INDIAN INCOME TAX RETURN Assessment Year
FORM [For Individuals/HUFs being partners in firms and not carrying out business
ITR-3 or profession under any proprietorship]
(Please see rule 12 of the Income-tax Rules,1962)
(Also see attached instructions)
2 0 1 4 - 15
Part A-GEN GENERAL
First name Middle name Last name PAN
Flat/Door/Block No Name of Premises/Building/Village Status (Tick)
Individual HUF
Road/Street/Post Office Area/locality Date of Birth (DD/MM/YYYY)
PERSONAL INFORMATION
( in case of individual)
/ /
Town/City/District State Pin code Sex (in case of individual) (Tick)
Male Female
Country
Residential/Office Phone Number with STD code/ Mobile No. 2 Employer Category(if in
Mobile No. 1 employment) (Tick)
Govt. PSU Others
Email Address-1 (self) Income Tax Ward/Circle
Email Address-2
Return filed (Tick)[Please see instruction number-7] On or before due date-139(1), After due date-139(4), Revised Return-
(a)
139(5), Modified return- 92CD or In response to notice 139(9)-Defective, 142(1), 148, 153A/153C
If revised/defective/Modified, then enter Receipt No
(b) and Date of filing original return (DD/MM/YYYY) / /
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD
(c)
enter date of advance pricing agreement
/ /
FILING STATUS
(d) Residential Status (Tick) Resident Non-Resident Resident but Not Ordinarily Resident
(e) Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act? Yes No
(f) Are you governed by Portuguese Civil Code as per section 5A? Tick) Yes No (If "YES" please fill Schedule 5A)
(g) Whether this return is being filed by a representative assessee? (Tick) Yes No
If yes, please furnish following information -
(1) Name of the representative
(2) Address of the representative
(3) Permanent Account Number (PAN) of the representative
PART-B
Part B - TI Computation of total income
1 Salaries (7 of Schedule S) 1
2 Income from house property (3c of Schedule HP) (enter nil if loss) 2
3 Profits and gains from business or profession (8 of Schedule BP) (enter nil if loss) 3
TOTAL INCOME
4 Capital gains
a Short term
i Short-term chargeable @ 15% (7ii of item E of schedule CG) ai
ii Short-term chargeable @ 30% (7iii of item E of schedule CG) aii
iii Short-term chargeable at applicable rate (7iv of item E of schedule CG) aiii
iv Total Short-term (ai + aii + aiii) 4aiv
Do not write or stamp in this area (Space for bar code) For Office Use Only
Receipt No.
Date
Seal and Signature of receiving
official
Page 1 of 14
b Long-term
i Long-term chargeable @ 10% (7v of item E of schedule CG) bi
ii Long-term chargeable @ 20% (7vi of item E of schedule CG) bii
iii Total Long-term (bi + bii) (enter nil if loss) biii
c Total capital gains (4aiv + 4biii) (enter nil if loss) 4c
5 Income from other sources
a from sources other than from owning race horses and income
5a
chargeable to tax at special rate (1i of Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rate (1fiii of Schedule OS) 5b
c from the activity of owning and maintaining race horses (3c of Schedule
5c
OS) (enter nil if loss)
d Total (5a + 5b + 5c) (enter nil if loss) 5d
6 Total (1+2+3+4c+5d) 6
7 Losses of current year set off against 6 (total of 2xii,3xii and 4xii of Schedule CYLA) 7
8 Balance after set off current year losses (6-7) (total of column 5 of Schedule CYLA+5b) 8
9 Brought forward losses set off against 8 (2xi of Schedule BFLA) 9
10 Gross Total income (8-9) (3xii of Schedule BFLA +5b) 10
11 Income chargeable to tax at special rate under section 111A, 112 etc. included in 10 11
12 Deductions under Chapter VI-A [s of Schedule VIA and limited to (10-11)] 12
13 Total income (10 12) 13
14 Income which is included in 13 and chargeable to tax at special rates (total of (i) of schedule SI) 14
15 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 15
16 Aggregate income (13-14+15) [applicable if (13-14) exceeds maximum amount not chargeable to tax] 16
17 Losses of current year to be carried forward (total of row xi of Schedule CFL) 17
Part B - TTI Computation of tax liability on total income
