About the Author : ITR - 4

V. N. HARI A.Y. 2010-11

Partner
Sudhakar & Kumar Associates,
Chartered Accountant For individuals
# 10-1-12, II Floor, & HUF having
Krishna Kamal Enclave, income from a
Asilmetta Junction, proprietory
Visakhapatnam - 530 003 business or
Ph. (O) : 0891-2755814
profession
(M) : 9866531022

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

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R-4
2010-11
 D.No. 10-1-12, II F
SUDHAKAR & Krishna Kamal Enc

KUMAR ASSOCIATES Asilmetta Juncton,

Chartered Accountants Visakhapatnam - 5
003 ,
Ph. 0891-275581
CLIENT DATA SHEET - [ ITR - 4 ]
email :
vnhari.ca@gmail.c
GENERAL INFORMATION

1. Name of the Assessee

2. Father's Name

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

4. Sex MALE

4. Address Flat /Door/Block No.

1 Name of Premises/building/Village

Road/Street/Post Office
Area/Locality

Town/City/District
PIN Search for PIN Code

e-mail ID sudhakar_kumarasst@yahoo.com

Ward/Rage/Circle

5. PAN Status Individ

6. Assessment Year 2010-2011

7. Financial Year 2009-2010

6. Due date of filing 31-Jul-2010

7. Month of filing 31-Jul-2010

8. Financial Year Ending 31-Mar-2010

9. Name of the Employer

9a. Permanent Account Number PAN TAN

9b. Address of the employer

10. Nature of Business

Select Nature of Business
1
10a. Trade Name : Type of Employer Govt

10b. Residential Status Resident Non Resident Resident but not ordinarily resident
FALSE
10c. Is this return is filed by a representative Assessee Yes No

Name of the representative

Address of the representative
PAN of the representative

10b. Whether Books of account are required to maintained u /s 44AA YES NO

10c. Whether Books of account are required to be audited U/s 44AB YES NO
###
Name of the auditor signing the audit report

Membership no. of the auditor

Name of the auditor (Proprietorship/firm) Type of Return :

Permanent Account Number (PAN) of the Proprietorship/firm ORIGINAL
Date of audit report
FALSE

BALANCE SHEET

SOURCE OF FUNDS :

a) Capital -
b) Loan Funds
a) Secured Loans
a. Foreign currency Loans -
b. From Banks -
d. From Others -
-
b) Unsecured Loans
Long Term
a. From Bank -
b. From Others -

Short Term
c. From Bank -
d. From Others -
-
Total Loan Funds -

c) Deferred Tax Liability -

TOTAL -

APPLICATION OF FUNDS
a) Fixed Assets
a Gross: Block -
b Depreciation -
c Net Block (a-b) -
Capital Wrok-in-progress -
b) Investments
a) Lonag Term
a. Govt. and other Quoted -
b. Govt. and other unQuoted -
-
b) Trade Investments
a. Equity Shares -
b. Preference Shares -
c. Debenture -
-
Total Investments -

c) Current Assets, Loans & Advances

a) Current Assests
1. Inventories
a. Stores & Consumables -
b. Raw Materials -
c. Stock-in-progress -
d. Finished Goods/Trading G. -
-

2. Sundry Debtors -
3. Cash & Bank Balances
a. Cash in hand -
 b. Cash at bank -
-
4. Other Current Assets -

5. Loans & Advances

a. Advances Recoverable -
b. Deposit Recoverable -
b. Due from Tax Departments -
-

Total Current Assets -

b) Current Liabilities
1. Current Liabilities
a. Sundry Creditors -
b. Liability for Leased Assets -
c. Interest accrued on above -
d. Interest accrued but not due -
-

2. Provisions
a. Provision for I.T -
b. Provision for Wealth Tax -
c. Provision for lease enchmt. -
d. Other Provisions -
-

Total Current Liabilities -

Net Current Assets -

c) Miscellaneous Expenditure not written off or adjusted

a. Preliminary Expenses -
c. Deferred Tax Asset -
d. Profit & Loss Account -
-

TOTAL -

In case no regular books of account are maintained (Eg., Section 44AD, 44AE and 44AF )

a) Sundry Debtors -
b) Sundry Creditors -
c) Stock-in-Trade -
d) Cash Balance -

PROFIT & LOSS ACCOUNT

INCOME

1. Sales/Gross receipts of business or profession -

2. Taxes collected on sales or services

a. Central Excise -
b. Service Tax -
c. VAT/Sales Tax -
d. Any other duty, tax and cess -
-

3. Other Income
a. Rent -
b. Commission -
c. Dividend -
d. Interest -
e. Profit on sale of fixed assets -
f. Profit on sale of investment being securities chargeable
to Securities Transaction Tax (STT) -
 g. Profit on sale of other investment -
h. Profit on account of currency fluctuation -
i. Agriculture income -
j. Any other income -
-

4. Closing Stock -

TOTAL CREDITS TO PROFIT & LOSS A/C -

EXPENDITURE

5. Opening Stock -

6. Purchases -

7. Duties & Taxes Paid

a Custom Duty -
b Counter vailing duty -
c Special additional duty -
d Union excise duty -
e Service tax -
f VAT/Sales tax -
g Any other tax, paid or payable -
-

8. Freight -
9. Consumption of stores and spare parts -
10. Power and fuel -
11. Rents -
12. Repairs to building -
13. Repairs to machinery -

14. Compensation to employees

a Salaries and wages -
b Bonus -
c Reimbursement of medical expenses -
d Leave encashment -
e Leave travel benefits -
f Contribution to approved superannuation fund -
g Contribution to recognised provident furn -
h Contribution to recognised gratuity fund -
i Contribution to any other fund -
j Any other benefit to employees in respect of which an
expenditure has been incurred -
-
15. Insurance
a medical Insurance -
b Life Insutrance -
c keymans' Insurance -
d other insurance -
-

16. Workmen and staff welfare expenses -

17. Entertainment -
18. hospitality -
19. Conference -
20. Sale promotion including publicity (other than advertisement) -
21. Advertisement -
22. Commission -
23. Hotel, boarding and Lodging -
24. traveling expenses including foreign traveling -
25. Conveyance expenses -
26. telephone expenses -
27. Guest house expenses -
28. Club expenses -
29. Festival celebration expenses -
30. Scholarship -
31. Gift -
32. Donation -

33. Rates taxes paid to the Government (Except Income Tax)

 a Union excise duty -
b Service tax -
c VAT/Sales Tax -
d Cess -
e Any other rate, tax, duty or cess -
-

35 Audit Fee -
36 Other expenses -
37 Bad debts -
38 Provision for bad and doubtful debts -
39 Other Provisions -
40 Interest -
41 Depreciation -

TOTAL EXPENDITURE DEBITED TO P & L A/C -

42 Profit before Taxes -

Provisions
43 Provision for Current Tax -
44 Provision for Deferred Tax -

45. Profit after Tax -

46. Previous year balanceof Profit & Loss Account (if any) -

47. Profit before appropriation -

48. Appropriations if any (if any) -

49. Transferred to Reserves & Surplus (if any) -

50. Balance carried to Capital Account of proprietor -

In case no regular books of account are maintained (Eg., Section 44AD, 44AE and 44AF )

a Gross receipts -
b Gross profit -
c Expenses -
d Net profit -

HEADS OF INCOME

13. 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 -

14. INCOME FROM HOUSE PROPERTY

1. House Property 1
FALSE
Address :

PIN

Let Out Self Occupied

Gross Annual Value -

Less: Municipal Taxes -

Net Annual Value -

Less: Deduction U/s 24 Amt incurred Qly. Amount

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 :

PIN

Let Out Self Occupied

Gross Annual Value -

Less: Municipal Taxes -

Net Annual Value -

Less: Deduction U/s 24 Amt incurred Qly. Amount

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 -

3. House Property 3 FALSE

Address :

PIN
Let Out Self Occupied

Gross Annual Value -

Less: Municipal Taxes -
Net Annual Value -

Less: Deduction U/s 24 Amt incurred Qly. Amount

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 -

15. INCOME FROM BUSINESS OR PROFESSION :

A. From business or profession other than speculative business

1 Profit before tax as per profit and loss account -

Less: Profits chargeable seperately
2 Net profit or loss from speculative business included in 1 -
3 Income/receipts credited to P & L a/c but considered under other
heads
a. -
b. -
c. -
d. -
e. -
f. -
g. - -
4 Profit or loss included in 1, which is referred to in section
44AD/44AE/44AF/44B/44BB/44BBA/44BBB/44D/44DA Chapter
-XII-G / First Schedule of Income Tax Act
-
Less: Exempted Income -
a share of income from firms(s)
Name of the firm Shr. Of Profit
a. -
b. -
c. -
d. -
e. - -
b Share of income from AOP/BOI -
c Any other exempt income (Agricultural Income/Dividends etc.,) -
-
-

Balance : -
Add:
1. Expenses considered seperately
a.
b.
c.
d.
e.
f.
g.
-
2. Expenses related to exempted Income
a.
b.
c.
d.
e.
f.
g.
-
-

Add: Adjusted profit -

1. Depreciation debited to Profit & Loss account -

Profit before depreciation -

Less:
2. Less: Depreciation as per Income Tax Act, 1961

Depreciation allowable u/s 32 of Income Tax Act, 1961 -

2. Depreciation on the assets used for generation and distribution of power -

 Profit after depreciation -
Add: Disallowable Expenses
1 Amounts debited to the profit and loss account, to the extent disallowable under section 36
(6p of Part-OI) -
2 Amounts debited to the profit and loss account, to the extent disallowable under section
37(7j of Part-OI)
Personal Expenses -
Donations -
Exp. Of Capital Nature -
Exp. Not related to the business -
Any other Expenses - -
3 Amounts debited to the profit and loss account, to the extent disallowable under section
40(8g of Part-OI)
Income Tax debited to P & L a/c -
Wealth Tax debited to P & L a/c -
FBT debited to P & L a/c -
Expenditure disallowed u/s 40(a)(ia) -
Any other Expenses - -
4 Amounts debited to the profit and loss account, to the extent disallowable under section
40A(9e of Part-OI) -
5 Any amounts debited to the profit and loss account of the previous year but disallowable
under section 43B
Contribution to PF paid belatedly -
Contribution to ESI paid belatedly -
Prov.for stat. liability not before due date of filing -
Interest to Finan. Inst. Not paid before due date -
Any other Expenses - -
Interest diallowable under section 23 of Micro, Small and Medium Enterprises Development -
6 Act, 2006
7 Deemed income under section 41 -
8 Deemed income under section 33AB/33ABA/35ABB/72A/ 80HHD/80-IA
-
9 Any other item or items of addition undersection 28 to44DA -
10 Any other income not included in profit and loss account/any other expense not allowable
-
-

