Form PDF 900510620311222

Acknowledgement Number : 900510620311222 Date of filing : 31-Dec-2022*
more during the previous year and 365 days or more within the preceding 4
years [Explanation 1(a) of section (6)(1)(c)]
.. You are a citizen of India or a person of Indian origin and have come on a
..
visit to India during the previous year and were in India for 182 days or more
during the previous year and 365 days or more within the preceding 4 years;
or 120 days or more during the previous year and 365 days or more within the
preceding 4 years if the total income, other than income from foreign sources,
exceeds Rs. 15 lakh. [Explanation 1(b) of section (6)(1)(c)]
.. You have been a non-resident in India in 9 out of 10 preceding years
..
[section 6(6)(a)]
.. You have been in India for 729 days or less during the 7 preceding years
..
[section 6(6)(a)
.. You are a citizen of India or person of Indian origin, who comes on a visit
..
B. Resident but not Ordinarily Resident to India, having total income, other than the income from foreign sources,
exceeding Rs. 15 lakh and have been in India for 120 days or more but less
than 182 days during the previous year [section 6(6)(c)]
.. You are a citizen of India having total income, other than the income from
..
foreign sources, exceeding Rs. 15 lakh during the previous year and not liable
to tax in any other country or territory by reason of your domicile or residence
or any other criteria of similar nature [section 6(6)(d) rws 6(1A)]
You were a non-resident during the previous year.
(i)Please specify the jurisdiction(s) of residence during the previous year -
S.No. Jurisdiction(s) of residence Taxpayer Identification Number(s)
C. Non-resident (ii) In case you are a Citizen of India or a Person of Indian Origin (POI),
please specify -
Total period of stay in India during the Total period of stay in India during the
previous year (in days) 4 preceding years (in days)
Residential Status in India (for HUF) (Tick applicable option) D. Resident Resident but not Ordinarily Resident Non-resident
(f) Do you want to claim the benefit under section 115H? (applicable in case of resident) Yes No
(g) Are you governed by Portuguese Civil Code as per section 5A? Tick) Yes No (If "YES" please fill Schedule 5A)
Whether this return is being filed by a Representative Assesse? Yes No
If yes, please furnish following information -
(1) Name of the representative
(h)
(2) Capacity of the Representative (drop down to be provided)
(3) Address of the Representative
(4) Permanent Account Number (PAN)/ Aadhaar No. of the Representative
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Whether you were Director in a company at any time during the previous year? (Tick) Yes No
(i)
If yes, please furnish following information -
SI.No Name of company Type of company PAN Whether its shares are Director Identification
listed or unlisted Number (DIN)
Whether you have held unlisted equity shares at any time during the previous year? Yes No
(j)
If yes, please furnish following information in respect of equity shares
SI.
No
Name of Type of Shares transferred
PAN Opening balance Shares acquired during the year Closing balance
company company during the year
Purchase
Issue price price per
Date of
No. of Cost of No. of Face value per share share (in case No. of Sale No. of Cost of
subscript
shares acquisition shares per share (incase of of purchase shares considera tion shares acquisition
ion/purchase
fresh issue) from existing
sharehol der)
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
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SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)
Schedule Salary Details of Income from Salary

Name of Employer Nature of employer (Tick) TAN of Employer (mandatory if tax is deducted)
SOVITRON INTERIORS PRIVATE LIMITED Others RTKS25062C
Address of Employer Pincode/Zipcode
Town/City State
ADD_LINE_1 A INDUSTRIAL AREA,BALL
FARIDABAD, FARIDABAD 12 - Haryana 121005
ABHGARH SOHNA RO AD,
1 Gross Salary (1a + 1b + 1c + 1d + 1e) 1
493574
a Salary as per section 17(1) (drop down to be provided) 1a 493574
SI. Nature of salary Amount
No.
i Basic Salary 264760
ii House Rent Allowance 105904
iii Others 122910
b Value of perquisites as per section 17(2) (drop down to be provided) 1b 0
SI. No. Nature of perquisites Amount

c Profit in lieu of salary as per section 17(3) (drop down to be provided) 1c 0
SI. No. Nature of Profit in lieu of Salary Amount

d Income from retirement benefit account maintained in a notified country u/s 89A 1d 0
SI. No. Country/Region Amount

e Income from retirement benefit account maintained in a country “other than notified country u/ 1e 0
s 89A”
2 Total Gross Salary (from all employers) 2
493574
3 Less allowances to the extent exempt u/s 10 (Please choose from drop down menu) (please refer 3
0
instructions)
(Note: Ensure that it is included in Total Gross salary in (2) above )
SI. No. Nature of Exempt Allowance Amount
3a Less : Income claimed for relief from taxation u/s 89A 3a
0
4 Net Salary (2 - 3 - 3a) 4

493574
5 Deduction u/s 16 (5a + 5b + 5c) 5

50000
A Standard deduction u/s 16(ia) 5a

50000
B Entertainment allowance u/s 16(ii) 5b

0
C Professional tax u/s 16(iii) 5c

0
6 Income chargeable under the Head ‘Salaries’ (4-5) 6

443574
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Schedule HP Details of Income from House Property (Please Refer Instructions)

1 Pass through income/ loss if any * 1 0
Income under the head "Income from house property” (1k + 2k + 3) (if negative
2 2 0
take the figure to 2i of schedule CYLA)
Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred to in schedule PTI while computing
NOTE:
the income under this head.
Furnishing of PAN/Aadhaar No. of tenant is mandatory, if tax is deducted under section 194-IB.
NOTE:
Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I
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Schedule CG Capital Gains

A Short-term capital gain (STCG) (Sub-items 3 and 4 are not applicable for residents)
2 1 From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which
STT is paid under section (i)111A[for others]
a Full value of consideration 2a 16276
b Deductions under section 48
i Cost of acquisition without indexation bi 15200
ii Cost of Improvement without indexation bii 0
iii Expenditure wholly and exclusively in connection with transfer biii 0
iv Total (i + ii + iii) biv 15200
c Balance (2a - 2biv) 2c 1076
d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/ 2d 0

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 Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) A2e 0
2 2 From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which
STT is paid under section (ii)115AD(1)(b)(ii)[for Foreign Institutional Investors]
c Balance (2a - 2biv) 2c 0
d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/ 2d 0

bonus units are received, then loss arising out of sale of such asset to
e Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) A2e 0
3 For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be
computed with foreign exchange adjustment under first proviso to section 48)
a STCG on transactions on which securities transaction tax (STT) is paid A3a 0
b STCG on transactions on which securities transaction tax (STT) is not paid A3b 0
4 For NON-RESIDENT- from sale of securities (other than those at A2) by an FII as per section 115AD
i In case securities sold include shares of a company other than quoted

a
shares, enter the following details
a Full value of consideration received/receivable in respect ia 0

of unquoted shares
b Fair market value of unquoted shares determined in the ib 0

prescribed manner
c Full value of consideration in respect of unquoted shares ic 0
adopted as per section 50CA for the purpose of Capital
Gains (higher of a or b)
ii Full value of consideration in respect of securities other than aii 0

unquoted shares
iii Total (ic + ii) aiii 0
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c Balance (4aiii - biv) 4c 0
d Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/ 4d 0

bonus units are received, then loss arising out of sale of such security to
e Short-term capital gain on sale of securities by an FII (other than those at A2) (4c +4d) A4e 0
5 From sale of assets other than at A1 or A2 or A3 or A4 above
i In case assets sold include shares of a company other than quoted shares, enter the following
a
details
a Full value of consideration received/receivable in respect ia 0
of unquoted shares

prescribed manner

(ii) Full value of consideration in respect of assets other than aii 0
unquoted shares
(iii) Total (ic + ii) aiii 0

c Balance (5aiii - biv) 5c 0
d In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- 5d 0

