Name (2) | Name of the financial institution (3) | Address of the financial institution (4) | ZIP Code (5) | Account Number (6) | Status (7) | Account opening date (8) | Peak Balance During the Period (9) | Closing balance (10) (₹) | Gross interest paid/credited to the account during the period (11) (₹)
1 |  |  |  |  |  |  |  |  |  |  |

A2 | Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name (2) | Name of the financial institution (3) | Address of the financial institution (4) | ZIP Code (5) | Account Number (6) | Status (7) | Account opening date (8) | Peak Balance During the Period (9) | Closing balance (10) (₹) | Gross interest paid/credited to the account during the period (₹)
Nature (10) | Amount (11)
1 |  |  |  |  |  |  |  |  |  |  |  |

A3 | Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name (2) | Name of entity (3) | Address of entity (4) | ZIP Code (5) | Nature of entity (6) | Date of acquiring the interest (7) | Initial value of the investment (8) | Peak value of investment During the Period (9) | Closing balance (10) | Total gross amount paid/credited with respect to the holding during the period (11) (₹) | Total gross proceeds from sale or redemption of investment during the period (12) (₹)
1 |  |  |  |  |  |  |  |  |  |  |  |

A4 | Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name (2) | Name of financial institution in which insurance contract held (3) | Address of financial institution (4) | ZIP Code (5) | Date of contract (5) | The cash value or surrender value of the contract (6) | Total gross amount paid/credited with respect to the contract during the period. (7)
1 |  |  |  |  |  |  |  |

B | Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name 2(a) | Zip Code 2(b) | Nature of entity (3) | Name of the Entity 4(a) | Address of the Entity 4(b) | Nature of Interest (5) | Date since held (6) | Total Investment (at cost) (7) (₹) | Income accrued from such Interest (8) (₹) | Nature of Income (9) | Income taxable and offered in this return
Amount (10) (₹) | Schedule where offered (11) | Item number of schedule (12)
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |

C | Details of Immovable Property held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name 2(a) | Zip Code 2(b) | Address of the Property (3) | Ownership (4) | Date of acquisition (5) | Total Investment (at cost) (6) (₹) | Income derived from the property (7) (₹) | Nature of Income (8) | Income taxable and offered in this return
Amount (9) (₹) | Schedule where offered (10) | Item number of schedule (11)
1 |  |  |  |  |  |  |  |  |  |  |  |

D | Details of any other Capital Asset held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1) |  | Country Code and Name 2(a) | Zip Code 2(b) | Nature of Asset (3) | Ownership (4) | Date of acquisition (5) | Total Investment (at cost) (6) (₹) | Income derived from the asset (7) (₹) | Nature of Income (8) | Income taxable and offered in this return
Amount (9) (₹) | Schedule where offered (10) | Item number of schedule (11)
1 |  |  |  |  |  |  |  |  |  |  |  |

E | Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the relevant accounting period and which has not been included in A to D above.
Sl No (1) |  | Name of the Institution in which the account is held (2) | Address of the Institution 3(a) | Country Code and Name 3(b) | Zip Code 3(c) | Name of the account holder (4) | Account Number (5) | Peak Balance/Investment during the year (6) (₹) | Whether income accrued is taxable in your hands? (7) | If (7) is yes, Income accrued in the account (8) (₹) | If (7) is yes, Income offered in this return
Amount (9) (₹) | Schedule where offered (10) | Item number of schedule (11)
1 |  |  |  |  |  |  |  |  |  |  |  |  |

F | Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sl No (1) |  | Country Code and Name 2(a) | Zip Code 2(b) | Name of the trust 3 | Address of the trust 3(a) | Name of trustees 4 | Address of trustees 4(a) | Name of Settlor 5 | Address of Settlor 5(a) | Name of Beneficiaries 6 | Address of Beneficiaries 6(a) | Date since position held (7) | Whether income derived is taxable in your hands? (8) | If (8) is yes, Income derived from the trust (9) (₹) | If (8) is yes, Income offered in this return
Amount (10) (₹) | Schedule where offered (11) | Item number of schedule (12)
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

G | 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 profession
Sl No (1) |  | Country Code and Name 2(a) | Zip Code 2(b) | Name of the person from whom derived 3(a) | Address of the person from whom derived 3(b) | Income derived (4) | Nature of income (5) | Whether taxable in your hands? (6) | If (6) is yes, Income offered in this return
Amount (7) (₹) | Schedule where offered (8) | Item number of schedule (9)
1 |  |  |  |  |  |  |  |  |  |  |

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, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this schedule if no income is derived from that asset during the current previous year.