Balance -
Less: Disallowable expenses of preceding previous year allowable during the year
25 Deduction allowable under section 32(1)(iii) -
26 Amount of deduction under section 35 in excess of the amount debigted to profit and loss
account (Item vii(4) of schedule ESR) -
Any amount disallowed under section 40 in any preceeding previous year but allowed during -
27 the previous year (8B of Part-OI)
Any amount disallowed under section 43B in any preceeding previous year but allowed -
28 during the previous year (10g of Part-OI)
29 Deduction under section 35AC
a Amount, if any, debited to profit and loss account -
b Amount allowable as deduction -
c Excess amount allowable as deduction (29b-29a) -
30 Any other amount allowable as deduction -
-

Income -
Add:
Proft and gains of business or profession deemed to be under
I Section 44AD
a. Gross receipts -
b. Estimated Income @ 8% on the Gross Receipts - -
ii Section 44AE
a. No. of Vehicles owned by the assessee - 1 Heavy Vehicle
b. No. of months owned - 2 Light Vehicle
c. Estimated income per vehicle Heavy Vehicle 3500
d. Estimated Income from plying of vehicles 0 - 1
iii Section 44AF
a. Gross Turnover -
b. Estimated Income @ 5% on the Gross Receipts - -
iv Section 44B -
v Section 44BB -
vi Section 44BBA -
vii Section 44BBB -
viii Section 44D -
ix Section 44DA -
x Chapter-XII-G -
xi First Schedule of Income-tax Act -
-
 Profit or loss before deduction u/s 10A/10AA/10B/10BA -
Less:Deductions under section 10
I 10A (6 of Schedule-10A) -
ii 10AA (d of Schedule-10AA) -
iii 10B (f of Schedule-10B) -
iv 10BA (f of Schedule-10BA) -
-
Net Profit from business other than speculative business -

B. Computation of income from speculative business

38 Net profit or loss from speculative business as per profit or loss account -
39 Additions in accordance with section 28 to 44DA -
40 Deductions in accordance with section 28 to 44DA -
41 Profit or loss from speculative business (35+36+37) -

Income chargeable under the head "Profits and gains" -

13. INCOME FROM CAPITAL GAINS

A. Short Term Capital Gains

a. Full Value of Consideration -
Date of Transfer 1-Apr-2009
Less: Deduction u/s 48

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))
Date of Transfer 1-Apr-2009
a. Full Value of Consideration -

Less: Deduction u/s 48

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. Consideration as per sale deed -

Market Valued Mentioned in Sale Deed -

Full Value of consideration (Higher of the above two) - Date of Transfer 1-Apr-2009

b. Indexed cost of acuisition

a. Cost of acquisition - Index Number

Year of purchase (YYYY-YY) 1984-85

1981-82 1 100

Year of Transfer (YYYY-YY) 1984-85

2009-10 ### 632
 Indexed cost of acquisition -

b. Cost of Improvement - Index Number

Year of Improvement (YYYY-YY) 2001-02

1981-82 1 100

Year of Transfer (YYYY-YY) 2009-10

2008-09 ### 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 NO

A. Income from other sources other than winning from race horses
a. Dividends -
b. Interest
a. -
b. -
c.
d. -
e.
f.
g.
-
c. Rental Income from Machinery -
d. Other Income
e. a. -
b.
c. -
d.
e.
f.
g.
f.
g. -

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

B. Income from winning from lotter tickets and puzzels -

C. Income from other sources other than winning from Horse Races -

D. Income from winning from Horse Races

a. Receipts -

b. Deduction u/s 57 -

INCOME CHARGEABLE UNDER THE HED OTHER SOURCES -

COMPUTATION OF TOTAL INCOME

GROSS TOTAL INCOME

a. Income Chargeable under the head Salaries -

b. Income Chargeable under the head House Property -

c. Income Chargeable under the head Business or Profession -

d. Income Chargeable undaer the head Capital Gains -

e. Income Chargeable under the head Other Sources -

Gross Total Income -

Details of Carried Forward Losses

Assessment Year Date of Unabsorbed House Business Business S.T. Capital L.T. Capital Loss from
filing of Depreciation Property
Loss loss
Non- Loss
Speculation Loss Loss Horse
Races
Return of Loss speculation
Income
2002-03
2003-04 -
2004-05 -
2005-06
2006-07
2007-08
2008-09
2009-10
TOTAL : - - - - - - -

Net Income after set off of current year losses

Heads of Income Income from Set off of Set off Set off of Balance after
Individual Heads House Business Other loss Set off of C.Y.
Property Loss Loss (Non (Not H. Races) losses
Sepcul.)
Income from Salary - - - -
Income from House Property - - - -
Income from Buiness (Incl. Speculative) - - - -
Short Term Capital Gains - - - - -
Long Term Capital Gains - - - - -
Other Sources (Incl. income from horse races) - - - -
TOTAL : - - - - -

Net Income after set off of brought forward losses

Heads of Income Income from Set Off of Set off of Set off Balance after
Individual Heads brought Unabsorbed Brought Set off of C.Y.
forward Depreciation forward losses
losses allowance u/s
35(4)
Income from Salary - - -
Income from House Property -### - - - - -
Income from Buiness (Incl. Speculative) - ###
- - - - -
Short Term Capital Gains - - - - - -
Long Term Capital Gains - - - - - -
Other Sources (Incl. income from horse races) - - - - - -
TOTAL : - - - - -

Details of Carried Forward Losses

Assessment Year Date of Unabsorbed House Business Business S.T. Capital L.T. Capital Loss from
filing of Depreciation Property
Loss loss
Non- Loss
Speculation Loss Loss Horse
Races
Return of Loss speculation
Income

2002-03 - - - - -
2003-04 - - - - -
 2004-05 - - - - -
2005-06 - - - - -
2006-07 - - - - - - -
2007-08 - - - - - - -
2008-09 - - - - - - -
2009-10 - - - - - - -
2010-11 - - - - - - -
TOTAL : - - - - - - -

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 FALSE 24,000
b) Rent paid in exces of 10% of Adj. total income
a) Rent Paid - -0
b) 10% of Adj. Income - -
- 0

c) 25% of Adj. Total Income -

Least of the above thee amounts -

c) Other Deductions (Please Specify) -

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 TAX LIABILITY

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

a) Advance Tax Paid
Sl. Name of Bank & Branch BSR Code Date of Deposit Serial No. Amount
No. of Challan
1 -
2 -
3 -
4 -

TOTAL : -
b) Tax Deducted At Source (As per Form No. 16 issued by the employer)
Sl. TAN of the Name and address of the Income Deduction under Chapter Tax Payable Total tax Tax
No. Employer Employer Chargeable VI-A (including deposited Payable/
under the head surchage) refundable
1 ,, - - - - -
2 - - -
3 - - - -

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

1 - -

2 - -

3 - -

4 - -

5 - -

6 - -

7 - -

8 - - -

9 - - -

10 - -

11 -

12 -

TOTAL : -
c) Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
Sl. TAN of the of Name and address of the collector Amount Date of Total tax Amount
No. collector received/ receipt/debit deposited claimed for
debited this year
1 ### - -
2 - -
3 - -
4 - -
5 - -
6 - -
7 - -
 8 - -
9 - -
10 - -
11 - -
12 - -

CLICK HERE TO FINDOUT CORRECT TAN TOTAL : -

d) Self Assessment Tax Paid

Sl. Name of Bank & Branch BSR Code Date of Deposit Serial No. Amount
No. of Challan
-
-

TOTAL : -

Total Taxes paid

31. Tax Pyable FALSE

###

32 Refund Receivable 1

BANK ACCOUNT DETAILS

352
-Select Bank Name and Branch-

a) Name of the Bank -Select Bank Name and Branch-

b) Name of the Branch - Select the Branch -

c) Account Number

- MICR -

Details of firms in which the Assessee is a partner

Firm No. Name of the Firm PAN of the firm Percentage Amount of share in the profit
Share in
the profit
of the firm
1 0% -
2 0% -
3 0% -
4 0% -
5 0% -
Total -

OTHER INFORMATION / AIR

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 company to which the
001 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 credit card
002 aggregating to tow lakh rupees or more in a year - FALSE
Payment made by you of an amount of two lakh rupees or more for
003 purchase of units of Mutual Fund - FALSE
Payment by you of an amount of five lakh rupees or more for
004 acquiring bonds or debentures issued by a company or institution. - FALSE
Payment made by you of an amount of one lakh rupees or more for
005 acquiring shares issued by a compnay - FALSE
Purchase by you of any immovable property valued at thirty lakh
006 rupees or more - FALSE

007 Sale by you of any immovable property valued at thirty lakh rupees
or more - FALSE
Payment made by you of an amount of five lakh rupees or more in a
008 year for investment in bonds issued by Reserve Bank of India
- FALSE

FALSE
-12, II Floor,

mal Enclave,

uncton,

nam - 530

2755814

gmail.com

YES

Individual HUF

Others PSU 1
urn :

REVISED

FALSE
3500
3150
Total Loss

-
-
-
-
-
-
-
-
-

-
-

-
-
-
-

Total Loss

-
-
 -
-
-
-
-
-
-
-

ount

-
-

-
-
-
-
 -

Capital
balance
on 31st
March in
the firm

-
FALSE
Name of the Assessee #VALUE!
Father's Name #VALUE!
Date of birth 30-Dec-99 Sex MALE
Address #VALUE!
#VALUE!
#VALUE!
(Not Applicable ) #VALUE!
(Being a Women Assessee) #VALUE!
PAN Assessment Year 2010-2011
Status ### INDIVIDUAL Previous Year 2009-2010
Due date of filing 31-Jul-10 Type of ITR ITR-4
Month of filing 31-Jul-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:
Gross Salary Received -
Less: Exemptions 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 : Profession Tax -
-
Loss from other head sett off against income from salaries -
Income Chargeable under the head Salaries -