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 0
6
Amount Deemed to be short-term capital gains
a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was
deposited in the Capital Gains Accounts Scheme within due date for that year? Yes No Not Applicable
If yes, then provide the details below
SI. Previous year in which Section under which New asset acquired/constructed Amount not used for new asset
No. asset transferred deduction claimed in Year in which asset Amount utilised out of or remained unutilized in
that year acquired/constructed Capital Gains account Capital gains account (X)
b Amount deemed to be short term capital gains, other than at 'a' 0
Total amount deemed to be short term capital gains (aXi + b) A6 0
7 Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b + A7 0
A7c)
a Pass Through Income/ Loss in the nature of Short Term Capital Gain, A7a 0
chargeable @ 15%
b Pass Through Income/ Loss in the nature of Short Term Capital Gain, A7b 0
chargeable @ 30%
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c Pass Through Income/ Loss in the nature of Short Term Capital Gain, A7c 0
chargeable at applicable rates
8 Amount of STCG included in A1 - A7 but not chargeable to tax or chargeable at special rates in India as per
DTAA
Sl. Amount of Item no. A1 Country/Region Article of Rate as per Whether Section of Rate as Applicable rate
No. income to A7 above name & code DTAA Treaty TRC I.T. Act per I.T. [lower of (6) or
in which (enter obtained (Y/ Act (9)]
included NIL, if not N)
chargeable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
a Total amount of STCG not chargeable to tax in India as per DTAA A8a 0
b Total amount of STCG chargeable to tax at special rates in India as per DTAA A8b 0
9 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 + A7 - A8a) A9 1076
Long-term capital gain (LTCG) (Sub-items 5, 6, 7 & 8 are not applicable for residents)
B
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
ii Cost of improvement without indexation bii 0
iv Total (bi + bii +biii) biv 0
c Balance (2a - biv) 2c 0
d Deduction under sections 54F (Specify details in item D below) 2d 0
e LTCG on bonds or debenture (2c – 2d) B2e 0
4 From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT
is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) 4a 0
b Deduction under sections 54F (Specify details in item D below) 4b 0
c Long-term Capital Gains on sale of capital assets at B4 above (4a – 4b) B4c 0
5 For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign
exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 5a 0
c LTCG on share or debenture (5a – 5b) B5c 0
7 For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a
business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(iii)) 7a 0
c Long-term Capital Gains sale of capital assets at B7 above (7a–7b) B7c 0
8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a LTCG on sale of specified asset (computed without indexation) 8a 0
b Less deduction under section 115F (Specify details in item D below) 8b 0
c Balance LTCG on sale of specified asset (8a – 8b) B8c 0
d LTCG on sale of asset, other than specified asset (computed without 8d 0

indexation)
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e Less deduction under section 115F (Specify details in item D below) 8e 0
f Balance LTCG on sale of asset, other than specified asset (8d – 8e) B8f 0
9 From sale of assets where B1 to B8 above are not applicable
a i In case assets sold include shares of a company other than quoted shares,
enter the following details
a Full value of consideration received/receivable in respect of ia 0
unquoted shares
prescribed manner
ii Full value of consideration in respect of assets other than aii 0
unquoted shares
iii Total (ic + ii) aiii 0
i Cost of acquisition with indexation bi 0
ii Cost of improvement with indexation bii 0
iv Total (bi + bii +biii) biv 0
c Balance (9aiii – biv) 9c 0
d Deduction under sections 54F (Specify details in item D below) 9d 0
e Long-term Capital Gains on assets at B9 above (9c-9d) 9e 0
10 Amount deemed to be long-term capital gains

a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was
deposited in the Capital Gains Accounts Scheme within due date for that year? Yes No Not Applicable
If yes, then provide the details below
Sl.No. Previous year Section under which New asset acquired/constructed Amount not used
in which asset deduction claimed in Year in which asset Amount utilised out of Capital for new asset or
transferred that year acquired/constructed Gains account remained unutilized
in Capital gains
account (X)
b Amount deemed to be long term capital gains, other than at 'a' 0
Total amount deemed to be long term capital gains (aXi + aXii + b) B10 0
11 Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a1+B11a2 + B11 0
B11b)
a1 Pass Through Income/ Loss in the nature of Long Term Capital Gain,
B11a1 0
chargeable @ 10% u/s 112A
a2 Pass Through Income/ Loss in the nature of Long Term Capital Gain,
B11a2 0
chargeable @ 10% under sections other than u/s 112A
b Pass Through Income/ Loss in the nature of Long Term Capital Gain,
B11b 0
chargeable @ 20%
12 Amount of LTCG included in B1- B11 but not chargeable to tax or chargeable at special rates in India as per DTAA
SI.No. Amount of Item No. B1 Country/ Article of Rate as per Whether TRC Section of I.T. Act Rate as per I.T. Act Applicable rate [lower of (6) or (9)]
income to B11 above Region name DTAA Treaty (enter obtained (Y/
in which & Code NIL, if not N)
included chargeable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
a Total amount of LTCG not chargeable to tax as per DTAA B12a 0
b Total amount of LTCG chargeable to tax at special rates as per DTAA B12b 0
13 Total long term capital gain chargeable under I.T. Act(B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e B13 0
+B10 +B11-B12a)
C Income chargeable under the head “CAPITAL GAINS” (A9 + B13) (take B13 as nil, if loss) C 1076
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D Information about deduction claimed against Capital Gains