1 Tax payable on total income
a Tax at normal rates on 16 of Part B-TI 1a
b Tax at special rates (total of (ii) of Schedule SI) 1b
c Rebate on agricultural income [applicable if (13-14) of Part 1c
B-TI exceeds10 Deductions
maximum under
amount not Chapter
chargeable VI-A (o of Schedule VIA)
to tax] 10
d Tax Payable 11 onTotal Income (1a + 1b 1c)
Totalincome 1d
11
2 Rebate under section
12 Net 87A (applicable
agricultural if 13 of Part
income/ B-TI does
any other not for
income exceed
rate5purpose
lakh) (4 of Schedule EI) 2 12
COMPUTATION OF TAX LIABILITY
13 rebate
3 Tax payable after (1d - 2)
`Aggregate income' (8+ 9) 3 13
(applicable
4 Surcharge on 314 if 13
Losses of of Part
current B-TI
year toexceeds 1 crore)
be carried 4
forward (total of 2viii and 3viii of Schedule CYLA) 14
5 Education cess, including secondary and higher education cess on (3 + 4) 5
6 Gross tax liability (3 + 4 + 5) 6
7 Tax relief
a Section 89 7a
b Section 90/ 90A (2 of Schedule TR) 7b
c Section 91 (3 of Schedule TR) 7c
d Total (7a + 7b+ 7c) 7d
8 Net tax liability (6 7d) (enter zero if negative) 8
9 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 advance tax (section 234C) 9c
d Total Interest Payable (9a+9b+9c) 9d
10 Aggregate liability (8 + 9d) 10
11 Taxes Paid
TAXES PAID
a Advance Tax (from Schedule-IT) 11a
TDS (total of column 5 of Schedule-TDS1 and column 8 of
b 11b
Schedule-TDS2)
c TCS (total of column 6 of Schedule-TCS) 11c
Page 2 of 14
d Self-Assessment Tax (from Schedule-IT) 11d
e Total Taxes Paid (11a+11b+11c+11d) 11e
12 Amount payable (Enter if 10 is greater than 11e, else enter 0) 12
13 Refund (If 11e is greater than 10) (Refund, if any, will be directly credited into the bank account) 13
REFUND
14
Enter your bank account number ( the number should be 9
digits or more as per CBS system of the bank )
15 IFS Code of the bank
16 Type of Account (tick as applicable ) Savings Current
Do you have,-
(i) any asset (including financial interest in any entity) located outside India or
17
(ii) signing authority in any account located outside India?
Yes No
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes]
VERIFICATION
I, son/ daughter of , 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 2014-2015.
Place Sign here
Date
14 If the return has been prepared by a 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 15
Schedule S Details of Income from Salary
Name of Employer PAN of Employer (optional)
Address of employer Town/City State Pin code
1
Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown 1
separately below)
2 Allowances exempt under section 10 (Not to be included in 7 below)
SALARIES
i Travel concession/assistance received (sec. 10(5) 2i
ii Tax paid by employer on non-monetary perquisite (sec. 10(10CC) 2ii
iii Allowance to meet expenditure incurred on house rent (sec. 10(13A) 2iii
iv Other allowances 2iv
3 Allowances not exempt (refer Form 16 from employer) 3
4 Value of perquisites (refer Form 16 from employer) 4
5 Profits in lieu of salary (refer Form 16 from employer) 5
6 Deduction u/s 16 (Entertainment allowance by Government and tax on employment) 6
7 Income chargeable under the Head `Salaries' (1+3+4+5 -6) 7
Schedule HP Details of Income from House Property (Please refer to instructions)
Address of property 1 Town/ City State PIN Code
1
Is the property co-owned? Yes No (if "YES" please enter following details)
HOUSE PROPERTY
Your percentage of share in the property
Name of Co-owner(s) PAN of Co-owner(s)e Percentage Share in Property
I
II
(Tick) if let out Name of Tenant PAN of Tenant (optional)
Page 3 of 14
Annual letable value or rent received or receivable (higher of the two, if let out for whole of
a 1a
the year, lower of the two if 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 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 Income from house property 1 (1f 1i) 1j
Address of property 2 Town/ City State PIN Code
2
Is the property co-owned? Yes No (if "YES" please enter following details)
Your percentage of share in the property.
