Form PDF 146451900270722

Acknowledgement Number : 146451900270722 Date of filing : 27-Jul-2022*
INDIAN INCOME TAX RETURN Assessment

FORM
[For Individuals and HUFs not having income from profits and gains of business or profession]
ITR2 Year
(Please see Rule 12 of the Income-tax Rules, 1962)
2022-23
(Please refer instructions)
.
Part A-GEN GENERAL
(A1) First Name (A3) Last Name (A4) PAN
(A2)Middle Name CHANNAPATNA SUNDAR PRAKAS DJTPP4952D
H
(A5) Status (Tick)
(A6) Flat/Door/Block No.
(A7) Name of Premises/Building/Village Individual
1000
HUF
(A8) Road/Street/Post Office
(A14) Date of Birth/ Formation (DD/MMM/YYYY) 15-Apr-1956
BIRDIE LANE
(A9) Area/locality (A15) Aadhaar Number (12 digit) / Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
AUBURN 7xxx xxxx 4130
(A11) State
(A10) Town/City/District 99 - State Outside India (A13) Pin code/Zip code
ALABAMA (A12) Country/Region 36830
2 - United States Of America
Mobile No. 1
(A16) Residential/Office Phone Number with STD/ISD code (A17) Mobile No. 2
919740658662
(A18) Email Address-1(self) (A19) Email Address-2
prakashcs1@gmail.com
139(1)-On or before due date, 139(4)-After due date, 139(5)-Revised Return,
(a1i) Filed u/s (Tick)[Please see instruction ] 92CD-Modified return, 119(2)(b)-after condonation of delay, 139(8A) -
(A20) Updated return
(a1ii) Or Filed in response to notice u/s 139(9), 142(1), 148
(a2) Are you opting for new tax regime u/s 115BAC? Yes No
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income? – (Tick)
Yes No
(b) If yes, please furnish following information
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling one or
more conditions mentioned in the seventh proviso to section 139(1)]
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current account during
0
(bi) the previous year? (Yes/No)
Yes No
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a foreign
0
(bii) country for yourself or for any other person? (Yes/No)
Yes No
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on consumption of electricity
0
(biii) during the previous year? (Yes/No)
Yes No
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to section 139(1) (If yes, please select the
(biv)
relevant condition from the drop down menu) Yes No
If Revised/Defective/Modified, then enter Receipt No. and
(c)
Date of filing original return (DD/MMM/YYYY)
If filed, in response to a notice u/s 139(9)/142(1)/148 or order
(Unique Number)
u/s 119(2)(b) enter unique number/ Document Identification
(d)
Number (DIN) and date of such notice/order, or if filed u/s
92CD, enter date of advance pricing agreement
.. You were in India for 182 days or more during the previous year [section 6(1)
Residential Status in (a)]
(e) India (for individuals) A. Non Resident You were in India for 60 days or more during the previous year, and have
(Tick applicable option) been in India for 365 days or more within the 4 precedig years [section (6)(1) (c)]
[where Explanation 1 is not applicable]
1 of 39
You are a citizen of India, who left India, for the purpose of employment, as
a member of the crew of an Indian ship and were in India for 182 days or 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 to
B. Resident but not Ordinarily India, having total income, other than the income from foreign sources, exceeding
Resident 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)
1 UNITED STATES OF 405270854
C. Non-resident AMERICA
(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 4
previous year (in days) preceding years (in days)
Residential Status in India
(for HUF) (Tick applicable D. Resident Resident but not Ordinarily Resident Non-resident
option)
(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 representative(drop down to be provided)
(3) Address of the Representative
(4) Permanent Account Number (PAN)/ Aadhaar of the representative
Whether you were Director in a company at any time during the previous year? (Tick) Yes No
(i)
If yes, please furnish following information -
Whether its shares are Director Identification
SI.No Name of company Type of company PAN
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
Name of Type of Shares transferred
SI. No PAN Opening balance Shares acquired during the year Closing balance
company company during the year
Purchase
price per
share (in
Issue price
Date of case of Sale
No. of Cost of No. of Face value per share No. of No. of Cost of
subscript purchase considera
shares acquisition shares per share (incase of shares shares acquisition
ion/purchase from tion
fresh issue)
existing
sharehol
der)
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
2 of 39
SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)
Schedule Salary Details of Income from Salary
2 Total Gross Salary (from all employers) 2 0
Less allowances to the extent exempt u/s 10 (Please choose from drop down menu) (please
3 refer instructions) 3 0
(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 0
5 Deduction u/s 16 (5a + 5b + 5c) 5 0
A Standard deduction u/s 16(ia) 5a 0
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 0
3 of 39
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)