II. INCOME FROM HOUSE PROPERTY :

1. , - LET OUT

Gross Annual Value -

Less: Muncipal Taxes -
Annual Value -
Less: Deductions U/s 24:
(i) Repairs 30% of Annual Value -
(ii) Interest on borrowed capital -
(iii) Preior period Interest -
-
#VALUE! -

2. , - LET OUT

Gross Annual Value -

Less: Muncipal Taxes -
Annual Value -
Less: Deductions U/s 24:
(i) Repairs 30% of Annual Value -
(ii) Interest on borrowed capital -
(iii) Preior period Interest -
 -
#VALUE! -

3. , - LET OUT

Gross Annual Value -

Less: Muncipal Taxes -
Annual Value -
Less: Deductions U/s 24:
(i) Repairs 30% of Annual Value -
(ii) Interest on borrowed capital -
(iii) Preior period Interest -
-
#VALUE! -

-
Less: Set off of Current Year Losses
- Business Loss (Non speculative) -
- Other Sources Losses -
-
Income from House Prperty after set off of current year losses -

Less: Set off of brought forward Losses

- Brought forward House propety loss -
- Brought forwad Depreciation Loss -
- Brought forwad Allowance u/s 35(4) -
-
-
-
-

Income Chargeable under the head House Property -

III. INCOME FROM BUSINESS/PROFESSION :

A. Net Profit as per Profit & Loss account -

Less: Profits considered seperately under other heads
a) Speculative Business -
b) Incomes/Receipts considered under other heads
### -
### -
### -
### -
### -
 ### -
### -
-
c) Income estimated under presumptive provisions included
in P & L a/c (Ex. U/s 44AD, 44AE and 44AF etc.,) -

d) Exempted Income credited to P & L Account

Share of profits from Partnership Firms
### -
### -
### -
### -
### -
-

c) Share of Income from AOP/BOI -

d) Aany other Income -

-
-
Add: Inadmissable expenses debited to P & L a/c
a. Expenses debite to P & L considered seperately
### -
### -
### -
### -
### -
### -
### -
-
b. Expenses debited to P & L a/c relates to exempted income
### -
### -
### -
### -
### -
### -
### -
-
-
-
Add: Disallowable Expenditure
a) Expenditure disallowed u/s 36 -
b) Expenditure disallowed u/s 37
### -
### -
### -
### -
### -
-
c) Expenditure disallowed u/s 40
### -
 ### -
### -
### -
### -
-
d) Expenditure disallowed u/s 40A -
e) Expenditure disallowed u/s 43B
#VALUE! -
#VALUE! -
#VALUE! -
#VALUE! -
#VALUE! -
-
f) Int. disallowed u/s 23 of MSMED Act, 2006 -
g) Deemed Income u/s 41 -
h) Deemed Income u/s 33AB,ABA,33ABB,72A,80HHD & IA -
i) Any other item of addition u/s 24 to 44DA -
j) Any income not included in P&L or exp. Not allowed -
-
-
Less: Disallowable expenditure of preceeding previous year
allowable during the previous year
a) Deduction allowable u/s 32(1) -
b) Deduction allowable u/s 35 -
c) Deduction allowable u/s 40(a)(ia) -
d) Deduction allowable u/s 43B -
e) Deduction allowable u/s 35AC -
f) Any other allowable deduction -
-
-

Add: Depreciation debited to P&L -

Profit before depreciation -

Less: Depreciation allowable u/s 32 -

Profit after depreciation -

Add: Deemed Profits and gains u/s 44AD to 44DA

a) Presumptive Income u/s 44AD
Gross Bills/Receipts -
Income Estimated @ 8% on the above -

b) Presumptive Income u/s 44AE

No. of vehicles owned -
No. of months owned -
Estimated Income per vehicle 3,500
-

d) Presumptive Income u/s 44AE

Gross Turnover -
Income Estimated @ 5% on the above -
 d) Other Estimated Income -
-
-
Less: Exempted Profits u/s 10
a) Exemption u/s 10A -
b) Exemption u/s 10AA -
c) Exemption u/s 10B -
d) Exemption u/s 10BA -
-
-
Add: Speculative Profit
Net profit or loss from sepculative business as per P&L a/c -
Add: Additions in accordance with sec. 28 to 44DA -
-
Less: Deduction in accordance with sec. 28 to 44DA -
-
Income under the head business or profession -
Less: Set off of Current Year Losses
- House Property Loss -
- Other Sources Losses -
-
Income from business or profession after set off of current year losses -

Less: Set off of brought forward Losses

- Brought forward non speculation loss -
- Brought forward speculation loss -
- Brought forward Depreciation Loss -
- Brought forward Allowance u/s 35(4) -
-
-

-
-

-
Income Chargeable Under the head Business or Profession -

IV. INCOME FROM CAPITAL GAINS :

a. Long Term Capital Gain :
Income from Long Term Capital Gains -
Less: Set off of Current Year Losses
- House Property Loss -
- Business Losses (Non speculative) -
- Non speculativeOther Sources Losses -
-
-
Less: Set off of brought forward Losses
- Brought forward Long term capital loss -
- Brought forward Depreciation Loss -
- Brought forward Allowance u/s 35(4) -
-
-
 -
-

b. Short Term Capital Gains :

Short Term Capital gains chargeable at special rates -
Short Term Capital gains chargeable at normal rates -
-
Less: Set off of Current Year Losses
- House Property Loss -
- Business Losses (Non speculative) -
- Other Sources Losses (Non horse races) -
-
-

Less: Set off of brought forward Losses

- Brought forward Short term capital loss -
- Brought forward Depreciation Loss -
- Brought forward Allowance u/s 35(4) -
-
-

-
-

Income Chargeable Under the head Capital Gains -

V. INCOME FROM OTHER SOURCE :

i. Income from other sources othan winning from horse races
a. Dividends -
Less: Deduction U/s 10(33) -
-
### Interest
a. ### -
b. ### -
d. ### -
e. ### -
f. ### -
g. ### -
-
c. Rental Income from Machinery -
d. Other Income
### -
### -
### -
### -
### -
### -
### -
### -
###
### -
-
-
Less: Deduction u/s 57
a. Expenses -
b. Depreciation -
-
-
ii Income from winning from lotteries and puzzels -

iii Income from winning from horse races

a. Receipts -
b. Less: Deduction u/s 57 -
-
-
Less: Set off of Current Year Losses
- House Property Loss -
- Business Losses (Non speculative) -
-
-
Less: Set off of brought forward Losses
- Brought forward Other Losses -
- Brought forward Depreciation Loss -
- Brought forward Allowance u/s 35(4) -
-
-

-
-

-
Income Chargeable Under the head Other Source -
Gross Total Income Gross Total Income -
Less: Deduction under chapter VIA : Gross Amount Qfy.Amount
U/S 80 C :
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 -
-
-
U/S 80D: -
U/S 80G: -
U/S 80GG: -
Other Deductions -
-
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 -
- -

At special Rates (i.e. @ 15%) -

Less: Short fall of Basic exemption if any 240,000
- -

At Normal Rates - -
Tax liability (including special rates and normal rates) -
Add: Education Cess including higher education cess -
Gross Tax Liability -
Less: Tax Relief (if any)
i) Relief u/s 89 -
ii) Relief u/s 90 -
iii) Relief u/s 90 -
-
Total Tax Payable -

Less: Pre-paid Taxes

a) TDS -
b) TCS -
c) Advance Tax
BSR Code Date Amount in Rs.
#VALUE! - #VALUE!
#VALUE! -
#VALUE! -
#VALUE! -
-
-
Balance Tax Payable -
Add: Interest u/s 234ABC
Description Sub Section Amount in Rs.
###
Dealy in filing A -
Default in ###
AT B -
Deferrement in AT C -
-
Aggrigate Tax Liability -
Less: Self Assessment Tax -
Refund Receivable -

Carried forward of losses :

A.Y. U.De. LossBus. Loss (NS)Bus. Loss (S) H.P. Loss S.T.C.G. Loss L.T.C.G. Loss O.S. Loss Total Losses
### - - - - - -
### - - - - - -
### - - - - - -
### - - - - - -
### - - - - - - - -
### - - - - - - - -
### - - - - - - - -
### - - - - - - - -
### - - - - - - - -
- - - - - - - -
 Government of India

INCOME-TAX DEPARTMENT

ACKNOWLEDGEMENT

Received with thanks #VALUE! a return of income

in Formfrom
No. ITR - 4 for assessment year 2009-10, having the following particulars

Name PAN
#VALUE!
PERSONAL INFORMATION

Flat/Door/Block No Name of Premises/Building/Village

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

#VALUE! #VALUE!
Town/City/District State

#VALUE! ###

Designation of the Assessing Officer (Ward/Rage) Original or Revised

1 Gross Total Income 1 -

2 Deductions Under Chapter VI-A 2 -

COMPUTATION OF INCOME AND TAX THEREON

3 Total Income 3 -

3a Current Year loss (if any) -

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
 FORM INDIAN INCOME TAX RETURN Assessment Year
ITR-4 (For individuals & HUF having income from a proprietory business or profession)
(Please see Rule 12 of the Income-tax Rules, 1962) 2 0 1 0 - 1
(Also see attached instructions)

Part A-GENERAL ### ### ### ######

First Name Middle Name Last Name MALE PAN

#VALUE!

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

PERSONAL INFORMATION

#VALUE! #VALUE! ### Individual HUF

Date of Birth (DD/MM/YYYY)

Road/Street/Post Office Area/Locality (In case of Individuals only)

#VALUE!
#VALUE! #VALUE! 30-Dec-1899

Town/City/District State Pin Code Sex(in case of individual) (Tick)

#VALUE! ANDHRA PRADESH Male Female

Email Address (STD Code) - Phone Number Employer Category (if in employment)

#VALUE! Gov. PSU Others

Designation of Assessing Officer (Ward/Circle) Return Filed Under Section 1 1

#VALUE! [Please see instruction number-9(I)]

Whether original or Revised return? (Tick) ### Original ### Revised

FILING STATUS

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

(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 representative ######
b Address of the representative ###
c Permanent Account Number (PAN) of the reprsentative
###
Are you liable to maintain accounts as per section 44AA? (Tick)
### Yes ### No
NATURE OF BUSINESS AUDIT INFORMATION

Are you liable for audit under section 44AB? (Tick)

### Yes ### No If yes, furnish following information-

(a) Name of the auditor signing the audit report

(b) Membership no. of the auditor ###
(c) Name of the auditor (Proprietorship/firm)
(d) Permanent Account Number (PAN) of the Proprietorship/firm
(e) Date of audit report
Nature of business or profession, if more than one business or profession indicate the three main activities/products
S.No. Code Trade name of the
proprietorship, if any Description
[Please see instruction No.9(ii)]
(i)
Select Nature of Business
(ii)

(iii)

For Office Use only For Office Use only

Receipt No.