Name of Co-owner(s) PAN of Co-owner(s) Percentage Share in Property
I
II
(Tick) if let out Name of Tenant PAN of Tenant (optional)
Annual letable value or rent received/ receivable (higher of the two, if let out for whole of the
a 2a
year, lower of the two, if let out for part of the year)
b The amount of rent which cannot be realized 2b
c Tax paid to local authorities 2c
d Total (2b + 2c) 2d
e Annual value (2a 2d) 2e
f Annual value of the property owned (own percentage share x 2e) 2f
g 30% of 2f 2g
h Interest payable on borrowed capital 2h
i Total (2g + 2h) 2i
j Income from house property 2 (2f 2i) 2j
3 Income under the head "Income from house property"
a Rent of earlier years realized under section 25A/AA 3a
b Arrears of rent received during the year under section 25B after deducting 30% 3b
c Total (1j + 2j + 3a + 3b ) (if negative take the figure to 2i of schedule CYLA) 3c
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Schedule IF Information regarding partnership firms in which you are partner
Number of firms in which you are partner
FIRMS IN WHICH PARTNER
Capital balance on
Whether the Percentage Share Amount of share 31st March in the
Sl. Name of the Firm PAN of the firm firm is liable for in the profit in the profit firm
No. audit? (Y/N) of the firm ii
i
1
2
3
4
5
6 Total
Schedule BP Details of Income from Firms of which partner
Firm PAN Salary, bonus, Interest received Total Expenses in Net Income
INCOME FROM
(From commission or from the firm on the ii + iii relation iv - v
Sl. Schedule-IF) remuneration received capital to iv
FIRMS
No.
from the firm
(i) (ii) (iii) (iv) (v) (vi)
1 iv
Page 4 of 14
2
3
4
5
6 Total
7 Deduction, if any, for payment of any sum for carrying out an eligible project or scheme as per section 35AC
8 Net Income from Business [6(vi) 7]
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Schedule CG Capital Gains
A Short-term Capital Gains (STCG) (Items 3 & 4 are not applicable for residents)
1 From sale of land or building or both
a i Full value of consideration received/receivable ai
ii Value of property as per stamp valuation authority aii
Full value of consideration adopted as per section 50C for the
iii aiii
purpose of Capital Gains (ai or aii)
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
2 From sale of equity share or unit of equity oriented Mutual Fund (MF) on which STT is paid
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 biv) 2c
Short-term Capital Gains
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
d 2d
dividend/income/bonus units are received, then loss arising out of
sale of such asset to be ignored (Enter positive value only)
e Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) A2e
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to
3
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 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 wholly and exclusively in connection with transfer biii
iv Total (i + ii + iii) biv
c Balance (4a biv) 4c
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
d 4d
dividend/income/bonus units are received, then loss arising out of
sale of such security to be ignored (Enter positive value only)
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 Full value of consideration 5a
b Deductions under section 48
CAPITAL GAINS
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 (5a biv) 5c
Page 5 of 14
d In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- 5d
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)
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 under sections 54B A6
7 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6) A7
B Long-term capital gain (LTCG) (Items 4, 5 & 6 are not applicable for residents)
1 From sale of land or building or both
a i Full value of consideration received/receivable ai
ii Value of property as per stamp valuation authority aii
Full value of consideration adopted as per section 50C for the
iii aiii
purpose of Capital Gains (ai or aii)
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
1d
below)
e Long-term Capital Gains on Immovable property (1c - 1d) B1e