1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
a Deduction claimed u/s 54
Date of transfer Date of purchase/construction of Cost of new Amount deposited in Amount of deduction
of original asset new residential house residential Capital Gains Accounts claimed
house Scheme before due date
b Deduction claimed u/s 54B
Date of transfer Date of purchase of new agricultural Cost of new Amount deposited in Amount of deduction
of original asset land agricultural Capital Gains Accounts claimed
land Scheme before due date
c Deduction claimed u/s 54EC
Date of transfer of original asset Amount invested in specified/ Date of investment Amount of deduction
notified bonds (not exceeding claimed
fifty lakh rupees)
d Deduction claimed u/s 54F
Date of transfer Date of purchase/construction of Cost of new Amount of deduction Amount deposited in Capital
of original asset new residential house residential claimed Gains Accounts Scheme
house before due date
e Deduction claimed u/s 54GB
Date of transfer PAN of the Amount utilised Date of Cost of new Date of Amount Amount of
of original eligible company for subscription subscription plant and purchase of deposited in deduction
residential of equity shares of of shares machinery plant and Capital Gains claimed
property eligible company purchased machinery Accounts
by the Scheme before
eligible due date
company
f Deduction claimed u/s 115F (for Non-Resident Indians)
Date of transfer of original foreign Amount invested in new Date of investment Amount of deduction
exchange asset specified asset or savings claimed
certificate
g Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) 1g 0
E Set-off of current year capital losses with current year capital gains (excluding amounts included in A8a & B12a which is not chargeable under
DTAA)
Sl.No Type of Capital Gain Capital Gain of Short term capital loss Long term capital loss Current year’s capital gains
current year (Fill 15% 30% Applicable Covered By 10% 20% Covered By remaining after set off
this column only if (2) (3) Rate DTAA (6) (7) DTAA (9=1-2-3-4-6-7-8)
computed figure is (4) (5) (8)
positive)
(1)
i Capital Loss to be set
off (Fill this row only
0 0 0 0 0 0 0
if computed figure is
negative)
ii Short term 15%
capital gain
1076 0 0 0 1076
iii 30%
0 0 0 0 0
iv applicable
rate
0 0 0 0 0
v Covered By
DTAA
0 0 0 0
vi Long term 10%
capital gain
0 0 0 0 0 0 0 0
vii 20%
0 0 0 0 0 0 0 0
viii Covered By
DTAA
0 0 0 0 0 0 0 0
ix Total loss set off (ii + iii + iv + v + vi + vii + viii)
0 0 0 0 0 0 0
x Loss remaining after set off (i – ix)
0 0 0 0 0 0 0
The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A6) as reduced by the amount of STCG
not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any.
The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B10) as reduced by the amount of LTCG
not chargeable to tax or chargeable at special rates as per DTAA, which is included therein, if any.
F Information about accrual/receipt of capital gain
Type of Capital gain / Date Upto 15/6 16/6 to 15/9 16/9 to 16/12 to 16/3 to 31/3
(i) (ii) 15/12 15/3 (v)
(iii) (iv)
1 Short-term capital gains taxable at the rate of 15% 1076 0 0 0 0
Enter value from item 3iii of schedule BFLA, if any.
2 Short-term capital gains taxable at the rate of 30% 0 0 0 0 0
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Enter value from item 3iv of schedule BFLA, if any.

3 Short-term capital gains taxable at applicable rates 0 0 0 0 0
Enter value from item 3v of schedule BFLA, if any.
4 Short-term capital gains taxable at DTAA rates 0 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
5 Long- term capital gains taxable at the rate of 10% 0 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
6 Long- term capital gains taxable at the rate of 20% 0 0 0 0 0
Enter value from item 3vii of schedule BFLA, if any.
7 Long term capital gains taxable at the rate DTAA rates 0 0 0 0 0
Enter value from item 3ix of schedule BFLA, if any.
Note: Please include the income of the specified persons(spouse, minor child, etc.) referred to in Schedule SPI while computing the income under
this head
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Schedule-112A From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on
which STT is paid under section 112A
SI.No Share/ Unit ISIN Name of the No. of Sale- Full Value Cost of Cost of If the long Fair Market Total Fair Expenditu re Total Balance (6–
Acqu ired Code Share/Unit Shares/ price per of Consider acquisition acquisition term capital Value per Market Value wholly and deductions 13) Item 4(a)
Units Share/Unit ation If without asset was share/unit of capital exclusively (7+12) of LTCG
shares/units indexation acquired as on 31st asset as per in connection Schedule
are acquired (higher before 01.02. January, 2018 section 55(2) with transfer of ITR2
on or before of 8 or 9 ) 2018, -Lower (ac)- (4*10)
31st January, of 6 & 11
2018 (Total
Sale Value)
(4*5) orIf
shares/units
are acquired
after 31st
January, 2018
- (Please enter
Full Value
of Consider
ation)
(Col 1) (Col 1a) (Col 2 (Col 3) (Col 4) (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
Total
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115AD(1)(b)(iii) proviso For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund
or unit of a business trust on which STT is paid under section 112A
SI.No Share/ ISIN Code Name of the No. of Sale-price per Full Value Cost of Cost of If the long Fair Market Total Fair Expen diture Total Balance (6-13)
Unit Share/Unit Shares/Units Share/Unit of Consider acquisi tion acquisition term capital Value per Market Value wholly and deductions Item 7 (a)
acquired ation If without asset was share/unit of capital exclus ively (7 + 12) of LTCG
shares/units indexation acquired as on 31st asset as per in connec tion Schedule
are acquired (Higher before January, 2018 section 55(2) with transfer of ITR2
on or before of 8 or 9) 01.02 .2018, (ac)- (4*10)
31st January, -Lower
2018 (Total of 6 & 11
Sale Value)
(4*5) or If
shares/units
are acquired
after 31st
January, 2018
- (Please enter
Full Value
of Consider
ation)
(Col 1) (Col 1a) (Col 2 (Col 3) (Col 4) (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
Total
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Schedule OS Income from Other Sources

1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 24323
a Dividends Gross (ai+aii) 1a 7881
ai Dividend income other than (ii) 1ai 7881
aii Dividend income u/s 2(22)(e) 1aii 0
b Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 16442
i From Savings Bank bi 16442
ii From Deposits (Bank/ Post Office/ Co-operative) bii 0
iii From Income-tax Refund biii 0
iv In the nature of Pass through income/ loss biv 0
Interest accrued on contributions to provident fund to the

v bv 0
extent taxable as per first proviso to section 10(11)
vi bvi 0
extent taxable as per second proviso to section 10(11)
vii bvii 0
extent taxable as per first proviso to section 10(12)
viii bvii 0
extent taxable as per second proviso to section 10(12)
ix Others bix 0
c Rental income from machinery, plants, buildings, etc., Gross 1c 0
Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div + 0
d 1d
dv)
Aggregate value of sum of money received without
i di 0
consideration
In case immovable property is received without
ii dii 0
consideration stamp duty value of property
In case immovable property is received for inadequate
0
iii consideration stamp duty value of property in excess of diii
such consideration as adjusted as per section 56(2)(x)
In case any other property is received without consideration,
iv div 0
fair market value of property
In case any other property is received for inadequate
0
v consideration, fair market value of property in excess of dv
such consideration
e Any other income (please specify nature) 1e 0
SI.No. Nature Amount
1 Family pension 0
2 Income from retirement benefit account maintained in a notified country u/s 89A 0
Country/Region Amount
3 Income from retirement benefit account maintained in a country "other than notified country u/s 89A" 0
2 Income chargeable at special rates (2a + 2b + 2c + 2d + 2e + 2f elements related to Sl. No. 1) 2 0
a Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB 2a 0
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b 0
i Cash credits u/s 68 bi 0
ii Unexplained investments u/s 69 bii 0
iii Unexplained money etc. u/s 69A biii 0
iv Undisclosed investments etc. u/s 69B biv 0
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v Unexplained expenditurte etc. u/s 69C bv 0
vi Amount borrowed or repaid on hundi u/s 69D bvi 0
c Accumulated balance of recognised provident fund taxable u/s 111 2c 0
S.No. Assessment Year Income Benefit Tax Benefit

(i) (ii) (iii) (iv)
d Any other income chargeable at special rate (total of di to dxx) 2d 0