Date
Seal and Signature of receiving official
 BALANCE SHEET AS ON 31ST DAY OF MARCH, 2010 OF THE PROPRIETORY BUSINESS
Part A-BS
(Fill items 1 to 5 in a case where regular books of accounts are maintained, otherwise fill item 6)
1 Proprietor's fund
a Proprietor's capital a -
b Reserves and Surplus
I Revaluation Reserve bi -
ii Capital Reserve bii -
iii Statutory Reserve biii -
iv Any other Reserve biv -
v Total (bi+bii+biii+biv) bv -
c Total partner's fund (a + bv) 1c -
2 Loan funds
a Secured loans
I Foreign Currency Loans ai -
SOURCE OF FUNDS

ii Rupee Loans
A From Banks iiA -
B From others iiB -
C Total (iiiA + iiiB) iiC -
iii Total (ai + iiC) aiii -
b Unsecured Loans
I Long Term
A From Banks iA -
B From Others IiB -
C Total (iA + iB) iC -
ii Short Term
A From Banks iiA -
B From Others iiB -
C Total (iiA + iiB) iiC -
iii Total (iC + iiC) biii -
c Total Loan Funds (aiii + biii) 2c -
3 Deferred tax liability 3 -
4 Sources of funds (1c + 2c + 3) 4 -
1 Fixed Assets
a Gross: Block 1a -
b Depreciation 1b -
c Net Block (a-b) 1c -
d Capital work-in-progress 1d -
e total (1c + 1d) 1e -
2 Investments
a Long-term investments
I Government and other Securities - Quoted ai -
ii Government and other Securities - Unquoted aii -
iii Total (ai + aii) aiii -
b Trade investments
I Equity Shares bi -
ii Preference Shares bii -
iii Debenture biii -
iv Total (bi+bii+biii) biv -
c Total investments (aiii+biv) 2c -
PPLICATION OF FUNDS
 3 Current assets, loans and advances
a Current assets
I Inventories
A Stores, Chemicals and packing Materials iA -
B Raw materials iB -
C Stock-in-process iC -
D Finished Goods/Traded Goods iD -
E Total (iA+IB + iC+iD) iE -
ii Sundry Debtors aii -
APPLICATION OF FUNDS

iii Cash and Bank Balances

A Cash-in-hand iiiA -
B Balance with banks iiiB -
C Total (iiiA + iiiB) iiiC -
iv Other Current Assets aiv -
v Total current assets (iE + iiC + iiiC +aiv) av -
b Loans and advance
I Advances recoverable in cash or in kind or for value to
be received bi -
ii Deposits bii -
iii Balance with Tax Authorities, etc. biii -
iv Total (bi + bii + biii) biv -
c Total of current assets, loans and advances(av + bv) 3c -
d Current liabilities and provisions
I Current liabilities
A Sundry Creditors iA -
B Liability for Leased Assets iB -
C Interest Accrued on above iC -
D Interest accrued but not due on loans iD -
E Total (iA + iB + iC + iD) iE -
ii Provisions
A Provision for Income Tax iiA -
B Provision for Wealth Tax iiB -
C Provision for leave encashment / Superannuation / iiC
Gratuity -
D Other provisions iiD -
E Total (iiA + iiB + iiC + iiD) iiE -
iii Total (iE + iiE) diii -
e Net Current assets (3c-diii) 3e -
4 a Miscellaneous expenditure not written off or adjusted 4a -
b Deferred Tax Asset 4b -
c Profit and loss account 4c -
d Total (4a + 4b) 4c -
5 Total, application of funds (1e + 2c+ 3e + 4c) 5 -
In a case where regular books of account of business or profession are not maintained-
NO ACCOUNT

6 (furnish the following information as on 31st day of March, 2008, in respect of business or profession)
CASE

a Amount of total sundry debtors 6a -

b Amount of total sundry creditors 6b -
c Amount of total stock-in-trade 6c -
d Amount of the cash balance 6d -

Profit and Loss Account for the previous year 2009-10 of the proprietory business
Part A-P & L
(fill items 1 to 50 in a case where regular books of accounts are maintained, otherwise fill item 51)
1 Sales / Gross receipts of business or profession
(Net of returns and refunds and duty or tax, if any) 1 -
2 Duties, taxes and cess, received or receivable, in respect of goods and services sold or supplied
a Union Excise duties 2a -
b Service tax 2b -
ITS TO PROFIT & LOSS ACCOUNT

c VAT / Sales tax 2c -

d Any other duty, tax and cess 2d -
e Total of duties, taxes and cess, received or receivable (2a+2b+2c+2d) 2e -
CREDITS TO PROFIT & LOSS ACC
3 Other income
a Rent 3a -
b Commission 3b -
c Dividend 3c -
d Interest 3d -
e Profit on sale of fixed assets 3e -
f Profit on sale of investment being securities chargeable to 3f
Securities Transaction Tax (STT) -
g Profit on sale of other investment 3g -
h Profit on account of currency fluctuation 3h -
I Agriculture income 3i -
j Any other income 3j -
k Total of other income (3a to 3j) 3k -
4 Closing Stock 4 -
5 Totals of credits to profit and loss account (1+2e+3k+4) 5 -
6 Opening Stock 6 -
7 Purchases (net of refunds and duty or tax, if any) 7 -
8 Duties and taxes, paid or payable, in respect of goods and services purchased
a Custom Duty 8a -
b Counter vailing duty 8b -
c Special additional duty 8c -
d Union excise duty 8d -
e Service tax 8e -
f VAT/Sales tax 8f -
g Any other tax, paid or payable 8g -
h Total (8a+8b+8c+8d+8e+8f+8g) 8h -
9 Freight 9 -
10 Consumption of stores and spare parts 10 -
11 Power and fuel 11 -
12 Rents 12 -
13 Repairs to building 13 -
14 Repairs to machinery 14 -
15 Compensation to employees
a Salaries and wages 15a -
b Bonus 15b -
c Reimbursement of medical expenses 15c -
d Leave encashment 15d -
e Leave travel benefits 15e -
f Contribution to approved superannuation fund 15f -
g Contribution to recognised provident furn 15g -
h Contribution to recognised gratuity fund 15h -
i Contribution to any other fund 15i -
DEBITS TO PROFIT AND LOSS ACCOUNT

j Any other benefit to employees in respect of which an 15j

expenditure has been incurred -
k Total compensation to employees (15a+15b+15c+15d+15e+15f+15g+15h+15i+15j) 15k -
16 Insurance
a medical Insurance 16a -
b Life Insutrance 16b -
c keymans' Insurance 16c -
d other insurance 16d -
e Total expendirure on insurance 16a+16b+16c+16d) 16e -
17 Workmen and staff welfare expenses 17 -
18 Entertainment 18 -
19 hospitality 19 -
20 Conference 20 -
21 Sale promotion including publicity (other than advertisement) 21 -
22 Advertisement 22 -
23 Commission 23 -
24 Hotel, boarding and Lodging 24 -
25 traveling expenses including foreign traveling 25 -
26 Conveyance expenses 26 -
27 telephone expenses 27 -
28 Guest house expenses 28 -
29 Club expenses 29 -
30 Festival celebration expenses 30 -
31 Scholarship 31 -
32 Gift 32 -
 33 Donation 33 -
34 Rate and taxes, paid or payable to Government or any local body (excluding taxes on income)
a Union excise duty 34a -
b Service tax 34b -
c VAT/Sales Tax 34c -
d Cess 34d -
e Any other rate, tax, duty or cess 34e -
f Total rates and taxes paid or payable (34a+34b+34c+34d+34e) 34f -
35 Audit Fee 35 -
36 Other expenses 36 -
37 Bad debts 37 -
38 Provision for bad and doubtful debts 38 -
39 other Provisions 39 -
40 Proft before interest, depreciation and taxes
[5-(6+7+8h+9 to 14+15l+16e+17 to 33+34f+35 to 38)] 40 -
41 Interest 41 -
42 Depreciation 42 -
43 Profit before taxes (39-40-41) 43 -
44 Provision for current tax 44 -
TAX PROVISIONS AND
APPROPRIATIONS

45 provision for Deferred Tax 45 -

46 Profit after tax (42-43-44) 46 -
47 Balance brought forward from previous year 47 -
48 Amount available for appropriation (45+46) 48 -
49 Transferred to sreserves and surplus 49 -
50 Balance carried to balance sheet in partner's account (47-48) 50 -
51 In a case where regular books of account of business or profession are not maintained, furnish the
NO ACCOUNT

following information for previous year 2006-07 in respect of business or profession.