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 biv) 2c
d Deduction under sections 54EC/54F (Specify details in item D below) 2d
Long-term Capital Gains
e LTCG on bonds or debenture (2c 2d) B2e
From sale of, (i) listed securities or units or zero coupon bonds where proviso under section 112(1) is
3 applicable (taxable @ 10% without indexation benefit), (ii) GDR of an Indian company referred in
sec. 115ACA
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 biv) 3c
d Deduction under sections 54EC/54F (Specify details in item D below) 3d
e Long-term Capital Gains on assets at B3 above (3c 3d) B3e
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with
4
foreign exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 4a
b Deduction under sections 54EC/54F (Specify details in item D below) 4b
c Balance LTCG (4a 4b) 4c
d LTCG on share or debenture, being listed security, included in 4c B4d
e LTCG on share or debenture, being unlisted security, included in 4c B4e
5
For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as
referred in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD
a Full value of consideration 5a
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 (5a biv) 5c
d Deduction under sections 54EC/54F (Specify details in item D below) 5d
e Long-term Capital Gains on assets at 5 above in case of NON-REESIDENT (5c 5d) B5e
6 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
Page 6 of 14
a LTCG on sale of specified asset (computed without indexation) 6a
b Less deduction under section 115F (Specify details in item D below) 6b
c Balance LTCG on sale of specified asset (6a 6b) B6c
LTCG on sale of asset, other than specified asset
d 6d
(computed without indexation)
e Less deduction under section 115F (Specify details in item D below) 6e
f Balance LTCG on sale of asset, other than specified asset (6d 6e) B6f
7 From sale of assets where B1 to B6 above are not applicable
a Full value of consideration 7a
bDeductions 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 (7a biv) 7c
d Deduction under sections 54EC/54F (Specify details in item D below) 7d
e Long-term Capital Gains on assets at B7 above (7c-7d) B7e
8 Amount deemed to be LTCG under sections 54/54B/54EC/54F/54GB/115F B8
Total long term capital gain [B1e +B2e +B3e + B4d +B4e + B5e +B6c+ B6f+ B7e+ B8] (In case of loss
9 B9
take the figure to 6xi of schedule CFL)
C Income chargeable under the head "CAPITAL GAINS" (A7 + B9) (take B9 as nil, if loss) C
D Information about deduction claimed
1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
a Section under which deduction claimed 1a amount of deduction
i Cost of new asset ai
ii Date of its acquisition/construction aii dd/mm/yyyy
Amount deposited in Capital Gains Accounts
iii aiii
Scheme before due date
b Section under which deduction claimed 1b amount of deduction
i Cost of new asset bi
ii Date of its acquisition/construction bii dd/mm/yyyy
Amount deposited in Capital Gains Accounts
iii biii
Scheme before due date
c Total deduction claimed (1a + 1b) 1c
2 In case of deduction u/s 54GB, furnish PAN of the company
E Set-off of current year capital losses with current year capital gains
Gain of current Short term capital loss set off Long term capital loss set off Current year's capital
year (Fill this column gains remaining after
Sl. Type of Capital Gain only if computed applicable set off
15% 30% 10% 20%
figure is positive) rate (7= 1-2-3-4-5-6)
1 2 3 4 5 6 7
Loss to be set off (Fill
(A1e+A3b+ (B3e+B4d + (B1e+B2e+B4e+
i this row if computed (A2e+A3a) A4e
figure is negative) A5 +A6) B5e+B6c) B6f+ B7e+B8)
ii 15% (A2e+A3a)
Short term
iii capital 30% A4e
iv gain
applicable (A1e+A3b+A5e+
rate A6)
v Long term 10% (B3e+B4d+B5e+B6c)
capital (B1e+B2e+B4e+B6f+
vi gain 20%
B7e+B8)
vii Total loss set off (ii + iii + iv + v + vi)
viii Loss remaining after set off (i vii)
F Information about accrual/receipt of capital gain
Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
Type of Capital gain / Date
(i) (ii) (iii) (iv)
1
Short-term capital gains taxable at the rate of 15%
Enter value from item 3iv of schedule BFLA, if any.