Pass through income in the nature of income from other sources chargeable at special rates (drop 0
e 2e
down to be provided)
Amount included in 1 and 2 above, which is chargeable at special rates in India as per
2f 0
DTAA (total of column (2) of table below)
SI. Amount of Item No.1ai, Country/ Article of Rate as per Whether Section of Rate as per Applicable
f No. income 1b to 2 Region name DTAA Treaty (enter TRC I.T. Act I.T. Act rate [lower
in which & Code NIL, if not obtained (Y/ of (6) or
included chargeable) N) (10)]
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Deductions under section 57 (other than those relating to income chargeable at special rates under 2a, 2b &
3
2d)
Expenses / Deductions other than "aii" (in case other than family
ai 3ai 0
pension)
Interest expenditure u/s 57(i) (available only if income offered in 1a)
aii 3aii
- entered amount
Interest expenditure claimed
0
Eligible amount of interest expenditure u/s 57(i) – Computed

a(iia) 3a(iia) 0
Amount
aiii Deduction u/s 57(iia) (in case of family pension only) 3aiii 0
b Depreciation 3b 0
c Total 3c 0
4 Amounts not deductible u/s 58 4 0
5 Profits chargeable to tax u/s 59 5 0
5a Income claimed for relief from taxation u/s 89A 5a 0
Net Income from other sources chargeable at normal applicable rates (1(after reducing income related to
6 6 24323
DTAA portion) – 3 + 4 + 5-5a) (If negative take the figure to 3i of schedule CYLA)
7 Income from other sources (other than from owning race horses)(2+6) (enter 6 as nil, if negative) 7 24323
8 Income from the activity of owning and maintaining race horses
a Receipts 8a 0
b Deductions under section 57 in relation to receipts at 8a only 8b 0
c Amounts not deductible u/s 58 8c 0
d Profits chargeable to tax u/s 59 8d 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 6xi of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 24323
10 Information about accrual/receipt of income from Other Sources

S.No. Other Source Income Upto 15/6 From 16/6 to 15/9 From 16/9 to 15/12 From 16/12 to 15/3 From 16/3 to 31/3
(i) (ii) (iii) (iv) (v)
1 Income by way of 0 0 0 0 0
winnings from lotteries,
crossword puzzles, races,
games, gambling, betting
15 of 42
etc. referred to in section

2(24)(ix)
2 Dividend Income referred 7881 0 0 0 0
in Sl.no.1a(i)
3 Dividend Income u/s 0 0 0 0 0
115A(1)(a)(i) @ 20%
(Including PTI Income)
115AC @ 10%
115ACA (1)(a) @ 10%
6 Dividend Income (other 0 0 0 0 0
than units referred to
in section 115AB) u/s
115AD(1) (i) @ 20%
7 Dividend income taxable 0 0 0 0 0
at DTAA rates
8 Income from retirement 0 0 0 0 0
benefit account
maintained in a notified
country u/s 89A (Taxable
portion after reducing
relief u/s 89A)
Note:Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while computing the income under this head.
16 of 42
Schedule CYLA Details of Income after Set off of current years Losses
Sl.No. Head/ Source of Income Income of current House property loss of the current Net loss from Other Current year's Income
year (Fill this column year set off sources chargeable remaining after set off
only if income is zero at normal applicable
or positive) rates (other than loss
from race horses) of
the current year set
off
1 2 3 4=1-2-3
Loss to be set off (Fill this row only

i 0 0
if computed figure is negative)
Salaries
ii 0 0 0 443574
House property
iii 0 0 0 0
Short-term capital gain taxable @

iv 1076 0 0 1076
15%
Short-term capital gain taxable @
v 0 0 0 0
30%
Short-term capital gain taxable at
vi 0 0 0 0
applicable rates
Short-term capital gain taxable at
vii 0 0 0 0
special rates in India as per DTAA
Long term capital gain taxable @
viii 0 0 0 0
10%
Long term capital gain taxable @
ix 0 0 0 0
20%
Long-term capital gains taxable at
x 0 0 0 0
special rates in India as per DTAA
Net income from Other sources 24323 0 0 24323
xi chargeable at normal applicable
rates
Profit from the activity of owning
xii 0 0 0 0
and maintaining race horses
Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi
xiii 0 0
+ xii)
xiv Loss remaining after set-off (i - xiii)

0 0
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Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
SI. Head/ Source of Income Income after set off, Brought forward loss Current year's
No. if any, of current set off income remaining
year's losses as per 4 after set off
of Schedule CYLA)
1 2 3
Salaries
i 443574 443574
House property
ii 0 0 0
Short-term capital gain taxable @ 15%

iii 1076 0 1076
Short-term capital gain taxable @ 30%

iv 0 0 0
Short-term capital gain taxable at applicable rates

v 0 0 0
Short-term capital gain taxable at special rates in India as per DTAA

vi 0 0 0
Long-term capital gain taxable @ 10%

vii 0 0 0
Long term capital gain taxable @ 20%

viii 0 0 0
Long term capital gains taxable at special rates in India as per DTAA
ix 0 0 0
Net income from other sources chargeable at normal applicable rates

x 24323 24323
Profit from owning and maintaining race horses

xi 0 0 0
Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii +2viii+ 2ix + 2xi)
xii 0
Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix + 3x + 3xi)
xiii 468973
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Schedule CFL Details of Losses to be carried forward to future years

Assessment Date of Filing House property loss Short-term capital loss Long-term Capital loss Loss from owning and
Year (DD/MMM/ maintai ning race horses
YYYY)
1 2 3 4 5 6
i 2014-15 0 0 0 0
ii 2015-16 0 0 0 0
iii 2016-17 0 0 0 0
iv 2017-18 0 0 0 0
v 2018-19 0 0 0 0
vi 2019-20 0 0 0 0
vii 2020-21 0 0 0 0
viii 2021-22 0 0 0 0
Total of earlier
ix 0 0 0 0
year losses
Adjustment of
0 0 0 0
x above losses in
Schedule BFLA
2022-23 (Current
xi 0 0 0 0
year losses)
Total loss
0 0 0 0
xii Carried Forward
to future years
19 of 42
Schedule VI-A Deductions under Chapter VI-A

1 Part B- Deduction in respect of certain payments
80C 80CCC
a 21600 b 0
80CCD(1) 80CCD(1B) 0
c 0 d
e 80CCD(2) 0 f 80D 0
g 80DD 0 h 80DDB 0
i 80E 0 j 80EE 0
k 80EEA 0 l 80EEB 0
m 80 G 0 n 80GG 0
o 80GGA 0 p 80GGC 0
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
q 80QQB 0 r 80RRB 0
s 80TTA 10000 t 80TTB 0
u 80 U 0
v Total deductions under Chapter VI-A (Total of a to u) v 31600
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Schedule 80G Details of donations entitled for deduction under section 80G
A Donations entitled for 100% deduction without qualifying limit
Name and Address of Donee PAN of Donee Amount of donation Eligible
Donation in Donation in Total Amount of
cash other mode Donation Donation
Total
B Donations entitled for 50% deduction without qualifying limit
Name and Address of donee PAN of Donee Amount of donation Eligible
Total
C Donations entitled for 100% deduction subject to qualifying limit
Total
D Donations entitled for 50% deduction subject to qualifying limit
Total
E Total donations (A + B + C + D) 0
21 of 42
Schedule 80GGA Details of donations for scientific research or rural development