#### Information regarding apportionment of receipts between spouses governed by Portuguese Civil Code

| Name of the spouse* |
| PAN of the spouse* |
| Aadhaar of the spouse |
| Heads of Income | Receipts received under the head | Amount apportioned in the hands of the spouse | Amount of TDS deducted on income at (ii) | TDS apportioned in the hands of spouse
| (i) | (ii) | (iii) | (iv) | (v)
1 | House Property* |  |  |  |
2 | Capital gains* |  |  |  |
3 | Other sources* |  |  |  |
4 | Total |  |  |  |

#### Asset and Liabilities at the end of the year (Applicable in the case of total income exceeds Rs.50 lakh)

A | Do you own any immovable asset ? |

Details of immovable asset
S.No. |  | Description (1) | Address (2) | Amount (cost) in Rs. (3)
Flat/ Door/ Block No. | Name of Premises / Building / Village | Road/ Street/Post office | Area/ Locality | Town/ City/ District | State | Country | Pincode | Zip Code
1 |  |  |  |  |  |  |  |  |  |  |  |

B | Details of movable asset
Sl.no | Description | Amount (cost) in Rs.
(i) | Jewellery, bullion etc. |
(ii) | Archaeological collections, drawings, painting, sculpture or any work of art |
(iii) | Vehicles, yachts, boats and aircrafts |
(iv) | Financial asset
(a) | Bank (including all deposits) |
(b) | Shares and securities |
(c) | Insurance policies |
(d) | Loans and advances given |
(e) | Cash in hand |

C | Liabilities in relation to Assets at (A+B) |

#### Schedule DI - Details of investments

A | Investment/ Deposit/ Payments for the purpose of claiming deduction under Chapter VIA
Sl.No. | Section (1) | Eligible amount of deduction during FY 2019-20 (2) | Deduction attributable to investment/expenditure made between 01.04.2020 to 31.07.2020(Out of Col No.2) (3)
1 | 80C |  |
2 | 80CCC |  |
3 | 80CCD(1) |  |
4 | 80CCD(1B) |  |
5 | 80CCD(2) |  |
6 | 80D |  |
7 | 80DD |  |
8 | 80DDB |  |
9 | 80E |  |
10 | 80EE |  |
11 | 80EEA |  |
12 | 80EEB |  |
13 | 80G |  |
14 | 80GG |  |
15 | 80GGA |  |
16 | 80GGC |  |
Total |  |
B | Payment/Acquisition/Purchase/Construction for the purpose of claiming deduction u/s 54 to 54GB
i | Long Term Capital Gain
Sl.No. | Section (1) | Amount utilised out of Capital Gains account (2) | Amount utilised between 01.04.2020 to 30.09.2020 out of Col 2 (3)
1 | 54 |  |
2 | 54B |  |
3 | 54F |  |
4 | 54GB |  |
Total |  |
ii | Short Term Capital Gain
Sl.No. | Section (1) | Amount utilised out of Capital Gains account (2) | Amount utilised between 01.04.2020 to 30.09.2020 out of Col 2 (3)
1 | 54B |  |
Total |  |