2
Short-term capital gains taxable at the rate of 30%
Enter value from item 3v of schedule BFLA, if any.
3
Short-term capital gains taxable at applicable rates
Enter value from item 3vi of schedule BFLA, if any.
4
Long- term capital gains taxable at the rate of 10%
Enter value from item 3vii of schedule BFLA, if any.
Page 7 of 14
5
Long- term capital gains taxable at the rate of 20%
Enter value from item 3viii of schedule BFLA, if any.
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Schedule OS Income from other sources
1 Income
a Dividends, Gross 1a
b Interest, Gross 1b
c Rental income from machinery, plants, buildings, etc., Gross 1c
Others, Gross (excluding income from owning race
d
horses)Mention the source
Income by way of winnings from lotteries, crossword
i 1di
puzzles etc.
ii 1dii
iii 1diii
iv Total (1di + 1dii+ 1diii) 1div
e Total (1a + 1b + 1c + 1div) 1e
f Income included in `1e' chargeable to tax at special rate (Chapter XII/XIIA) (to be taken to schedule SI)
OTHER SOURCES
Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting
i 1fi
etc (u/s 115BB)
ii Any other income under chapter XII/XII-A 1fii
iii Income included in `1e' chargeable to tax at special rate (1fi +1fii) 1fiii
g Gross amount chargeable to tax at normal applicable rates (1e-1fiii) 1g
h Deductions under section 57
i Expenses / Deductions hi
ii Depreciation hii
iii Total hiii
Income from other sources (other than from owning race horses and amount chargeable to tax at
i 1i
special rate) (1g hiii) (If negative take the figure to 4i of schedule CYLA)
2 Income from other sources (other than from owning race horses) (1fiii + 1i) (enter 1i as nil, if negative) 2
3 Income from the activity of owning and maintaining race horses
a Receipts 3a
b Deductions under section 57 in relation to (3) 3b
c Balance (3a 3b) (if negative take the figure to 7xi of Schedule CFL) 3c
4 Income under the head "Income from other sources" (2 + 3c) (take 3c as nil if negative) 4
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head.
Schedule CYLA Details of Income after Set off of current year losses
Sl.No Head/ Source of Income Income of current House property loss Business Loss Other sources loss Current year's
year (Fill this column of the current year (other than loss from Income
only if income is zero set off race horses) of the remaining
or positive) current year set off after set off
1 2 3 4 5=1-2-3-4
CURRENT YEAR LOSS ADJUSTMENT
i Loss to be set off (3c of Schedule HP) (6vi of Schedule BP) (1i of Schedule-OS)
ii Salaries (7 of Schedule S)
iii House property (3c of Schedule HP)
iv Business or profession (6vi of Schedule BP)
Short-term capital gain taxable @ (7ii of item E of
v
15% schedule CG)
Short-term capital gain taxable @ (7iii of item E of
vi
30% schedule CG)
Short-term capital gain taxable at (7iv of item E of
vii
applicable rates schedule CG)
Long term capital gain taxable @ (7v of item E of
viii
10% schedule CG)
Long term capital gain taxable @ (7vi of item E of
ix
20% schedule CG)
Other sources (excluding profit from
x owning race horses and amount (1i of schedule OS)
chargeable to special rate of tax)
Page 8 of 14
Profit from owning and maintaining
xi (3c of schedule OS)
race horses
xii Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi)
xiii Loss remaining after set-off (i - xii)
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
Sl. Head/ Source of Income Income after set off, if any, of Brought forward loss set off Current year's income
No. current year's losses as per 4 of remaining after set off
Schedule CYLA)
1 2 3
BROUGHT FORWARD LOSS ADJUSTMENT
i Salaries (5ii of schedule CYLA)