SI. Relevant clause under which deduction is Name and address of Donee PAN of Donee Amount of Donation Eligible
No. claimed (drop down to be provided) Donation Donation Total Amount of
in Cash in other Donation Donation
mode
Total Donation
22 of 42
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 12 of PART-B-TI 1 437373
2 Adjustment as per section 115JC(2)

a Deduction claimed under any section included in Chapter VI-A under the heading “C.-
2a 0
Deductions in respect of certain incomes”
3 Adjusted Total Income under section 115JC(1)(1+2a) 3 437373
4 Tax payable under section 115JC [18.5% of (3)](if 3 is greater than Rs. 20 lakhs) 4 0
23 of 42
Schedule AMTC Computation of tax credit under section 115JD

Tax under section 115JC in assessment year 2022-23 (1d of Part-B-TTI)
1 1 0
Tax under other provisions of the Act in assessment year 2022-23 (7 of Part-B-TTI)
2 2 0
Amount of tax against which credit is available [enter (2 - 1) if 2 is greater than 1, otherwise enter
3 3 0
0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3 above and cannot
4
exceed the sum of AMT Credit Brought Forward)
S.No Assessment Year AMT Credit AMT Credit Balance AMT Credit
(A) Gross Set-off in earlier Balance brought Utilised during the Carried Forward
(B1) assessment years forward to the Current Assessment (D)= (B3) -( C)
(B2) current assessment Year
year (C)
(B3) = (B1)-(B2)
Current AY (enter 0 0
viii 1-2, if 1>2 else enter
0)
Total
ix 0 0 0 0 0
Amount of tax credit under section 115JD utilised during the year [total of item No 4 (C)]
5 5 0
Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)]
6 6 0
24 of 42
Schedule SPI Income of specified persons (spouse, minor child etc.) includable in income of the assessee as per section
64
SI.No Name of person PAN/ Aadhaar of person (optional Relationship Amount(Rs) Head of Income in
which included
25 of 42
Schedule SI Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)Income chargeable
to tax at special rates
SI.No Section Special rate Income Taxable Tax thereon
Income after
adjusting for
min chargeable
to tax
1 111 - Tax on accumulated balance of recognised PF 1% 0 0
2 111A (STCG on shares where STT paid) 15% 1076 161
3 112 Long term capital gains (with indexing) 20% 0 0
4 112 proviso Long term capital gains (without indexing) 10% 0 0
5 112A-LTCG on equity shares/units of equity oriented fund/units 10% 0 0
of business trust on which STT is paid
6 112(1)(c)(iii)(Long term capital gains on transfer of unlisted 10% 0 0
securities in the case of non-residents)
7 115BB (Winnings from lotteries, crosswords puzzles, races 30% 0 0
including horse races, card games and other games of any sort or
gambling or betting of any form or nature whatsoever)
8 115AD(1)(ii) -STCG (other than on equity share or equity 30% 0 0
oriented mutual fund referred to in section 111A) by an FII
9 115AD(1)(b)(ii)- Short term capital gains referred to in section 15% 0 0
111A
10 115A(1)(a)(i)- Dividends interest and income from units 20% 0 0
purchase in foreign currency
11 115A(1)(a)(ii)- Interest received from govt/Indian Concerns 20% 0 0
recived in Foreign Currency
12 115A(1) (a)(iia) -Interest from Infrastructure Debt Fund 5% 0 0
13 115A(1) (a)(iiaa) -Interest as per Sec. 194LC(1) 5% 0 0
14 115A(1) (a)(iiaa) -Income received by non-resident as referred in 4% 0 0
proviso to section 194LC(1)
15 115A(1) (a)(iiab) -Interest as per Sec. 194LD 5% 0 0
16 115A(1)(a)(iiac) -Interest as per Sec. 194LBA 5% 0 0
17 115A(1) (a)(iii) - Income received in respect of units of UTI 20% 0 0
purchased in Foreign Currency
18 115A(1)(b)(A)- Income from royalty or fees for technical 10% 0 0
services received from Government or Indian concern
19 115AC(1)(a) - Income by way of interest on bonds purchased in 10% 0 0
foreign currency - non-resident
20 115AC(1)(b) - Income by way of Dividend on GDRs purchased 10% 0 0
in foreign currency - non-resident
26 of 42
21 115AC(1)(c) -LTCG arising from the transfer of bonds or GDR 10% 0 0
purchased in foreign currency - non-resident
22 115ACA(1)(a) - Income from GDR purchased in foreign 10% 0 0
currency -resident
23 115ACA(1)(b) - LTCG arising from the transfer of GDR 10% 0 0
purchased in foreign currency -resident
24 115AD(1)(i) -Income (other than Dividend) received by an FII in 20% 0 0
respect of securities (other than units as per Sec 115AB)
25 115AD(1)(i) -Income received by an FII in respect of bonds or 5% 0 0
government securities as per Sec 194LD
26 115AD(1)(iii)-Long term capital gains by an FII 10% 0 0
27 Proviso to 115AD(iii) 10% 0 0
28 115BBA - Tax on non-residents sportsmen or sports associations 20% 0 0
29 115BBC - Anonymous donations 30% 0 0
30 115BBE - Tax on income referred to in sections 68 or 69 or 69A 60% 0 0
or 69B or 69C or 69D
31 115BBF -Tax on income from patent 10% 0 0
32 115BBG -Tax on income from transfer of carbon credits, 10% 0 0
33 115E(a) - Investment income 20% 0 0
34 115E(a)-LTCG on any asset other than a specified asset-non 20% 0 0
resident Indian
35 115E(b) - Income by way of long term capital gains 10% 0 0
36 STCGDTAARate - STCG Chargeable at special rates in India as 1% 0 0
per DTAA
37 LTCGDTAARate - LTCG Chargeable at special rates in India as 1% 0 0
per DTAA
38 OSDTAARate - Other source income chargeable under DTAA 1% 0 0
rates
39 Pass Through Income in the nature of Short Term Capital Gain 15% 0 0
chargeable @ 15%
40 Pass Through Income in the nature of Short Term Capital Gain 30% 0 0
chargeable @ 30%
41 Pass Through Income in the nature of Long Term Capital Gain 10% 0 0
chargeable @ 10%
chargeable @ 10% u/s 112A
27 of 42
chargeable @ 20%
44 PTI-115A(1)(a)(i)- Dividends interest and income from units 20% 0 0
purchase in foreign currency
45 PTI-115A(1)(a)(ii)- Interest received from govt/Indian Concerns 20% 0 0
received in Foreign Currency
46 PTI-115A(1) (a)(iia) -Interest from Infrastructure Debt Fund 5% 0 0
47 PTI-115A(1) (a)(iiaa) -Interest as per Sec. 194LC(1) 5% 0 0
48 PTI-115A(1)(a)(iiaa) -Income received by non-resident as 4% 0 0
referred in proviso to section 194LC(1)
49 PTI-115A(1) (a)(iiab) -Interest as per Sec. 194LD 5% 0 0
50 PTI-115A(1) (a)(iiac) -Interest as per Sec. 194LBA 5% 0 0
51 PTI-115A(1) (a)(iii) -Income received in respect of units of UTI 20% 0 0
purchased in foreign currency
52 PTI-115A(1)(b)(A)- Income from royalty or fees for technical 10% 0 0
services received from Government or Indian concern
53 PTI-115AC(1)(a) - Income by way of interest on bonds 10% 0 0
54 PTI-115AC(1)(b) - Income by way of Dividend on GDRs 10% 0 0
55 PTI-115ACA(1)(a) - Income from GDR purchased in foreign 10% 0 0
currency - resident
56 PTI-115AD(1)(i) - Income (being dividend) received by an FII 20% 0 0
in respect of securities (other than units referred to in section
115AB)
57 115AD(1)(i) - Income (being dividend) received by an FII 20% 0 0
in respect of securities (other than units referred to in section
115AB)
58 PTI-115AD(1)(i) -Income (other than Dividend) received by an 20% 0 0
FII in respect of securities (other than units as per Sec 115AB)
59 PTI-115AD(1)(i) -Income received by an FII in respect of bonds 5% 0 0
or government securities as per Sec 194LD
60 PTI-115BBA - Tax on non-residents sportsmen or sports 20% 0 0
associations
61 115BBF -Tax on income from patent 10% 0 0
62 PTI-115BBG - Tax on income from transfer of carbon credits 10% 0 0
63 PTI-115E(a) - Investment income 20% 0 0
28 of 42
Total 1076 161
29 of 42
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1 Interest income 1
Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or 8 of
i i 0
I.T. Rules)