#### Part B TI Computation of Total Income

1 | Salaries (6 of Schedule S) | 1 |
2 | Income from house property [4 of Schedule-HP] (enter nil if loss) | 2 |
3 | Capital gains |
| a | Short-term |
| i | Short-term chargeable @ 15% (9ii of item E of schedule CG) | ai |  |
ii | Short-term chargeable @ 30% (9iii of item E of schedule CG) | aii |
iii | Short-term chargeable at applicable rate (9iv of item E of schedule CG) | aiii |
iv | Short-term chargeable at DTAA rates (9v of item E schedule CG) | aiv |
v | Total Short term (ai+aii+aiii+aiv) | 3av |  |
b | Long-term |
| i | Long-term chargeable @ 10% (9vi of item E of schedule CG) | bi |  |
ii | Long-term chargeable @ 20% (9vii of item E of schedule CG) | bii |
iii | Long-term chargeable at DTAA rates (9viii of item E of schedule CG) | biii |
iv | Total Long-term (bi + bii+biii) (enter nil if loss) | 3biv |  |
c | Total Capital gains (3av + 3biv) (enter nil if loss) | 3c |  |
4 | Income from other sources |
| a | Net income from other sources chargeable to tax at normal applicable rates(6 of Schedule OS) (enter nil if loss) | 4a |  |
b | Income chargeable to tax at special rates (2 of Schedule OS) | 4b |
c | Income from the activity of owning and maintaining race horses (8e of Schedule OS)(enter nil if loss) | 4c |
d | Total (4a + 4b + 4c) (enter nil if loss) | 4d |
5 | Total of head wise income (1+2+3c+4d) | 5 |
6 | Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule CYLA) | 6 |
7 | Balance after set off current year losses (5 - 6) (total of column 4 of Schedule CYLA + 2 of Schedule OS) | 7 |
8 | Brought forward losses set off against 7 (2xii of Schedule BFLA) | 8 |
9 | Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS) | 9 |
10 | Income chargeable to tax at special rate under section 111A, 112, 112A etc. included in 9 | 10 |
11 | Deductions under Chapter VI-A [u of Schedule VIA and limited to (9-10)] | 11 |
12 | Total income (9 - 11) | 12 |
13 | Income which is included in 12 and chargeable to tax at special rates (total of column (i) of schedule SI) | 13 |
14 | Net agricultural income for rate purpose (3 of Schedule EI) | 14 |
15 | Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax] | 15 |
16 | Losses of current year to be carried forward (total of row xi of Schedule CFL) | 16 |
17 | Deemed income under section 115JC (3 of schedule AMT) | 17 |

#### Part B TTI Computation of Tax Liability on Total Income

1 | a | Tax payable on deemed total income under section 115JC (4 of Schedule AMT) | 1a |
b | Surcharge on (a) (if applicable) | 1b |
c | Health and Education Cess @ 4% on (1a+1b) above | 1c |
d | Total Tax Payable on deemed total income (1a+1b+1c) | 1d |
2 | Tax payable on total income
a | Tax at normal rates on 15 of Part B-TI | 2a |
b | Tax at special rates (total of col.(ii) of Schedule SI) | 2b |
c | Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum amount not chargeable to tax] | 2c |
d | Tax Payable on Total Income (2a + 2b – 2c) | 2d |
3 | Rebate under section 87A | 3 |
4 | Tax payable after rebate (2d - 3) | 4 |
5 | Surcharge
(i) | 25% of 16(ii) of Schedule SI | 5 i |
(ii) | 10% or 15% as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI | 5 ii |
(iii) | On [(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI)] | 5 iii
(iv) | Total i + ii | 5 iv |
6 | Health and Education cess @ 4% on (4 + 5iv ) | 6 |
7 | Gross tax liability (4 + 5iv + 6) | 7 |
8 | Gross tax payable (higher of 1d and 7) | 8 |
9 | Credit under Section 115JD of tax paid in earlier years (applicable if 7 is more than 1d)(5 of Schedule AMTC) | 9 |
10 | Tax payable after credit under section 115JD (8-9) | 10 |
11 | Tax relief
a | Section 89(Please ensure to submit Form 10E to claim this relief) | 11a |
b | Section 90/90A (2 of Schedule TR) | 11b |
c | Section 91( 3 of Schedule TR) | 11c |
d | Total (11a + 11b + 11c) | 11d |
12 | Net tax liability (10 – 11d) (enter zero if negative) | 12 |
13 | Interest and fee payable
a | Interest for default in furnishing the return (section 234A) | 13a |
b | Interest for default in payment of advance tax (section 234B) | 13b |
c | Interest for deferment of advance tax (section 234C) | 13c |
d | Fee for default in furnishing return of income (section 234F) | 13d |
e | Total Interest and Fee Payable (13a+13b+13c+13d) | 13e |
14 | Aggregate liability (12 + 13e) | 14 |
15 | Taxes Paid
a | Advance Tax (from column 5 of 22A) | 15a |
b | TDS (total of column 5 of 22B and column 9 of 22C) | 15b |
c | TCS (total of column 5 of 22D) | 15c |
d | Self-Assessment Tax(from column 5 of 22A) | 15d |
e | Total Taxes Paid (15a+15b+15c+15d) | 15e |
16 | Amount payable (Enter if 14 is greater than 15e, else enter 0) | 16 |

#### Refund

17 | Refund (If 15e is greater than 14)(Refund, if any, will be directly credited into the bank account) | 17 |

#### Bank Account Details

18 | Do you have a bank account in India (Non-residents claiming refund with no bank account in India may select NO) ?* |

a) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)