ii House property (5iii of schedule CYLA) (B/f house property loss)
iii Business or profession (5iv of schedule CYLA) (B/f business loss)
iv Short-term capital gain taxable @ 15% (5v of schedule CYLA) (B/f short-term capital loss)
v Short-term capital gain taxable @ 30% (5vi of schedule CYLA) (B/f short-term capital loss)
Short-term capital gain taxable at
vi (5vii of schedule CYLA) (B/f short-term capital loss)
applicable rates
vii Long-term capital gain taxable @ 10% (5viii of schedule CYLA) (B/f short-term or long-term capital loss)
viii Long term capital gain taxable @ 20% (5ix of schedule CYLA) (B/f short-term or long-term capital loss)
Other sources (excluding profit from
ix owning race horses and winnings from (5x of schedule CYLA)
lottery, game etc.)
Profit from owning and maintaining race
x (5xi of schedule CYLA) (B/f loss from horse races)
horses
xi Total of brought forward loss set off (ii2 + iii2 + iv2 + v2+vi2+vii2+ix2+x2)
xii Current year's income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3+ vi3+ vii3 + viii3+ ix3+ x3 + xi3)
Schedule CFL Details of Losses to be carried forward to future years
Assessment Year Date of Filing House property Business or Short-term capital loss Long-term Capital Loss from
(DD/MM/YYYY) loss profession loss loss owning and
maintaining race
horses
1 2 3 4 5 6 7
i 2006-07
CARRY FORWARD OF LOSS
ii 2007-08
iii 2008-09
iv 2009-10
v 2010-11
vi 2011-12
vii 2012-13
viii 2013-14
ix Total of earlier year losses
Adjustment of above losses (2ii of schedule (2iii of schedule (2x of schedule
x
in Schedule BFLA BFLA) BFLA) BFLA)
(2xiii of schedule (3xiii of schedule ((2viii+3viii+4viii) of ((5viii+6viii)of item (3c of schedule
xi 2014-15 (Current year losses)
CYLA) CYLA) item E of schedule CG) E of schedule CG) OS, if ve)
Total loss carried forward to
xii
future years
Schedule VI-A Deductions under Chapter VI-A
1 Part B- Deduction in respect of certain payments
a 80C b 80CCC
TOTAL DEDUCTIONS
80CCD(1) (assessees 80CCD(2) (employers
c d
contribution) contribution)
e 80CCG f 80D
g 80DD h 80DDB
i 80E j 80EE
k 80G l 80GG
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m 80GGA n 80GGC
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
o 80QQB p 80RRB
q 80TTA r 80U
s Total deductions under Chapter VI-A (Total of a to r) s
Schedule 80G Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction without
A
qualifying limit
Eligible Amount of
Name and address of donee PAN of Donee Amount of donation
donation
i
ii
iii
iv
v Total
Donations entitled for 50% deduction without
B
qualifying limit
Eligible Amount of
Name and address of donee PAN of Donee Amount of donation
donation
i
ii
iii
DETAILS OF DONATIONS
iv
v Total
Donations entitled for 100% deduction subject to
C
qualifying limit
Eligible Amount of
Name and address of donee PAN of Donee Amount of donation
donation
i
ii
iii
iv
v Total
Donations entitled for 50% deduction subject to
D
qualifying limit
Eligible Amount of
Name and address of donee PAN of Donee Amount of donation
donation
i
ii
iii
iv
v Total
E Total donations (Av + Bv + Cv + Dv)
Income of specified persons (spouse, minor child etc.) includable in income of the assessee (income of the minor
Schedule SPI
child, in excess of Rs. 1,500 per child, to be included)
Sl No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs)
1
2
3
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Schedule SI Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
Sl Section Special rate Income Tax thereon
No (%) i ii
1 111A (STCG on shares units on which STT paid) 15 (3iv of schedule BFLA)
2 115AD (STCG for FIIs on securities where STT not paid) 30 (3v of schedule BFLA)