2 2 0
(if negative 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
NOTE:
computing 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
4 of 39
Schedule CG Capital Gains
A Short-term capital gain (STCG) (Sub-items 3 and 4 are not applicable for residents)
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be
3
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
In case securities sold include shares of a company other than quoted

a i
shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose ic 0
of Capital Gains (higher of a or b)
Full value of consideration in respect of securities other than
ii aii 0
unquoted shares
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
Loss to be disallowed u/s 94(7) or 94(8)- for example if security

bought/acquired within 3 months prior to record date and dividend/
d 4d 0
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 0
5 From sale of assets other than at A1 or A2 or A3 or A4 above
In case assets sold include shares of a company other than quoted shares, enter the following
a i
details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose ic 0
of Capital Gains (higher of a or b)
Full value of consideration in respect of assets other than
(ii) aii 0
unquoted shares
(iii) Total (ic + ii) aiii 0
ii Cost of Improvement without indexation bii 0
iv Total (i + ii + iii) biv 0
c Balance (5aiii - biv) 5c 0
5 of 39
In case of asset (security/unit) loss to be disallowed u/s 94(7) or

94(8)- for example if asset bought/acquired within 3 months prior to
d record date and dividend/income/bonus units are received, then loss 5d 0
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
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below
a 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
Section under which New asset acquired/constructed Amount not used for new
SI. Previous year in which
deduction claimed in Year in which asset Amount utilised out of asset or remained unutilized in
No. asset transferred
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
Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b +
7 A7 0
A7c)
Pass Through Income/ Loss in the nature of Short Term Capital Gain,
a A7a 0
chargeable @ 15%
b A7b 0
chargeable @ 30%
c A7c 0
chargeable at applicable rates
Amount of STCG included in A1 - A7 but not chargeable to tax or chargeable at special rates in India as per
8
DTAA
Rate as
Item no. A1 Whether
per Treaty Rate as Applicable rate
Sl. Amount of to A7 above Country/Region Article of TRC Section of
(enter per I.T. [lower of (6) or
No. income in which name & code DTAA obtained (Y/ I.T. Act
NIL, if not Act (9)]
included 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 0
B Long-term capital gain (LTCG) (Sub-items 5, 6, 7 & 8 are not applicable for residents)
1 From sale of land or building or both (fill up details separately for each property)
Date of purchase/acquisition Date of sale/transfer

23-Aug-2010 21-Jan-2022
a i Full value of consideration received/receivable ai 95,00,000
ii Value of property as per stamp valuation authority aii 95,00,000
Full value of consideration adopted as per section 50C for the

iii purpose of Capital Gains [in case (aii) does not exceed 1.05 aiii 95,00,000
times (ai), take this figure as (ai), or else take (aii)]
i Cost of acquisition bi 11,85,890
iia Cost of acquisition with indexation biia 22,51,061
iib Total Cost of Improvement with indexation biib 0

Sl.No. Cost of improvement Year of Improvement Cost of improvement with indexation
iii Expenditure wholly and exclusively in connection with transfer biii 95,000
iv Total (bi + bii + biii) biv 23,46,061
c Balance (aiii – biv) 1c 71,53,939
6 of 39
Deduction under section 54/54B/54EC/54F/54GB (Specify details in

d 1d 63,51,450
item D below)
e Long-term Capital Gains on Immovable property (1c - 1d) B1e 8,02,489
f In case of transfer of immovable property, please furnish the following details (see note)
SI. Name of PAN/Aadhaar No of Percentage Pin code / Zip
Amount Address of Property
No Buyer(s) buyer(s) share code
chandrashek
SITE NO 80 KAMMANAHALLI
har mandag
1 ACZPC0279Q 50 47,50,000 VILLAGE, BEGUR HOBLI, 15- 560068
ere Narayan
Karnataka, 91-India
aswamy
Rashmi Ban SITE NO 80 KAMMANAHALLI
2 galore Kash BSGPK0462H 50 47,50,000 VILLAGE, BEGUR HOBLI, 15- 560068
inath Karnataka, 91-India
Furnishing of PAN/ Aadhaar No. is mandatory, if the tax is deduced under section 194-IA or is quoted by
Note: buyer in the documents. In case of more than one buyer, please indicate the respective percentage share
and amount.
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a Full value of consideration 2a 0
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
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which
4
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
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign
5
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
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a
7
business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(b)(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
LTCG on sale of asset, other than specified asset (computed without