S.No. |  | IFS Code of the bank | Name of the Bank | Account Number | Indicate the account in which you prefer to get your refund credited
1 |  |  |  |  |

Note: Minimum one account should be selected for refund credit. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after processing the return.

b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank account:

S.No. | SWIFT Code | Name of the Bank | IBAN | Country of Location
1 |  |  |  |

19 | 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 ]* |

#### 22A - IT. Details of payments of Advance Tax and Self-Assessment Tax

Sl.No. (1) |  | BSR Code (2) | Date of Deposit (DD/MM/YYYY) (3) | Serial number of challan (4) | Amount (₹) (5)
1 |  |  |  |  |
Total |  |

Note: | Enter the totals of Advance tax and Self-Assessment tax in Sl No. 15a & 15d of Part B-TTI

#### 22B - TDS1. Details of Tax Deducted at Source (TDS) from Salary [As per FORM 16 issued by Employer(s)]

Sl.No.(1) |  | Tax Deduction Account Number (TAN) of the Employer(2)* | Name of Employer(3)* | Income chargeable under Salaries(4)* | Total tax deducted(5)*
1 |  |  |  |  |
Total |

Note: | Please enter total of column 5 in 15b of Part B-TTI

#### 22C(1) - TDS2. Details of Tax Deducted at Source on Income [As per FORM 16A issued by Deductor(s)]

Sl.No. |  | TDS credit relating to Self/Other Person[Spouse as per section 5A/Other person as per Rule 37BA(2)] * | PAN Of Other Person(If TDS credit related to other person)* | Aadhaar No. Of Other Person (If TDS credit related to other person) | Tax Deduction Account Number (TAN) of the Deductor* | Unclaimed TDS brought forward (b/f) | TDS of the current financial Year(TDS deducted during the FY 2019-20)* | TDS credit being claimed this Year (only if corresponding income is being offered for tax this year) | Corresponding Receipt offered | TDS credit being carried forward*
Financial Year in which deducted | TDS b/f | Deducted in own hands* | Deducted in the hands of spouse as per section 5A or any other person as per rule 37BA(2) (if applicable) | claimed in own hands* | Claimed in the hands of spouse as per section 5A or any other person as per rule 37BA(2) | Gross Amount | Head of Income
(1) |  | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14)
Income | TDS | Income | TDS | PAN | Aadhaar No.
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total |  |

Note: | Please enter total column 9 of above in 15b of Part B-TTI

#### 22C(2) - TDS3. Details of Tax Deducted at Source (TDS) on Income [As per Form 16B/16C/16D issued by Deductor(s)]

Sl.No. |  | TDS credit relating to Self/Other Person[Spouse as per section 5A/Other person as per Rule 37BA(2)]* | PAN Of Other Person(If TDS Credit related to other person)* | Aadhaar No. Of Other Person (If TDS credit related to other person) | PAN of the buyer/Tenant/Deductor* | Aadhaar No. Of the buyer/ tenant /Deductor | Unclaimed TDS brought forward (b/f) | TDS of the current financial Year (TDS deducted during the FY 2019-20)* | TDS credit being claimed this Year (only if corresponding income is being offered for tax this year) | Corresponding Receipt offered | TDS credit being carried forward*
Financial year in which TDS is deducted | TDS b/f | Deducted in own hands* | Deducted in the hands of spouse as per section 5A or any other person as per rule 37BA(2) (if applicable) | claimed in own hands* | Claimed in the hands of spouse as per section 5A or any other person as per rule 37BA(2) | Gross Amount | Head of Income
(1) |  | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) | (15)
Income | TDS | Income | TDS | PAN | Aadhaar No.
1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total |  |

Note: | Please enter total column 9 of above in 15b of Part B-TTI

#### 22D. Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]

Sl.No. (1) |  | Tax Deduction and Collection Account Number of the Collector (2)* | Name of the Collector (3)* | Tax Collected (4) | Amount out of (4) being claimed (5) | Amount out of (4) being claimed in the hands of spouse, if section 5A is applicable (6)
1 |  |  |  |  |  |
Total |

Note: | Please enter total of column (5) of TCS in 15c of Part B-TTI

#### Verification

I, * son/ daughter of * , solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961, I further declare that I am making return in my capacity as * and I am also competent to make this return and verify it. I am holding permanent account number

Date* |
Note: | 1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated after submission of return. 2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The same will be available in View Returns/Forms option of e-Filing portal. In case of e-Verification, it is available in Acknowledgement.
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 |