a Gross receipts 50a -
CASE

b Gross profit 50b -

c Expenses 50c -
d Net profit 50d -

Part A - 01 Other information (optional in a case not liable for audit under section 44AB)
1 Method of accounting employed in the prvious year (Tick) mercantile cash
2 Is there any cahnge in method of accounting (Tick) Yes No
Effect on the profit because of deviation, if any, in the method of accounting employed in the
3 previous year from accounting standards prescribed under section 145A 3
4 Method of valuation of closing stock employed in the prvious year
a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3)
b Finshied goods (If at cost or market rates whichever is less write1,if at cost write 2,if at market rate write 3)
c Is there any change in stock valuation method (Tick) Yes No
Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed
d under section 145A 4d
5 Amounts not credited to the profit and loss account, being -
a the items falling within the scope of section 28 5a
b the proforma credits, drawbacks, refund of duty of customs or
excise or service tax, or refund of sales tax or value added tax, 5b
OTHER INFORMATION

where such credits, drawbacks or refunds are admitted as due

by the authorieis concerned

c Escalation claims accepted during the previous year 5c

d any other item of income 5d
e capital receipt, if any 5e
f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 5f
6 Amounts debited to the profit and loss account, to the extent disallowable under section 36:-
a Premium paid for insurance against risk of damage or 6a
destruction of stocks or store
b Premium paid for insurance on the health of employees 6b
c Any sum paid to an employee as bonus or commission for
services rendered, where such sum was otherwise payable to 6c
him as profits or dividend.
d Any amount of interest paid in respect of borrowed capital 6d
e Amount of discount on a zero-cupon bond 6e
f Amount of contributions to a recognised provident fund 6f
g Amount of contributions to an approved superannuation fund 6g
h Amount of contributions to a recognised provident fund 6h
I Amount of contributions to any other fund 6i
j Amount of bad and doubtful debts 6j
 k Provision for bad and doubtful debts 6k
l Amount tranferred to any special reserve 6l
m Expenditure for the purposes of promoting family planning 6m
amongst employees
n. Any sum received from employees as contribution to any
provident fund or superannuation fund or any fund set up under
6n
ESI Act or any other fund for the welfare of employees to the
extent credited to the employees account on or before the due
date
o Any other disallowance 6o
p Total amount disallowable under section 36 (total of 6a to 6o) 6p
7 Amounts debited to the profit and loss account, to the extent disallowable U/s. 37
a Expenditure of personal nature; 7a
b Expenditure on advertisement in any souvenir, brochure,tract,
pamphlet or the like, published by a political party 7b

c Expenditure by way of penalty or fine for violation of any law for 7c

the time being in force;
d Any other penalty or fine; 7d
Expenditure incurred for nay purpose which is an offence or 7e
e which is prohibited by law;
f Amount of any liability of a contingent nature 7f
g Amount of expenditure in relation to income which does not 7g
form part of total income
h Any other amount not allowable under section 37 7h
I Total amount disallowable under section 37(total of 7a to 7h) 7i
8A Amounts debited to the profit and loss account, to the extent disallowable under section 40A
a Amount disallowable under section 40(a)(I)and 40(a)(ia) on
account of non-compliance with the provisions of Chapter XVII-B 8a
b Amount paid as securities transaction tax 8b
c Amount paid as fringe benefit tax 8c
d Amount of tax or rate levied or assessed on the basis of profits 8d
e Amount paid as wealth tax 8e
f Amount of interest, salary, bonus, commission or remuneration 8f
paid to any partner or member
g Total amount disallowable under section 40(total of 8a to 8g) 8g
B Any amount disallowed under section 40 in any proceeding pevious year but allowable during
the previous year
9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A
a Amounts paid to persons specified in section 40A(2)(b) 9a
b Amount in excess of twenty thousand rupees, paid otherwise 9b
than by crossed cheque or bank draft
c Provision for payment of gratuity 9c
d Any sum paid by the assessee as an employer for setting up or
as contribution to any fund, trust, company, AOP, or BOI or 9d
society or any other institution;
e Any other disallowance 9e
f Total amount disallowable under section 40A 9f 9f -
10 Any amount disallwed under section 43B in any preceding previous year but allowable during the
prvious year
a Any Sum in the nature of tax, duty, cess or fee under any law 10a
b Any sum payable by was of contribution to any provident fund or
superannuation furnd or gratuity fund or any other fund for the 10b
welfare of employees
c Any sum payable to an emplyee as bonus or commission for 10c
services rendered
d Any sum payable as interest on any loan or borrowing from any 10d
public financial institution
e Any sum payable as interest on any loan or borrowing from any 10e
public Scheduled bank
f Any sum payable towards leave encashment 10f
g Total amout allowable under section 43B (total of 10a to 10f) 10g
11 Any amount debited to profit and loss account of the previous year but disallowable under section
43B:
a Any Sum in the nature of tax, duty, cess or fee under any law 11a
b Any sum payable by was of contribution to any provident fund or
superannuation furnd or gratuity fund or any other fund for the 11b
welfare of employees
c Any sum payable to an emplyee as bonus or commission for 11c
services rendered
d Any sum payable as interest on any loan or borrowing from any 11d
public financial institution
 e Any sum payable as interest on any loan or borrowing from any 11e
public Scheduled bank
f Any sum payable towards leave encashment 11f
g Total amout allowable under section 43B (total of 11a to 11f) 11g
12 Amount of credit outstanding in the accounts in respect of
a Union Excise Duty 12a
b Service Tax 12b
c VAT/Sales tax 12c
d Any other tax 12d
e Total amount outstanding (total of 12a to 12d) 12e
13 Amounts deedmed to be profits and gains under section 33AB or 33ABA or 22AC 13
14 Any amount of profit chargeable to tax under section 41 14
Amount of income or expenditure of prior period credited or debited to the profit and loss account
15 (net) 15

Part A - QD Quantitative details of the principal item of goods traded (optional in a case not liable for audit under section 44AB)
a In the case of a trading concern
1 Opening stock 1
2 Purchase during the previous year 2
3 Sales during the previous year 3
4 Closing stock 4
5 Shortage / excess, if any 5
b In the case of a manufacturing concern
QUANTITATIVE DETAILS

6 Raw materials
a Opening stock 6a
b Purchase during the previous year 6b
c Consumption during the previous year 6c
d Sales during the previous year 6d
e Closing stock 6e
f Yield finished products 6f
g Percentage of yield 6g
h Shortage/excess, if any 6h
7 Finished products / by-products
a Opening stock 7a
b Purchase during the previous year 7b
c Quantity manufactured during the previous year 7c
d Sales during the previous year 7d
e Closing stock 7e
f Shortage/excess, if any 7f

Part B - IT Computation of total income

1 Salaries (6 of Schedule S) 1 -
2 Income from house property (4c of Schedule -HP) (enter nil if loss) 2 -
3 Profits and gains from business or profession
I Profit and gains from business other than speculative business 3i -
(A34 of Schedule -BP) (enter nill if loss)
ii Profit and gains from speculative business (B38 of Schedule -BP) 3ii -
enter nill if loss
iii Total (3i + 3ii) (enter nil if losses) 3iii -
4 Capital gains
a Short term
I Short-term (under section 111A) (A7 of schedule-CG) 4ai -
ii Short-term (others) (A8 of Schedule-CG) 4aii -
iii Total short-term (3ai + 3aii) (enter nill if loss) 4aiii -
TOTAL INCOME

b Long-term (B6 of Schedule-CG) (enter nil if loss) 4b -

c Total capital gains (4aiii+4b) 4c -
5 Income from other sources
a from sources other than from owning race horses (3 of schedule 5a -
OS)(enter nil if loss)
b from owning race horses (4c of Schedule OS) (enter nil if loss) 5b -
c Total (a + b) 5c -
6 Total (1+2+3iii+4c+5c) 6 -
7 Losses of current year to be set off against 6 (total of 2vii, 3vii and 4vii of schedule CYLA) 7 -
8 Balance after set off current year losses (6-7) 8 -
9 Brought forward losses to be set off against 6 (total of 2vii,3vii & 4vii of schedule BFLA) 9 -
10 Gross total income (8-9) (also 5vii of schedule BFLA) 10 -
11 Deductions under chapter VI-A (s of Schedule VIA) 11 -
12 Total income (10-11) 12 -
13 Net agricultural income/any other income for rate purpose (4 of Schedule EI) 13 -
 14 Aggregate incoe (12+13) 14 -
15 Lossess of current year to be carried forward (total of xi of CFL) 15 -

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 -
COMPUTATION OF TAX LIABILITY

2 Tax payable on Total Income (1a + 1b) 2 -

3 Education Cess on (2+3) 5 -
4 Gross tax liability (3+4+5) 6 -
5 Tax relief
a Section 89 7a -
b Section 90 7b -
c Section 91 7c -
d Total (5a + 5b + 5c) 7d -
6 Net tax liability (4 - 5d) 8 -
7 Interest payable
a for default in furnishing the return (section 234A) 9a -
b For default in payment of advance tax (section 234B) 9b -
c For deferment of advane tax (section 234C) 9c -
d Total interest payable (9a+9b+9c) 9d -
8 Aggregate liability (8+9d) 10 -
9 Taxes paid
TAXES PAID

a Advance Tax (from Schedule-IT) 11a -

b TDS (total of column 7 of schedule-TDSI and column 7 of 11b -
Scheudle-TDS2
c TCS (column 7 of schedule - TCS) 11c -
d Self assessment tax (From schedule-IT) 11d -
e Total Taxes paid (9a+9b+9c+9d) 11e -
10 Amount payable (Enter if 8 is greater than 9e, else enter 0) 12 -
11 Refund (If 9d is greater than 8, allso give Bank Account details below) 13 -
REFUND

12 Enter your bank account number (mandatory in case of refund)

13 Do you want your refund by ### cheque, or ### deposited directly into your bank account? (tick as appliacble
)
14 In case of direct deposit to your bank account give additional details

MICR Code: - MICR - Type of Account (tick as applicable

) ### Savings ### current

17 E-filing Acknowledgement Number Date(DD/MM/YYYY)

VERIFICATION

I, #VALUE! Son of #VALUE! holding Permanent Account Number

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 2010-11.

Place #VALUE! Date 14-Jun-2010 Sign here

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

If TRP is entitled for any reimbursement from the Government, amount thereof. 19

Schedule S Details of Income from Salary

Name of Employer PAN of Employer (Optional)
#VALUE! 0

Address of employer Town/City State Pin Code

#VALUE! ANDHRA PRADESH ANDHRA PRADESH
SALARIES

1 Salary (Excluding all allowances, perquisites & Profit in lieu of salary) 1 -

2 Allowances exempt under section 10 2 -
3 Allowances not exempt 3 -
4 Value of perquisites 4 -
5 Profits in lieu of salary 5 -
 6 Income chargeable under the Head 'Salaries'(1+3+4+5) 6 -

Schedule HP Details of Income from House Property

1 Address of property1 Town/city State Pin Code

#VALUE! FALSE ANDHRA PRADESH #VALUE!