3 112 proviso (LTCG on listed securities/ units without indexation) 10 (part of 3vii of schedule BFLA)
4 112(1)(c)(iii) (LTCG for non-resident on unlisted securities) 10 (part of 3vii of schedule BFLA)
5 115AC (LTCG for non-resident on bonds/GDR) (part of 3vii of schedule BFLA)
SPECIAL RATE
10
6 115ACA (LTCG for an employee of specified company on GDR) 10 (part of 3vii of schedule BFLA)
7 115AD (LTCG for FIIs on securities) 10 (part of 3vii of schedule BFLA)
8 115E (LTCG for non-resident indian on specified asset) 10 (part of 3vii of schedule BFLA)
9 112 (LTCG on others) 20 (3viii of schedule BFLA)
10 115BB (Winnings from lotteries, puzzles, races, games etc.) 30 (1fi of schedule OS)
115AC (Income of a non-resident from bonds or GDR purchased (part of 1fii of schedule OS)
11 10
in foreign currency)
12
13
Total
Schedule EI Details of Exempt Income (Income not to be included in Total Income)
1 Interest income 1
2 Dividend income 2
EXEMPT INCOME
3 Long-term capital gains from transactions on which Securities Transaction Tax is paid 3
4 Net Agricultural income (other than income to be excluded under rule 7A, 7B or 8 of I.T. Rules) 4
5 Share in the total income of firm/AOP/BOI etc. 5
6 Others, including exempt income of minor child 6
7 Total (1+2+3+4+5+6) 7
Schedule IT Details of payments of Advance Tax and Self-Assessment Tax
Sl BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs)
No
i
TAX PAYMENTS
ii
iii
iv
v
NOTE Enter the totals of Advance tax and Self-Assessment tax in Sl No. 11a & 11d of Part B-TTI
Schedule TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
Sl Tax Deduction Account Name of the Employer Income chargeable under Salaries Total tax deducted
No Number (TAN) of the
Employer
TDS ON SALARY
(1) (2) (3) (4) (5)
i
ii
NOTE Please enter total of column 5 of Schedule-TDS1 and column 8 of Schedule-TDS2 in 11b of Part B-TTI
Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16A or Form 26QB issued by Deductor(s)]
Sl Tax Deduction Name of the Unique TDS Unclaimed TDS TDS of the Amount out of (6) or (7) being Amount out
TDS ON OTHER
No Account Number Deductor Certificate brought forward (b/f) current fin. claimed this Year (only if of (6) or (7)
(TAN) of the Number year corresponding income is being being carried
INCOME
Deductor offered for tax this year) forward
Fin. Year in Amount in the hands of
which b/f in own hands spouse, if section
deducted 5A is applicable
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Page 11 of 14
i
ii
NOTE Please enter total of column 5 of Schedule-TDS1 and column 8 of Schedule-TDS2 in 11b of Part B-TTI
Schedule TCS Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Sl Tax Deduction and Tax Name of the Collector Fin. Year in which collected TCS of the current fin. Amount out of (6) being
No Collection Account Number year claimed this Year
of the Collector
TCS ON INCOME
(1) (2) (3) (4) (5) (6)
i
ii
NOTE Please enter total of column (6) of Schedule-TCS in 11c of Part B-TTI
Schedule FSI Details of Income from outside India and tax relief
Sl. Country Taxpayer Sl. Head of income Income from Tax paid Tax payable on Tax relief Relevant article
Code Identification outside India outside India such income under available in India of DTAA if relief
(included in PART normal provisions (e)= (c) or (d) claimed u/s 90 or
Number in India whichever is 90A
B-TI)
lower
(a) (b) (c) (d) (e) (f)
1 i Salary
ii House Property
Business or
iii
Profession
iv Capital Gains
v Other sources
Total
2 i Salary
ii House Property
Business or
iii
Profession
iv Capital Gains
v Other sources
Total
NOTE Please refer to the instructions for filling out this schedule.