ii Expenditure incurred on agriculture ii 0
2 iii Unabsorbed agricultural loss of previous eight assessment years iii 0
iv Net Agricultural income for the year (i-ii-iii) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the following details (Fill up details
v
separately for each agricultural land
3 Other exempt income (including exempt income of minor child) 3
SI.No. Other exempt income Amount
4 Income not chargeable to tax as per DTAA
SI. Amount of Nature of Income Country/Region name & Article of DTAA Head of Whether
No. Income Code Income TRC
obtained (Y/
N)
Total Income from DTAA not chargeable to tax 4
5 Pass through income not chargeable to tax (Schedule PTI) 5
6 Total (1+2+3+4+5) 6
30 of 42
Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Note: Please refer to the instructions for filling out this schedule
31 of 42
Schedule FSI Details of Income from outside India and tax relief (Available in case of resident)
Note: Please refer to the instructions for filling out this schedule
32 of 42
Schedule TR Details Summary of tax relief claimed for taxes paid outside India (available only in case of resident)
1
Summary of Tax relief claimed
Country/Region Code Taxpayer Identification Total taxes paid outside Total tax relief available Tax Relief Claimed under
Number India (total of (c) of (total of (e) of Schedule FSI section (specify 90, 90A or
Schedule FSI in respect of in respect of each country) 91)
each country)
(a) (b) (c) (d) (e)
Total 0 0
2 Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) 2 0
3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d)) 3 0
4 Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the 4
foreign tax authority during the year? If yes, provide the details below
Assessment year in which tax relief allowed in
a Amount of tax refunded 0 b
India
Note: Please refer to the instructions for filling out this schedule.
33 of 42
Schedule FA Details of Foreign Assets and Income from any source outside India
A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl No Country/ Country/ Name of Address of ZIP code Account Status Account Peak balance Closing Gross interest
Region Region financial financial Number opening During balance paid/credited
name code institution institution date the period to the account
during the period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. No Country/ Country/ Name of Address of ZIP code Account Status Account Peak Closing Gross interest paid/
Region Region financial financial number opening balance balance credited to the account
name code institution institution date During the during the period (drop
period down to be provided
specifying nature of
amount viz. interest/
dividend /proceeds from
sale or redemption of
financial assets/ other
income)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as on 31st
A3
December, 2021
SI. Country/ Country/ Name of Address of ZIP code Nature Date of Initial Peak Closing Total Total gross
No. Region Region entity entity of entity acquiring value of the value of balance gross proceeds
name code the investment investment amount from
interest During the paid/ sale or
Period credited redemption
with of
respect investment
to the during the
holding period
during the
period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar year ending as
on 31st December, 2021
SI. Country/ Country/ Name of Address of ZIP code Date of The cash value or Total gross amount paid/
No. Region name Region code financial financial contract surrender value of credited with respect to the
institution in institution the contract contract during the period
which insurance
contract held
(1) (2) (3) (4) (5) (6) (7) (8) (9)
B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. Country/ Zip Code Nature Name and Nature of Date Total Investment Income Nature Income taxable and offered in
No. Region of entity Address of the Interest- since (at cost) (in accrued of this return
Name Entity Direct/ held rupees) from Income Amount Schedule Item
and code Beneficial such where number
owner/ Interest offered of
Beneficiary schedule
(1) (2) (2a) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
SI. Country/ Zip Code Address Ownership- Date of Total Income Nature of Income taxable and offered in this
No Region of the Direct/ acquisition Investment derived Income return
Name and Property Beneficial (at cost) (in from the Amount Schedule Item
code owner/ rupees) property where number of
Beneficiary offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11)
D Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
34 of 42
SI. Country/ Zip code Nature of Ownership- Date of Total Income Nature of Income taxable and offered in this
No Region Asset Direct/ acquisition Investment derived Income return
Name and Beneficial (at cost) (in from the Amount Schedule Item
code owner/ rupees) asset where number of
Beneficiary offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending as on 31st
E
December, 2021 and which has not been included in A to D above.
SI. Name Address Country/ Zip Code Name Account Peak Whether If (7) If (7) is yes, Income offered in this
No of the of the Region of the Number Balance/ income is yes, return
Institution Institution Name and account Investment accrued Income Amount Schedule Item
in which code holder during the is taxable accrued where number of
the year (in in your in the offered schedule
account is rupees) hands? account
held
(1) (2) (3) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11)
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor.
SI. Country/ ZIP Name and Name and Name and Nameand Date Whether If (8) If (8) is yes, Income offered
No Region CODE address of the address of address of address of since income is yes, in this return
Name trust trustees Settlor Beneficiaries position derived Income Amount Schedule Item
and held is derived where number
code taxable from offered of
in your the trust schedule
hands?
(1) (2a) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business
G
or profession
SI. Country/ ZIP CODE Name and address of the Income Nature of Whether If (6) is yes, Income offered in this return
No Region person from whom derived derived income taxable in Amount Schedule Item
Name and your hands? where number of
code offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9)
Note: Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or
student visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this schedule if no income is derived from
that asset during the current previous year.
35 of 42
Schedule 5A Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the spouse
PAN/Aadhaar of the spouse
Heads of Income Receipts received under the Amount apportioned in the Amount of TDS deducted TDS apportioned in the
head hands of the spouse on income at (ii) hands of spouse
(i) (ii) (iii) (iv) (v)
1 House Property 0 0 0 0
2 Capital gains 0 0 0 0
3 Other sources 0 0 0 0
4 Total 0 0 0 0
36 of 42
Schedule AL Assets and Liabilities at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)
A Details of immovable assets
SI.No Description Address Pin code Amount (cost) in Rs.
(1) (2) (3) (4) (5)
B Details of movable assets
SI.No Description Amount (cost) in Rs.
(1) (2) (3)
(i) Jewellery, bullion etc. 0
(ii) Archaeological collections, drawings, painting, sculpture or any work of art. 0
(iii) Vehicles, yachts, boats and aircrafts 0
(iv) Financial assets. Amount (cost) in Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities. 0
(c) Insurance policies. 0
(d) Loans and advances given. 0
(e) Cash in hand. 0
C Liabilities in relation to Assets at (A + B)