Name of Tenant PAN of Tenant (Optional)
(Tick) if let out ###

a Annual letable value/rent received or receivable (highter if let out for whole of the year, lower if 1a -
let out for part of the year)
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 -
2 Address of property1 Town/city State Pin Code
#VALUE! ANDHRA PRADESH #VALUE!
Name of Tenant PAN of Tenant (Optional)
(Tick) if let out ###
###

a Annual letable value/rent received or receivable (highter if let out for whole of the year, lower if -
2a
let out for part of the year)
HOUSE PROPERTY

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 2e 2f -
g Interest payable on borrowed capital 2g -
h Total (2f + 2g) 2h -
I Income from house property 2(2e - 2h) 2i -
3 Address of property1 Town/city State Pin Code
#VALUE! ANDHRA PRADESH #VALUE!
Name of Tenant PAN of Tenant (Optional)
(Tick) if let out
###
a Annual letable value/rent received or receivable (highter if let out for whole of the year, lower if -
3a
let out for part of the year)
b The amount of rent which cannot be realized 3b -
c Tax paid to local authorities 3c -
d Total (3b+3c) 3d -
e Balance (3a-3d) 3e -
f 30% of 3e 3f -
g Interest payable on borrowed capital 3g -
h Total (3f + 3g) 3h -
I Income from house property 3(3e - 3h) 3i -

4 income under the head "Income from house property

a Rent of earlier years realized under section 25A/AA 4a -
b Arrears of rent received during the year under section 25B after deducting 30% 4b -
c Total(4a+4b+1i+2i+3i) 4c -
Note: Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head

Schedule BP Computation of income from business or profession

A From business or profession other than speculative business
1 Profit before tax as per profit and loss account (item 43 or item 51d of Part A-P & L) 1 -
2 Net profit or loss from speculative business included in 1 2 -
3 Income/receipts credited to profit and loss account considered 3 -
under other heads of income
4 Profit or loss included in 1, which is referred to in section -
44AD/44AE/44AF/44B/44BB/44BBA/44BBB/44D/44DA Chapter 4
-XII-G / First Schedule of Income Tax Act
 Profit or loss included in 1, which is referred to in section -
44AD/44AE/44AF/44B/44BB/44BBA/44BBB/44D/44DA Chapter
-XII-G / First Schedule of Income Tax Act
5 Income credited to Profit and Loss account (included in 1) which is exempt
a share of income from firms(s) 5a -
b Share of income from AOP/BOI 5b -
c Any other exempt income 5c -
d Total exempt income 5d -
6 Balance (1-2-3-4-5d) 6 -
7 Expenses debited to profit and loss account considered under 7 -
other heads of income
8 Expenses debited to rpofit and loss account which relate to 8 -
exempt income
9 Total (7+8) 9 -
10 Adjusted profit or loss (6+9) 10 -
11 Depreciation debited to profit and loss account included in 9 11 -
12 Depreciation allowable under income-tax Act
I Depreciation allowable under section 32(1)(ii) 12i
(column 6 of Schedule - DEP) -
ii Depreciation allowable under section 32(1)(i) 12ii
(Make your own computation refer Appendix-IA of IT Rules) -
iii Total (12i+12ii) 12iii -
13 Profit or loss after adjustment for depreciation (10+11-12iii) 13 -
14 Amounts debited to the profit and loss account, to the extent 14 -
disallowable under section 36 (6p of Part-OI)
15 Amounts debited to the profit and loss account, to the extent 15 -
disallowable under section 37(7j of Part-OI)
16 Amounts debited to the profit and loss account, to the extent 16 -
disallowable under section 40(8Ag of Part-OI)
17 Amounts debited to the profit and loss account, to the extent 17 -
disallowable under section 40A(9f of Part-OI)
18 Any amounts debited to the profit and loss account of the 18 -
INCOME FROM BUSINESS OR PROFESSION

previous year but disallowable under section 43B (iig of Part-OI)

Interest diallowable under section 23 of Micro, Small and -
19 Medium Enterprises Development Act, 2006 19
20 Deemed income under section 41 20 -
21 Deemed income under section 33AB/33ABA/35ABB/72A/ 21 -
80HHD/80-IA
22 Any other item or items of addition undersection 28 to44DA 22 -
23 Any other income not included in profit and loss account/any 23 -
other expense not allowable
24 Total (14+15+16+17+18+19+20+21+22+23) 24 -
25 Deduction allowable under section 32(1)(iii) 25 -
26 Amount of deduction under section 35 in excess of the amount 26 -
debigted to profit and loss account (Item vii(4) of schedule ESR)
Any amount disallowed under section 40 in any preceeding -
27 previous year but allowed during the previous year (8B of Part- 27
OI)
Any amount disallowed under section 43B in any preceeding -
28 previous year but allowed during the previous year (10g of Part- 28
29 OI)
Deduction under section 35AC
a Amount, if any, debited to profit and loss account 29a -
b Amount allowable as deduction 29b -
c Excess amount allowable as deduction (29b-29a) 29c -
30 Any other amount allowable as deduction 30 -
31 Total(25+26+27+28+29c+30) 31 -
32 Income (13+24-31) 32 -
33 Proft and gains of business or profession deemed to be under
I Section 44AD 33i -
ii Section 44AE 33ii -
iii Section 44AF 33iii -
iv Section 44B 33iv -
v Section 44BB 33v -
vi Section 44BBA 33vi -
vii Section 44BBB 33vii -
viii Section 44D 33viii -
ix Section 44DA 33ix -
x Chapter-XII-G 33x -
xi First Schedule of Income-tax Act 33xi -
 xii Total (30i to 30xi 33xii -
34 Profit or loss before deduction under section 10A/10AA/10B/10BB/10BA (32+33xii) 34 -
35 Deductions under section
I 10A (6 of Schedule-10A) 35i -
ii 10AA (d of Schedule-10AA) 35ii -
iii 10B (f of Schedule-10B) 35iii -
v 10BA (f of Schedule-10BA) 35iv -
vi Total(35i+35ii+35iii+35iv) 35v -
36 Net profit or loss from business or profession other than speculative business (34-32v) 36 -
37 Net profit or loss from business or profession after applying rule 7A, 7B or 7C A37 -
B Computation of income from speculative business
38 Net profit or loss from speculative business as per profit or loss account 38 -
39 Additions in accordance with section 28 to 44DA 39 -
40 Deductions in accordance with section 28 to 44DA 40 -
41 Profit or loss from speculative business (38+39-40) B41 -
C Income chargeable under the head "Profits and gains" (A37 + B41) C -
NOTE: Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head

Schedule DPM Depreciation on Plant and Machinery

1 Block of assets Plant and machinery
2 Rate (%) 15 30 40 50 60 80 100
(I) (ii) (iii) (iv) (v) (vi) (vii)
3 Written down value on the first day of
previous year - - - - - - -
4 Additions for a period of 180 days or
more in the previous year
- - - - - - -
DEPRECIATION ON PLANT AND MACHINERY

5 Consideration or other realization during

the previous year out of 3 or 4 - - - - - - -
6 Amount on which depreciation at full
rateto be allowed (3+4-5) (enter 0, if
result is negetive)
- - - - - - -
7 Additions for a period of less than 180
days in the previous year - - - - - - -
8 Consideration or other realizations
during the year out of 7 - - - - - - -
9 Amount on which depreciation at half
rate to be allowed(7-8) (enter 0, is
result is negetive) - - - - - - -
10 Depreciation on 6 at full rate - - - - - - -
11 Depreciation on 9 at half rate - - - - - - -
12 Additional depreciation, if any, on 4 - - - - - - -
13 Additional depreciation, if any, on 7 - - - - - - -
14 Total Depreciation* (10+11+12+13) - - - - - - -
15 Expenditure incurred in connection with
transfer of asset / assets - - - - - - -
16 Capital gains / loss under section 50*
(5+8-3-4-7-15) (enter 0, if result is - - - - - - -
17 negetive)
Written down value on the last day of
previous year*(6+9-14) (enter 9, if
result is negetive)
- - - - - - -

Schedule DOA Depreciation on other assets

1 Block of assets Furniture Intangible
Buildings Ships
and fittings assets
2 Rate (%) 5 10 100 10 25 20
(I) (ii) (iii) (iv) (v) (vi)
3 Written down value on the first day of
previous year - - - - - -
4 Additions for a period of 180 days or
more in the previous year - - - - - -
5 Consideration or other realization during
the previous year out of 3 or 4 - - - - - -
6 Amount on which depreciation at full
ION ON OTHER ASSETS

rateto be allowed (3+4-5) (enter 0, if

result is negetive)
- - - - - -
7 Additions for a period of less than 180
days in the previous year - - - - - -
 DEPRECIATION ON OTHER
8 Consideration or other realizations
during the year out of 7 - - - - - -
Amount on which depreciation at half
9
rate to be allowed(7-8) (enter o, if result
is negetive)
- - - - - -
10 Depreciation on 6 at full rate - - - - - -
11 Depreciation on 9 at half rate - - - - - -
12 Additional depreciation, if any, on 4 - - - - - -
13 Additional depreciation, if any, on 7 - - - - - -
14 Total Depreciation* (10+11+12+13) - - - - - -
15 Expenditure incurred in connection with
transfer of asset / assets - - - - - -
16 Capital gains / loss under section 50*
(5+8-3-4-7-15) (enter negetive only if
block ceases to exist)
- - - - - -
17 Written down value on the last day of
previous year*(6+9-14) (enter 0, if
result is negetive) - - - - - -

Schedule DEP Summary of depreciation on assets

1 Plant and machinery
a Block entitled for depreciation @ 15 per cent 1a
(Schedule DPM -14i) -
b Block entitled for depreciation @ 30 per cent 1b
(Schedule DPM -14ii) -
c Block entitled for depreciation @ 40 per cent 1c
(Schedule DPM -14iii) -
SUMMARY OF DEPRECIATION ON ASSETS

d Block entitled for depreciation @ 50 per cent 1d

(Schedule DPM -14iv) -
e Block entitled for depreciation @ 60 per cent 1e
(Schedule DPM -14v) -
f Block entitled for depreciation @ 80 per cent 1f
(Schedule DPM -14vi) -
g Block entitled for depreciation @ 100 per cent 1g
(Schedule DPM -14vii) -
h Total depreciation on plant and machinery(1a+1b+1c+1d+1e+1f+1g) 1h -
2 Building
a Block entitled for depreciation 5 per cent 2a
(Schedule DOA -14i) -
b Block entitled for depreciation 10per cent 2b
(Schedule DOA -14ii) -
c Block entitled for depreciation 100 per cent 2c
(Schedule DOA -14iii) -
d Total depreciation on building 2d -
3 Furniture and fittings (Schedule DOA-14iv) 3 -
4 Intangible assets (Schedule DOA-14v) 4 -
5 Ships (Schedule DOA-14vi) 5 -
6 Total depreciation (1h+2d+3+4+5) 6 -