d 8d 0
indexation)
7 of 39
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
In case assets sold include shares of a company other than quoted

a i
shares, enter the following details
Full value of consideration received/receivable in respect
a ia 0
of unquoted shares
Fair market value of unquoted shares determined in the
b ib 0
prescribed manner
Full value of consideration in respect of unquoted shares
c adopted as per section 50CA for the purpose of Capital ic 0
Gains (higher of a or b)
Full value of consideration in respect of assets other than
ii 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
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below
a 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
New asset acquired/constructed Amount not used for
Previous year Section under which
new asset or remained
Sl.No. in which asset deduction claimed in Year in which asset Amount utilised out of
unutilized in Capital
transferred that year acquired/constructed Capital Gains account
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
Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a1+B11a2 +
11 B11 0
B11b)
Pass Through Income/ Loss in the nature of Long Term Capital Gain,
a1 B11a1 0
chargeable @ 10% u/s 112A
a2 B11a2 0
chargeable @ 10% under sections other than u/s 112A
b 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
Rate as per
Item No. B1 to Whether TRC
Amount of Article of Treaty (enter Applicable rate [lower of
SI.No. B11 above in Country/Region name & Code obtained (Y/ Section of I.T. Act Rate as per I.T. Act
income DTAA NIL, if not (6) or (9)]
which included N)
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
Total long term capital gain chargeable under I.T. Act(B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e

13 B13 8,02,489
+B10 +B11-B12a)
8 of 39
C Income chargeable under the head “CAPITAL GAINS” (A9 + B13) (take B13 as nil, if loss) C 8,02,489
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 purchase/
Amount deposited in Capital
Date of transfer of construction of Cost of new residential
Gains Accounts Scheme Amount of deduction claimed
original asset new residential house
before due date
house
b Deduction claimed u/s 54B
Date of purchase Amount deposited in Capital
Date of transfer of Cost of new agricultural
of new agricultural Gains Accounts Scheme Amount of deduction claimed
original asset land
land before due date
c Deduction claimed u/s 54EC
Amount invested in specified/notified
Date of transfer of
bonds (not exceeding fifty lakh Date of investment Amount of deduction claimed
original asset
rupees)
d Deduction claimed u/s 54F
Date of purchase/
Amount deposited in Capital
Date of transfer of construction of Cost of new residential
Amount of deduction claimed Gains Accounts Scheme
original asset new residential house
before due date
house
21-Jan-2022 26-Jul-2022 0 0 0
e Deduction claimed u/s 54GB

Amount
Date of Amount utilised
Cost of new plant Date of deposited in
transfer PAN of the for subscription Date of Amount of
and machinery purchase Capital Gains
of original eligible of equity shares subscription deduction
purchased by the of plant and Accounts
residential company of eligible of shares claimed
eligible company machinery Scheme before
property company
due date
f Deduction claimed u/s 115F (for Non-Resident Indians)
Date of transfer
Amount invested in new specified
of original foreign Date of investment Amount of deduction claimed
asset or savings certificate
exchange asset
g Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) 1g 63,51,450
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)
Capital Gain of Short term capital loss Long term capital loss
current year (Fill
Current year’s capital gains
this column only if Applicable Covered By Covered By
Sl.No Type of Capital Gain 15% 30% 10% 20% remaining after set off
computed figure is Rate DTAA DTAA
(2) (3) (6) (7) (9=1-2-3-4-6-7-8)
positive) (4) (5) (8)
(1)
Capital Loss to be set
off (Fill this row only
i 0 0 0 0 0 0 0
if computed figure is
negative)
ii 15% 0 0 0 0 0
iii 30% 0 0 0 0 0
Short term applicable
iv 0 0 0 0 0
capital gain rate
Covered By
v 0 0 0 0
DTAA
vi 10% 0 0 0 0 0 0 0 0
vii Long term 20% 8,02,489 0 0 0 0 0 0 8,02,489
capital gain Covered By
viii 0 0 0 0 0 0 0 0
DTAA
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 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii) (iii) (iv) (v)
Short-term capital gains taxable at the rate of 15%
1 0 0 0 0 0
Enter value from item 3iii of schedule BFLA, if any.
Short-term capital gains taxable at the rate of 30%
2 0 0 0 0 0
Enter value from item 3iv of schedule BFLA, if any.
9 of 39
Short-term capital gains taxable at applicable rates

