A.Y. -
Form: -
Name:-
Father's / Signatory:-
Mobile No.:-
E-mail id:-
Address:-
Previous Year:-
PAN:-
Date of Birth:-
Status:INDIVIDUAL
Resident:RESIDENT
Tax Regime:-
COMPUTATION OF INCOME
Particulars Sch.No Rs. Rs.
■ Income from Salary
Income chargeable under the head "Salaries" 10
■ Income from House Property
Income chargeable under the head "House Property" 20
■ Profits and gains of Business or Profession
Net Profit Before Tax as per P & L a/c 0
Add: Depreciation debited to P & L a/c 0
Less: Depreciation as per IT Act 0
Income chargeable under the head "Business and Profession" 30
■ Capital Gains
Income chargeable under the head "Capital Gains" 40
■ Income from other sources
Income chargeable under the head "Other Sources" 50
■ Total Income (Gross) 0
Less: Deductions under Chapter VI-A 60
Total income rounded off u/s 288A 0
Tax on total income0
Less: Rebate u/s 87A0
Add: Health and Education Cess0
Less: Relief u/s 890
Add: Interest u/s 234A/B/C & Late Fees0
Less: Taxes Paid (As per Schedule 7)70
Tax Refundable / (Payable)0
Schedule 1
Salary Income
Particulars Rs. Rs.
Gross Salary (Sec 17(1))0
Value of Perquisites (Sec 17(2))0
Profit in lieu of Salary (Sec 17(3))0
Less: Allowances exempt u/s 100
Net Salary0
Less: Standard Deduction u/s 16(ia)0
Less: Entertainment Allowance u/s 16(ii)0
Less: Professional Tax u/s 16(iii)0
Income chargeable under the head "Salaries"0
Schedule 2
Income from House Property
Particulars Rs. Rs.
Gross Rent Received / Receivable / Letable Value0
Less: Taxes Paid to Local Authority (Municipal Taxes)0
Annual Value0
Less: Standard Deduction u/s 24(a) (30% of NAV)0
Less: Interest on Borrowed Capital u/s 24(b)0
Income chargeable under the head "House Property"0
Schedule 3
Profits and gains of Business or Profession (Presumptive / Summary)
Nature of Business: -
Receipts Mode / Particulars Turnover / Receipts % Profits (Rs.)
Bank / Acc Payee (Sec 44AD) 0 6% 0
Others / Cash (Sec 44AD) 0 8% 0
Profession (Sec 44ADA) 0 50% 0
Goods Carriages (Sec 44AE) - - 0
Total Presumptive Profit 0 - 0
Net Profit as per Regular Books of Accounts (PBT) -- 0
Total Chargeable under "Business and Profession" 0
Schedule 4
Capital Gains
Particulars Rs. Rs.
STCG on Equity/Mutual Funds (Sec 111A)0
Other STCG (Normal Rates)0
LTCG on Equity/Mutual Funds (Sec 112A)0
Other LTCG (Sec 112)0
Total Capital Gains0
Schedule 5
Interest Income and Other Sources
Particulars Rs. Rs.
Interest on Savings a/c0
Interest from Deposits (FD/Post Office)0
Dividend Income0
Any Other Income (Family Pension, etc.)0
Less: Deductions u/s 570
Income chargeable under the head "Other Sources"0
Schedule 6
Deductions under Chapter VI-A
Section Rs. Rs.
80C (Life Insurance, PPF, EPF, ELSS, Housing Loan Principal)0
80CCC & 80CCD(1) (Pension Funds / NPS)0
80CCD(1B) (NPS Additional Contribution)0
80D (Health Insurance Premium / Preventative Health)0
80E / 80EE / 80EEA (Interest on Education / Housing Loan)0
80G / 80GGA / 80GGC (Donations to Charitable Trusts)0
80TTA / 80TTB (Interest on Savings / Deposits)0
Other Deductions (80DD, 80DDB, 80U)0
Total Deductions under Chapter VI-A0
Schedule 7
Details of Taxes Paid
Particulars Rs. Rs.
TDS from Salary0
TDS from Other Income0
TCS Claimed0
Advance Tax Paid0
Self-Assessment Tax Paid0
Total Taxes Paid0
Part A - Profit & Loss Account (Detailed)
Particulars (Dr.) Rs.
Opening Stock 0
Purchases (Net) 0
Direct / Manufacturing Expenses 0
Duties and Taxes Paid 0
Employee Compensation / Salary 0
Power and Fuel 0
Rent 0
Repairs to Building 0
Repairs to Machinery 0
Insurance 0
Workmen & Staff Welfare 0
Advertisement 0
Commission 0
Traveling & Conveyance 0
Audit Fee 0
Interest / Finance Costs 0
Depreciation & Amortisation 0
Other Expenses 0
Net Profit Before Tax (PBT) 0
Total 0
Particulars (Cr.) Rs.
Sales / Gross Receipts 0
Other Operating Revenues 0
Other Income 0
Closing Stock 0
Total 0
Part A - Balance Sheet (Detailed)
Liabilities Rs.
Proprietor's / Partners' Capital 0
Reserves & Surplus 0
Secured Loans - From Banks 0
Secured Loans - From Others 0
Unsecured Loans - From Banks 0
Unsecured Loans - From Others 0
Advances Received 0
Sundry Creditors 0
Other Provisions 0
Total Liabilities 0
Assets Rs.
Fixed Assets (Net Block) 0
Investments 0
Inventories (Closing Stock) 0
Sundry Debtors 0
Cash-in-hand 0
Balance with Banks 0
Loans and Advances 0
Other Current Assets 0
Total Assets 0
Financial particulars of the Business
Liabilities Rs.
Partners/Members/Proprietor Own Capital 0
Secured Loans 0
Unsecured Loans 0
Advances 0
Sundry Creditors 0
Other Liabilities 0
Total Capital & Liabilities 0
Assets Rs.
Fixed Assets 0
Investments 0
Inventories 0
Sundry Debtors 0
Balance with Banks 0
Cash-in-hand 0
Loans and Advances 0
Other Assets 0
Total Assets 0
Bank Accounts in India
Bank Name and Account No. IFS Code Type For refund?
Date: _________________
Place: -
_____________________________
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