Schedule DCG Deemed Capital Gains on sale of depreciable assets

1 Plant and machinery
a Block entitled for depreciation @ 15 per cent 1a
(Schedule DPM -16i) -
b Block entitled for depreciation @ 30 per cent 1b
(Schedule DPM -16ii) -
c Block entitled for depreciation @ 40 per cent 1c
(Schedule DPM -16iii) -
d Block entitled for depreciation @ 50 per cent 1d
(Schedule DPM -16iv) -
e Block entitled for depreciation @ 60 per cent 1e
(Schedule DPM -16v) -
f Block entitled for depreciation @ 80 per cent 1f
(Schedule DPM -16vi) -
g Block entitled for depreciation @ 100 per cent 1g
(Schedule DPM -16vii) -
h Total depreciation on plant and machinery(1a+1b+1c+1d+1e+1f+1g) 1h -
 2 Building
a Block entitled for depreciation 5 per cent 2a
(Schedule DOA -16i) -
b Block entitled for depreciation 10per cent 2b
(Schedule DOA -16ii) -
c Block entitled for depreciation 100 per cent 2c
(Schedule DOA -16iii) -
d Total depreciation on building 2d -
3 Furniture and fittings (Schedule DOA-16iv) 3 -
4 Intangible assets (Schedule DOA-16v) 4 -
5 Ships (Schedule DOA-16vi) 5 -
6 Total (1h+2d+3+4+5) 6 -

Schedule ESR Deducution under section 35

Expenditure of the natue Amount of deduction allowable Amount of deduction in
referred to in section Amount, if any, debited to profit excess of the amount debited
Sl. and loss account to profit & loss account 4 =
No. (1) (2) (3-2)
i. 35(1)(i) -
ii. 35(1)(ii) (3) -
iii. 35(1)(iii) -
iv. 35(1)(iv) -
v. 35(2AA) -
vi 35(2AB) -
vii. Total -

Schedule CG Capital Gains

A Short-term capital gain
1 From slump sale
a Full value of consideration 1a -
b Net worth of the under taking or division 1b -
c Short term capital gains from slump sale 1c -
d Deduction U/s.54/54B/54D/54EC/54F/54G/54GA 1d -
e Net short term capital gains from slum sale (1c - 1d) 1e -
2 From assets in case of non-resident to which first proviso to section 48 applicable 2 -
3 From other assets
a Full value of consideration 3a -
b Deductions under section 48
I Cost of acquisition bi -
ii Cost of Improvement bii -
iii Expenditure on transfer biii -
iv Total (i+ii+ii) biv -
c Balance (3a-biv) 3c -
d Loss, if any, to be ignored u/s.94(7) or 94(8) 3d -
e Exemption U/s.54/54B/54D/54EC/54F/54G/54GA 3E -
f Short term capital gains (3c-3d-3e) 3f -
4 Deemed short capital gain on depreciable assets (6 of Schedule - DCG) 4 -
5 Amount deemed to be short term capital gains under sections 54/54B/54D/54E/54ED/ 5
54F/54G/54GA -
6 Total short term capital gain (1e+2+3e+4+5) 6 -
7 Short term capital gain under section 111A included in 6 7 -
8 Short term capital gain other than referred to in section 111A(6-7) A8 -
B Long ter capital gain
1 From slump sale
a Full value of consideration 1a -
b Net worth of the under taking or division 1b -
c Long term capital gains from slump sale 1c -
d Deduction U/s.54/54B/54D/54EC/54F/54G/54GA 1d -
e Net long term capital gains from slum sale (1c - 1d) 1e -
2 Assets in case of non-resident to which first proviso to section 48 applicable 2 -
3 Other assets for which option under proviso to section 112(1) not exercised
a Full value of consideration 3a -
b Deductions under section 48
CAPITAL GAINS

I Cost of acquisition after indexation bi -

ii Cost of Improvement after indexation bii -
iii Expenditure on transfer biii -
 CAPITAL GA
iv Total (bi+bii+biii) biv -
c Balance (3a-biv) 3c -
d Deduction U/s.54/54B/54D/54EC/54F/54G/54GA 3d -
e Net balance (3c-3d) 3e -
4 Other assets for which option under proviso to section 112(1) exercised
a Full value of consideration 4a -
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 (4a-biv) 4c -
d Deduction U/s.54/54B/54D/54EC/54F/54G/54GA 4d -
e Net balance 4e -
5 Amount deemed to be long term capital gains under sections 54/54B/54D/54E/54ED/ 5 -
54F/54G/54GA
6 Total long term capital gain (1e+2+3e+4e+5) B6 -
C Income chargeable under the head "CAPITAL GAINS" (A8+B6) C -
D Information about accrual /receipt of capital gain
Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
Date
(I) (ii) (iii) (iv)
1 Long-term where provisio under section 112(1) is
applicable (Whiout Indexisation) -
Code in SI schedule is 22,
Tax Rate is 10% : Enter
only positive value from Item B4c of Schedule CG AFTER loss
adjustment under this category in Schedule CYLA and BFLA,
if any
2 Long-term where provisio under section 112(1) is
NOT applicable (Whiout Indexisation) -
Code in SI schedule is
21, Tax Rate is 20% : Enter - - - -
only positive value from Item (B6-B4c) of Schedule CG
AFTER loss adjustment under this category in Schedule CYLA
and BFLA, if any
3 Short-term under 111A -
Code in SI schedule is 1A, Tax Rate is
15% : Enter only positive - - - -
value from Item B7 of Schedule CG AFTER loss adjustment
under this category in Schedule CYLA and BFLA, if any
4 Short-term OTHERS-
Enter only - - - -
positive value from Item B7 of Schedule CG AFTER loss
adjustment under this category in Schedule CYLA and BFLA,
Note if any
Please include the income of the specified persons referred to in schedule SPI while computing the income under this hear

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 (excluding income from owning race horses) 1d -
e Total (1a+1b+1c+1d) 1e -
OTHER SOURCES

f Deductions under section 57:-

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) (enter Ig as nil if loss) 3 -
4 Income from owning and maintaining race horses
a Receipts 4a -
b Deductions under section 57 in relation to (4) 4b -
c Balance (2a - 2b) 4c -
5 Income chargeable under the hear "Income from other sources" 1g+2+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 years losses

Sl Head / Source of Income Income of House poerty Business loss (other Other sources loss Current year's
No current year loss of the than speculation loss) (other than loss from Income
(Fill current year set of the current year set race horses) of the remaining after
this column off off current year set off set off
only if income
is zero or
STMENT

positive)

this column
only if income
CURRENT YEAR LOSS ADJUSTMENT
Loss to be adjusted ->
I Salaries
ii House property
iii Business(including
speculation profit)
iv Short-term capital gain
v Long-term capital gain
vi Other sources (incl profit
from owning race horses
but excluding winnings
from lottery)
vii Total loss set off
viii Loss remaining after set-off
(Fill current year set of the current year set race horses) of the remaining after
off off current year set off set off
is zero or
positive)
Total loss Total loss Total loss
(4c of (A37 of (3 of
Schedule-HP) Schedule- BP) Schedule-OS)
1 2 3 4 5=1-2-3-4
- -
- - - -
- - - -
- - - -
- - - - -
- - - - -
- - - -
- - -
- - -

Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
Sl. No. Head / Source of Income Income after set Brought Brought forward Broguth forward Current years
off, if any, of forward loss depreciation set off allowance under income remaining
BROUGHT FORWARD LOSS ADJUSTMENT

current year's set off section 35(4) set after set off
losess as per 5 of off
Schedule CYLA)
1 2 3 4 5
i House property - - - - -
ii Business(including
speculation profit) - - - - -
iii Short-term capital gain
- - - - -
iv Long-term capital gain
- - - - -
v. Other sources (profit
from owning race horses
but excluding winning
from lottery)
- - - - -
vi. Total of brought forward loss set off - - -
vii Current year's income remaining after set off Total (i5+ii5+iii5+iv5+v5+vi5) -

Schedule CFL Details of Losses to be carried forward to future Years

Sl Assessment Year Date of House Loss from business Loss from Short Long term Other sources
other than loss from speculative
No. filing Property term Capital loss loss (from
speculative business business
(DD/MM/Y Loss including unabsorbed including capital owning race
YYY) depreciaton allowable unabsorbed loss horses)
u/s 35(4) depreciation
u/s 35(4)
CARRY FORWARD OF LOSS

I 2002-03 - - - -
ii 2003-04 - - - -
iii 2004-05 - - - -
iv 2005-06 - - - -
v 2006-07 - - - - - -
vi 2007-08 - - - - - -
vii 2008-09 - - - - - -
viii 2009-10 - - - - - -
ix Total of earlier year - - - - - -
x loses
Adjustment of above
losses in Schedule BFLA
(See instruction) - - - - - -
xi 2010-11(Current year
losses) - - - - - -
xii Total loss carried
forward to future years - - - - - -

Schedule 10A Deduction under section 10A

1 Deduction in respect of units located in Software Technology Park
 a Undertaking No.1 1a
b Undertaking No.2 1b
c Undertaking No.3 1c
d Undertaking No.4 1d
e Undertaking No.5 1e
f Total (1a+1b+1c+1d+1e) 1f
2 Deduction in respect of units located in Electronic Hardware Technology Park
a Undertaking No.1 2a
b Undertaking No.2 2b
DEDUCTIONS U/S.10A

c Undertaking No.3 2c
d Total (2a+2b+2c) 2d
3 Deductions in respect of units located in Free Trade Zone
a Undertaking No.1 3a
b Undertaking No.2 3b
c Undertaking No.3 3c
d Total (3a+3b+3c) 3d
4 Deductions in respect of units located in Export Processing Zone
a Undertaking No.1 4a
b Undertaking No.2 4b
c Undertaking No.3 4c
d Total (4a+4b+4c) 4d
5 Deductions in respect of units located in Special Economic Zone
a Undertaking No.1 5a
b Undertaking No.2 5b
c Undertaking No.3 5c
d Total (5a+5b+5c) 5d
6 Total deduction under section 10A(1f+2d+3d+4d+5d) 6