0
Note: Please refer to instructions for filling out this schedule.
37 of 42
Schedule ESOP Information related to Tax deferred - relatable to income on perquisites referred in section 17(2) (vi)
received from employer, being an eligible start-up referred to insection 80-IAC
SI. No Assessment Amount of Tax Has any of the following events occurred during the previous year relevant to current assessment year Amount of Balance amount
Year deferred brought Such specified security or sweat equity Ceased to be the employee of the Forty-eight months have expired from tax payable of tax deferred
forward from shares were sold (Specify the date and employer who allotted or transferred the end of the relevant assessment year in the current to be carried
earlier AY amount of tax attributed to such sale out such specified security or sweat equity in which specified security or sweat Assessment Year forward to the
of Col 3) share? equity shares referred to in the said next Assessment
(i) Option selected (ii) Total Amount (i) Option selected (ii) Date of Ceased *clause were allotted. If yes, specify date years Col (3- 7)
of Tax Attributed to be employee
out of the sale
(1) (2) (3) (4) (5) (6) (7) (8)
1 0 0
2 0
38 of 42
Part B – TI Computation of total income

Salaries (6 of Schedule S)
1 1 443574
Income from house property (4 of Schedule-HP) (Enter nil if loss)

2 2 0
3 Capital Gains
Short term
Short-term chargeable @ 15% (9ii of item E of schedule CG)
i ai 1076
ii Short-term chargeable @ 30% (9iii of item E of schedule CG) aii 0

a iii Short-term chargeable at applicable rate (9iv of item E of schedule CG) aiii 0
iv Short-term chargeable at special rates in India as per DTAA (9v of item E of schedule CG) aiv 0
v Total Short-term (ai + aii + aiii + aiv) (enter nil if loss) 3av 1076
Long-term
i Long-term chargeable @ 10% (9vi of item E of schedule CG) bi 0
ii Long-term chargeable @ 20%(9vii of item E of schedule CG) bii 0

b
iii Long-term chargeable at special rates in India as per DTAA (9viii of item E of schedule CG) biii 0
iv Total Long-term (bi + bii+biii) (enter nil if loss) 3biv 0
Total Capital gains (3av + 3biv) (enter nil if loss)

c 3c 1076
4 Income from other sources

Net income from other sources chargeable to tax at normal applicable rates (6 of Schedule OS) (enter nil if
a 4a 24323
loss)
Income chargeable to tax at special rates (2 of Schedule OS)
b 4b 0
Income from the activity of owning and maintaining race horses (8e of Schedule OS)(enter nil if loss)
c 4c 0
Total (4a + 4b + 4c) (enter nil if loss)

d 4d 24323
5 Total of head wise income (1+2+3c+4d) 5 468973
6 Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule CYLA) 6 0
Balance after set off current year losses(5-6) (total of column 4 of Schedule CYLA + 2 of Schedule OS)
7 7 468973
Brought forward losses set off against 7 (2xii of Schedule BFLA)

8 8 0
9 Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS) 9 468973
Income chargeable to tax at special rate under section 111A, 112 , 112A etc. included in 9
10 10 1076
Deductions under Chapter VI-A [v of Schedule VIA and limited to(9-10)]

11 11 31600
Total income (9-11)

12 12 437373
Income which is included in 12 and chargeable to tax at special rates (total of column (i) of schedule SI)
13 13 1076
Net agricultural income/ any other income for rate purpose (3 of Schedule EI)
14 14 0
Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax]
15 15 436297
Losses of current year to be carried forward (total of row xi of Schedule CFL)

16 16 0
Deemed income under section 115JC (3 of schedule AMT)

17 17 437373
39 of 42
Part B – TTI Computation of tax liability on total income

a Tax payable on deemed total income u/s 115JC ( (4 of Schedule AMT) 1a 0
b Surcharge on (a) (if applicable) 1b 0

1
c Health and Education Cess @ 4% on (1a+1b) above 1c 0
d Total Tax Payable on deemed total income (1a+1b+1c) 1d 0
Tax payable on total income
a Tax at normal rates on 15 of Part B-TI 2a 9315
b Tax at special rates (total of col.(ii) of Schedule SI) 2b 161

2
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum 0
c 2c
amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b - 2c) 2d 9476
3 Rebate under section 87A 3 9476
4 Tax payable after rebate (2d - 3) 4 0
5 Surcharge
Surcharge computed before marginal relief
i @ 25% of 15(ii) of Schedule SI 5i 0
10% or 15% as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) , Dividend income u/s 0
ii 5ii
115AD(1)(a) of Schedule SI and Dividend income included in Part B TI
ii On [(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI)] 5ii 0
Surcharge after marginal relief
ia @ 25% of 15(ii) of Schedule SI 5ia 0
@10% or 15%, as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21 (ii), 23(ii) of Schedule SI On 0
iia 5iia
[(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI)]
iii Total(ia+iia) 5iii 0
6 Health and Education cess @4% on (4 + 5iv) 6 0
7 Gross tax liability (4 + 5iv + 6) 7 0
8 Gross tax payable (higher of 1d and 7) (8a+8b) 8 0
Tax on income without including income on perquisites referred in section 17(2)(vi) 0

a received from employer, being an eligible start-up referred to in section 80-IAC (Schedule 8a
Salary) (8-8b)
Tax deferred - relatable to income on perquisites referred in section 17(2)(vi) received 0
b 8b
from employer, being an eligible start-up referred to in section 80-IAC
Tax deferred from earlier years but payable during current AY ( total of col 7 of schedule 0
c 8c
Tax deferred on ESOP
9 Credit u/s 115JD of tax paid in earlier years (applicable only if 7 is higher than 1d) (row 5 of Schedule AMTC) 9 0
10 Tax payable after credit u/s 115JD (8a + 8c - 9) 10 0
11 Tax relief
a Section 89 (Please ensure to submit Form 10E to claim this relief) 11a 0
b Section 90/90A (2 of Schedule TR) 11b 0
c Section 91 (3 of Schedule TR) 11c 0
d Total (11a + 11b + 11c) 11d 0
12 Net tax liability (10 – 11d) (enter zero if negative) 12 0
13 Interest and fee payable
a Interest for default in furnishing the return (section 234A) 13a 0
b Interest for default in payment of advance tax (section 234B) 13b 0
40 of 42
Interest for deferment of advance tax (section 234C)

c 13c 0
Fee for default in furnishing return of income (section 234F)

d 13d 1000
Total Interest and Fee Payable (13a+13b+13c+13d)

e 15e 1000
Aggregate liability (12 + 13e)