Schedule TR Summary of tax relief claimed for taxes paid outside India
1 Summary of Tax relief claimed
Country Code Taxpayer Total taxes paid outside India Total tax relief available Tax Relief Claimed
Identification (total of (c) of Schedule FSI in (total of (e) of Schedule FSI in under section
Number respect of each country) respect of each country) (specify 90, 90A or 91)
(a) (b) (c) (d) (e)
Total
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Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total
2 2
of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total
3 3
of 1(d))
4
Whether any tax paid outside India, on which tax relief was allowed in India, has been
4 Yes/No
refunded/credited by the foreign tax authority during the year? If yes, provide the details below
a Amount of tax refunded b Assessment year in which tax relief allowed in India
NOTE Please refer to the instructions for filling out this schedule.
Schedule FA Details of Foreign Assets
A Details of Foreign Bank Accounts
Sl No Country Name Country Code Name and Address of Name mentioned Account Number Peak Balance During the Year
the Bank in the account (in rupees)
FOREIGN ASSETS
(1) (2) (3) (4) (5) (6) (7)
DETAILS OF
(i)
(ii)
B Details of Financial Interest in any Entity
Sl No Country Name Country Code Nature of entity Name and Address of Total Investment (at cost)
(1) (2) (3) the Entity (in rupees)
(4) (5)
(i) (i)
(ii) (ii)
C Details of Immovable Property
Sl No Country Name Country Code Address of the Property Total Investment (at cost) (in rupees)
(1) (2) (3) (4) (5)
(i)
(ii)
D Details of any other Asset in the nature of investment
Sl No Country Name Country Code Nature of Asset Total Investment (at cost) (in rupees)
(1) (2) (3) (4) (5)
(i) (i)
(ii) (ii)
E Details of account(s) in which you have signing authority and which has not been included in A to D above
Sl No Name of the Institution in which the Address of the Name of the Account Number Peak Balance/Investment during
(1) account is held Institution account holder (5) the year (in rupees)
(2) (3) (4) (6)
(i)
(ii)
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sl Country Name Country Code Name and address Name and Name and address of Name and address of
No (2) (3) of the trust address of Settlor Beneficiaries
(1) (4) trustees (6) (7)
(5)
(i)
(ii)
Schedule 5A Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the spouse
PAN of the spouse
Page 13 of 14
Heads of Income Income received Amount apportioned in the Amount of TDS deducted TDS apportioned in the
under the head hands of the spouse on income at (ii) hands of spouse
(i) (ii) (iii) (iv) (v)
1 House Property
2 Business or profession
3 Capital gains
4 Other sources
5 Total
Asset and Liability at the end of the year (other than those included in Part A BS of the return of the Firm in
Schedule AL
which partner) (Applicable in a case where total income exceeds Rs. 25 lakh)
A Particulars of Asset Amount (Cost) (Rs.)
1 Immovable Asset
DETAILS OF ASSET AND LIABILITY
a Land
b Building
2 Movable Asset
a Financial Asset
i Deposits in Bank (including balance in any account)
ii Shares and securities
iii Insurance policies
iv Loans and Advances given
v Cash in hand
b Jewellery, bullion etc.
c Archaeological collections, drawings, painting, sculpture or any work of art
d Vehicles, yachts, boats and aircrafts
3 Total
B Liability in relation to Assets at A
Page 14 of 14
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