Schedule 10A Deduction under section 10AA

Deduction U/s10AA

Deductions in respect of units located in Special Economic Zone

a Undertaking No.1 a
b Undertaking No.2 b
c Undertaking No.3 c
d Total (a+b+c) d

Schedule 10B Deduction under section 10B

Deductions U/s.10B

Deductions in respect of hundred percent Export Orented units

a Undertaking No.1 a
b Undertaking No.2 b
c Undertaking No.3 c
d Undertaking No.4 d
e Undertaking No.5 e
f Total (a+b+c+d+e) f

Schedule 10BA Deduction under section 10BA

Deductions U/s.10BA

Deductions in respect of exports of handmade wooden articles

a Undertaking No.1 a
b Undertaking No.2 b
c Undertaking No.3 c
d Undertaking No.4 d
e Undertaking No.5 e
f Total (a+b+c+d+e) f

Schedule 80G Details of donations entitled for deduction under section 80G
A Donations entitled for 100% deduction
Name and address of donee Amount of Donation
I Ai
ii Aii
iii Aiii
iv Aiv
v Av
vi Total Avi
ILS OF DONATIONS

B Donations entitled for 50% deduction where donee not required to be approved U/s. 80G(5)(vi)
Name and address of donee Amount of Donation
I Bi
 DETAILS OF DONATIO
ii Bii
iii Biii
iv Biv
v Bv
vi Total Bvi
C Donations entitled for 50% deduction where donee is required to be approved U/s. 80G(5)(vi)
Name and address of donee PAN of donee Amount of Donation
I Ci
ii Cii
iii Ciii
iv Civ
v Cv
vi Total Cvi
D Total donations (Avi+Bvi+Cvi) D

Schedule 80-IA Deductions under section 80 - IA

a Deduction in respect of profits of an enterprise referred to a
in section 80-IA(4)(i) [infrastructure facility]
b Deduction in respect of profits of an undertaking referred to b
DEDUCTIONS U/S.80-IA

in section 80-IA(4)(ii) [Telecommunication services]

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

f Total deductions under section 80-IA ( a+b+c+d) f

Schedule 80-IB Deductions under section 80 - IB

a Deduction in respect of industrial undertaking referred to in a
section 80-IB(3)[Small-scale industry]
b Deduction in respect of industrial undertaking located in b
Jammu & Kashmir section 80-IB(4)
c Deduction in respect of industrial undertaking located in industrially c
backward states specified in Eighth Schedule [section 80-IB(4)]
d Deduction in respect of industrial undertaking located in industrially d
backward districts [Section 80-IB(5)
e Deduction in the case of multiplex theatre [section 80-IB(7A) e
DEDUCTIONS U/S.80-IB

f Deduction in the case of convention centre [Section80-IB(7B)] f

g Deduction in the case of company carrying on scientific research g
[Section 80-IB(8A)]
h Deduction in the case of undertaking which begins commercial h
production or refining of mineral oil [Section 80-IB(9)]
I Deduction in the case of an undertaking developing and building I
housing projects [Section 80-IB(10)]
j Deduction in the case of an undertaking operating a cold chain facility j
[Section 80-IB(11)]
k Deduction in the case of an undertaking engaged in processing, k
preservation and packaging of fruits and vegetables [Section 80-IB(11A)]
l Deduction in the case of an undertaking engaged in integrated businessl
of handling, storage and transportation of goofgrains [Section 80-IB(11A)]
m Deduction in the case of an undertaking engaged in operating and m
maintaining a rural hospital [Section 80-IB(11B)]
n Total deductions under section 80-IB ( Total of a to m) n

Schedule 80-IC or 80IE

Deductions under section 80-IC or 80IE
1 Deduction in respect of industrial undertaking located in Sikkim 1
2 Deduction in respect of industrial undertaking located in Himachal Pradesh 2
3 Deduction in respet of industrial undertaking located in Uttaranchal 3
DEDUCTIONS U/S.80-IC

4 Deduction in respect of industrial undertaking located in North-East

a Assam 4a
b Arunachal Pradesh 4b
c Maniput 4c
d Mizoram 4d
 DEDUCTION
e Meghalaya 4e
f Nagaland 4f
g Tripura 4g
h Total of deduction for undertakings located in North-east (Total of 4a to 4g) 4h
5 Total deduction under section 80-IC or 80IE (1+2+3+4h) 5

Schedule VI-A Deductions under Chapter VI-A(section)

a 80C - j 80GGC
b 80CCC k 80IA (f of Schedule 80-IA)
TOTAL DEDUCTIONS

c 80CCD l 80IB (n of Schedule 80-IB)

d 80D - m 80IC (5 of Schedule 80-IC)
e 80DD n 80IC/80IE (5 of Schedule 80-IC)
f 80DDB o 80ID/80JJA
g 80E p 80QQB
h 80G - q 80RRB
I 80GG/GGA - r 80U
s Total deductions under Chapter VI-A (total of a to r) s -

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 o f Income Amount (Rs.)
1
2

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

(%) (I) (ii) (%) (I) (ii)

1 IA 15 - - 6
2 22 10 7
3 21 20 - - 8
4 5BB 30 9
5 10
11 Total (1ii to 10ii)

Schedule IF Information regarding partnership firms in which your are partner

Number of firms in which your are partner
FIRMS IN WHICH PARTNER

Firm No. Name of the Firm PAN of the firm Percentage Amount of share in the profit Capital balance on
Share in the 31st March in the
profit of the firm
firm I ii
1 1 #VALUE! #VALUE! 0.00% - -
2 2 #VALUE! #VALUE! 0.00% - -
3 3 #VALUE! #VALUE! 0.00% - -
4 4 #VALUE! #VALUE! 0.00% - -
5 5 #VALUE! #VALUE! 0.00% - -
6 Total - -

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 (other than income to be excluded under rule 7,7A,7B or8) 4
5 Share in the profit of firm /AOP etc., 5 -
6 Others 6
7 Total (1+2+3+4+5+6) 7 -

Schedule AIR Other Information (Information relating to Annual Information Return) [Please see instruction No-9(iv) for code]
Sl Code of Transaction Amount (Rs.) Sl Codeof 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 No Name of Bank & Branch BSR Code Date of Deposit Serial Number of Amount (Rs.)
(DD/MM/YYYY) Challan
ENTS
 (i) #VALUE! #VALUE! -
TAX PAYMENTS (ii) #VALUE! #VALUE! -
(iii) #VALUE! #VALUE! -
(iv) #VALUE! #VALUE! -
(v) #VALUE! #VALUE! -
(vi) #VALUE! #VALUE! -
(vii) #VALUE! #VALUE!
(viii) #VALUE! #VALUE!
(ix) #VALUE! #VALUE! -
(x) #VALUE! #VALUE! -
(xi) #VALUE! #VALUE! -
Note: Enter the totals of Advance tax and Self Assessment Tax in Sl. No. 9a & 9c of Part B-TTI

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

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

Salaries Cess)

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

#VALUE! - - - -
(i) #VALUE!

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

#VALUE! - - - -
(iii) #VALUE!

Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16A issued by Deductor(s)]

Tax Deduction Account Amount out of (6)

Name and Address of the Amount paid / Date of Payment / Total Tax
Sl No Number(TAN) of the claimed for this
Deductor credited Credit Deposited
Deductor 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! - - -
(x) #VALUE! - - -
Note: Please Enter the total of column 7 of Schedule - TDS1 and column 7 of Schedule - TDS2 in 11(b) of Part B-TTI

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

Amount out of (6)

Tax Deduction Account and Amount
Name and Address of the Date of receipt / Total Tax to be allowed as
Sl No Tax Collection account received /
Collector Debit Deposited credit during the
Number of the Collector debited
year

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

(i) #VALUE! - -
TCS ON INCOME

(ii) #VALUE! - - -
(iii) #VALUE! - - -
(iv) #VALUE! - - -
(v) #VALUE! - - -
(vi) #VALUE! - - -
(vii) #VALUE! - - -
 Assessment Year

HUF

Date of Birth (DD/MM/YYYY)

(In case of Individuals only)

30-Dec-1899

Female

Employer Category (if in employment)

Others

If yes, furnish following information-

Description

Select Nature of Business

-

-
-

-
-
-
-

-
-
-
-

-
-
-

-
-

-
-
-

-
-

-
-
-
-

-
-
-
-
-
-

-
-
-
-
-
-
-

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
oods traded (optional in a case not liable for audit under section 44AB)

-
-

-
-
-
-
-
-
-
-
-
 -
-

-
-
-

-
-

-
-

-
-
-

current

ERIFICATION

rmation given in the return and schedules thereto is correct and complete and that
uly stated and are in accordance with the provisions of the Income-tax Act, 1961, in
vant to the Assessment Year 2010-11.

-
-
-
 -

#VALUE!
PAN of Tenant (Optional)

-
-

#VALUE!
PAN of Tenant (Optional)

-
-

#VALUE!
PAN of Tenant (Optional)

-
-

-
-
-
ns referred to in Schedule SPI while computing the income under this head

-
-

-
-

-
-

-
-
 -
-

-
-
-

-
-
-
-
-

Plant and machinery

100
(vii)

-
-
-
-
-
-

Ships
20
(vi)

-
 -

-
-
-
-
-
-

-
-
-
-
-

-
 -
-
-
-
-

Amount of deduction in
excess of the amount debited
to profit & loss account 4 =
(3-2)
-
-
-
-
-
-
-

-
-

-
-

-
-
-
-

-
-
-

-
-

-
-

16/3 to 31/3
(iv)

-
-
-

-
-

Current year's
Income
remaining after
set off
 5=1-2-3-4

-
-

-
-

Current years
income remaining
after set off

5
-

Other sources
loss (from
owning race
horses)

-
-
-
-
-

-
Amount of Donation

Amount of Donation
Amount of Donation
 -

Amount (Rs.)

Tax thereon

(ii)

Capital balance on
31st March in the
firm
ii
-
-
-
-
-
-

o Annual Information Return) [Please see instruction No-9(iv) for code]

Amount(Rs.)
-
-
-
-

Amount (Rs.)
 -
-
-
-
-
-

-
-
-

Tax payable /
refundable

(8)

Amount out of (6)

claimed for this
year

(7)
-
-
-
-
-
-
-
-
-
-
-
-

Amount out of (6)

to be allowed as
credit during the
year

(7)
-
-
-
-
-
-
-
 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! #VALUE!
#VALUE! #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)

Crore 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 14-Jun-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 In words

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

1-Apr-2009 15-Sep-2009 15-Dec-2009 ### ###

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