14 14 1000
15 Taxes Paid
Advance Tax (from column 5 of 20A)
a 15a 0
TDS (total of column 5 of 20B and column 9 of 20C)

b 15b 0
TCS (total of column 5 of 20D)

c 15c 0
Self-Assessment Tax (from column 5 of 20A)

d 15d 0
Total Taxes Paid (15a + 15b + 15c + 15d)

e 15e 0
Amount payable (Enter if 14 is greater than 15e, else enter 0) 16

16 1000
Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank account) . 17
17 0
Do you have a bank account in India (Non- Residents claiming refund with no bank account in India may select No)
18 Yes
IFS Code of the Bank in case Indicate the account in which you prefer to get
SI.
of Bank Accounts held in Name of the Bank Account Number your refund credited, if any ( tick accounts for
No.
India refund).
1 UTIB0000430 xxxxxxx
AXIS BANK xxxxxxxxxxxx
916010011827567
Note:
1. Minimum one account should be selected for refund credit.
2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after processing the
return
Rows can be added as required
b) Non-residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank
ii.
account:
SI.No. SWIFT Code Name of the Bank Country/Region of Location IBAN
Do you at any time during the previous year :-
Yes
(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or
19 (ii) have signing authority in any account located outside India; or No
(iii) have income from any source outside India?
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
20 TAX PAYMENTS
A Details of payments of Advance Tax and Self-Assessment Tax
SI.No. BSR Code Date of Deposit (DD/MMM/ Serial number of challan Amount(Rs)
YYYY)
(1) (2) (3) (4) (5)
Advance Tax and Self Assessment Tax (total of column 5) 0
Note: Enter the totals of Advance tax and Self-Assessment tax in Sl No. 15a & 15d of Part B-TTI
B Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
SI. Tax Deduction Account Name of the Employer Income chargeable under Total Tax Deducted
No. Number (TAN) of the Employer Salaries
(1) (2) (3) (4) (5)
Note: Please enter total of column 5 in 15b of Part B-TTI
C Details of Tax Deducted at Source (TDS) on Income [As per FORM 16A issued by Deductor(s)]
SI. TDS credit PAN/ Aadhaar TAN of the Unclaimed TDS TDS of the current financial TDS credit being claimed this Year (only if Corresponding Receipt/ TDS
No. relating to of Other Person Deductor/PAN/ brought forward (b/ Year (TDS deducted during corresponding income is being offered for tax withdrawals offered credit
self /other (if TDS credit Aadhaar of f) the FY 2021-22) this year, not applicable if TDS is deducted u/ being
person related to other Tenant/ Buyer s 194N) carried
[spouse as person) Fin. Year TDS b/f Deducted Deducted in the Claimed Claimed in the hands of spouse as Gross Amount Head of forward
per section in which in own hands of spouse as in own per section 5A or any other person Income
5A/other deducted hands per section 5A or hands as per rule 37BA(2) (if applicable)
person as any other person as
41 of 42
per rule per rule 37BA(2) (if

37BA(2)] applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/Aadhaar
TDS claimed in own hands (total of column 9) 0
Note:Please enter total of column 9 in 15b of Part B- TTI
D Details of Tax Deducted at Source (TDS) on Income [As per Form 16B/16C furnished by Deductor(s)]
SI. TDS credit PAN/ Aadhaar PAN/Aadhaar Unclaimed TDS TDS of the current financial TDS credit being claimed this Year (only if Corresponding Receipt/ TDS
No. relating to of Other Person No. of the brought forward (b/ Year (TDS deducted during corresponding income is being offered for tax withdrawals offered credit
self /other (if TDS credit Buyer / Tenant f) the FY 2021-22) this year) being
person related to other Fin. Year TDS b/f Deducted Deducted in the Claimed Claimed in the hands of spouse as Gross Amount Head of carried
[spouse as person) in which in own hands of spouse as in own per section 5A or any other person Income forward
per section deducted hands per section 5A or hands as per rule 37BA(2) (if applicable)
5A/other any other person as
person as per rule 37BA(2) (if
per rule applicable)
37BA(2)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/Aadhaar
TDS claimed in own hands (total of column 9) 0
Note:Please enter total of column 9 in 15b of Part B- TTI
E Details of Tax Collected at Source (TCS) [As per Form 27D issued by Collector(s)]
Tax Deduction and Name of the Collector Amount out of (4) Amount out of (4) being claimed in the hands
SI. Tax Collected
Collection Account being claimed of spouse, if section 5A is applicable
No. Number of the
Collector
(1) (2) (3) (4) (5) (6)
TCS being claimed this year (total of column 5) 0
Note:Please enter total of column (5) in 15c of Part B-TTI
xyz
xyz
VERIFICATION
xyz
xxxxxxxxxxxxxxxxxxxx
I, NITIN KUMAR SARASWAT son/ daughter of MAHIP xxxxxxxxxxxxxxxxxxxxx
KUMAR SARASWAT 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 is in accordance with the
provisions of the Income-tax Act, 1961,
I further declare that I am making return in my capacity as Self and I am also competent to make this return and verify it. I
xxxxxxxxxxA (Please see instruction) I further declare that the critical
am holding permanent account number (if allotted) GBPPS3011B
assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied
with. (Applicable in a case where return is furnished under section 92CD)
Date : 31-Dec-2022 Sign Here:
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 0
42 of 42

Form PDF 900510620311222

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Acknowledgement Number : 900510620311222 Date of filing : 31-Dec-2022*

SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)

Schedule Salary Details of Income from Salary

a Salary as per section 17(1) (drop down to be provided) 1a 493574

SI. Nature of salary Amount

i Basic Salary 264760

ii House Rent Allowance 105904

iii Others 122910

b Value of perquisites as per section 17(2) (drop down to be provided) 1b 0

SI. No. Nature of perquisites Amount

SI. No. Nature of Profit in lieu of Salary Amount

SI. No. Country/Region Amount

4 Net Salary (2 - 3 - 3a) 4

5 Deduction u/s 16 (5a + 5b + 5c) 5

A Standard deduction u/s 16(ia) 5a

B Entertainment allowance u/s 16(ii) 5b

C Professional tax u/s 16(iii) 5c

6 Income chargeable under the Head ‘Salaries’ (4-5) 6

Schedule HP Details of Income from House Property (Please Refer Instructions)

Schedule CG Capital Gains

b Deductions under section 48

i Cost of acquisition without indexation bi 15200

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 15200

c Balance (2a - 2biv) 2c 1076

d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/ 2d 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 0

c Balance (2a - 2biv) 2c 0

d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/ 2d 0

a STCG on transactions on which securities transaction tax (STT) is paid A3a 0

i In case securities sold include shares of a company other than quoted

a Full value of consideration received/receivable in respect ia 0

b Fair market value of unquoted shares determined in the ib 0

ii Full value of consideration in respect of securities other than aii 0

iii Total (ic + ii) aiii 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 0

c Balance (4aiii - biv) 4c 0

d Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/ 4d 0

5 From sale of assets other than at A1 or A2 or A3 or A4 above

b Fair market value of unquoted shares determined in the ib 0

c Full value of consideration in respect of unquoted shares ic 0

b Deductions under section 48

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 0

c Balance (5aiii - biv) 5c 0

d In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- 5d 0

e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) A5e 0

b Amount deemed to be short term capital gains, other than at 'a' 0

Total amount deemed to be short term capital gains (aXi + b) A6 0