3 0 0 0 0 0
Enter value from item 3v of schedule BFLA, if any.
Short-term capital gains taxable at DTAA rates
4 0 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 10%
5 0 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 20%
6 0 0 0 8,02,489 0
Enter value from item 3vii of schedule BFLA, if any.
Long term capital gains taxable at the rate DTAA rates
7 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
10 of 39
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 Code Name No. of Sale- Full Value Cost of Cost of If the long Fair Market Total Fair Expenditu re Total Balance (6–
Acqu ired of the Shares/ price per of Consider acquisition acquisition term capital Value per Market Value wholly and deductions 13) Item 4(a)
Share/Unit 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, section 55(2) with transfer of ITR2
on or before of 8 or 9 ) 2018, -Lower 2018 (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)
0 0 0 0 0 0 0 0
Total
11 of 39
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 No. of Sale-price per Full Value Cost of Cost of If the long Fair Market Total Fair Expen diture Total Balance
Unit of the Shares/Units Share/Unit of Consider acquisi tion acquisition term capital Value per Market Value wholly and deductions (6-13) Item 7
acquired Share/Unit ation If without asset was share/unit of capital exclus ively (7 + 12) (a) of LTCG
shares/units indexation acquired as on 31st asset as per in connec Schedule
are acquired (Higher before January, section 55(2) tion with of ITR2
on or before of 8 or 9) 01.02 .2018, 2018 (ac)- (4*10) transfer
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)
0 0 0 0 0 0 0 0
Total
12 of 39
Schedule OS Income from Other Sources

1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e) 1 82,525
a Dividends, Gross (ai+aii) 1a 0
ai Dividend income other than (ii) 1ai 0
aii Dividend income u/s 2(22)(e) 1aii 0
b Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 82,525
i From Savings Bank bi 1,824
ii From Deposits (Bank/ Post Office/ Co-operative) bii 80,701
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

v bv 0
the extent taxable as per first proviso to section 10(11)
Interest accrued on contributions to provident fund to 0
vi the extent taxable as per second proviso to section bvi
10(11)
Interest accrued on contributions to provident fund to
vii bvii 0
the extent taxable as per first proviso to section 10(12)
Interest accrued on contributions to provident fund to 0
viii the extent taxable as per second proviso to section bvii
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
d 1d 0
+ 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
consideration stamp duty value of property in excess
iii diii
of such consideration as adjusted as per section 56(2)
(x)
In case any other property is received without
iv div 0
consideration, fair market value of property
In case any other property is received for inadequate 0
v consideration, fair market value of property in excess dv
of 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
13 of 39
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
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
e 2e 0
(drop down to be provided)
Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA
2f 0
(total of column (2) of table below)
SI.No. Amount Item Country/ Article of Rate as per Whether Section of Rate as Applicable
of No.1ai, Region DTAA Treaty (enter TRC I.T. Act per I.T. rate [lower
f income 1b to 2 name & NIL, if not obtained Act of (6) or
in which Code chargeable) (Y/N) (10)]
included
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
3 Deductions under section 57 (other than those relating to income chargeable at special rates under 2a, 2b & 2d)
ai Expenses / Deductions other than "aii" (in case other than family pension) 3ai 0
aii Interest expenditure u/s 57(i) (available only if income offered in 1a) - entered amount 3aii
Interest expenditure claimed 0
a(iia) Eligible amount of interest expenditure u/s 57(i) – Computed Amount 3a(iia) 0
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 82,525
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 82,525
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
14 of 39
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 82,525
10 Information about accrual/receipt of income from Other Sources
S.No. Other Source Income Upto 15/6 From 16/6 to From 16/9 to From 16/12 to From 16/3 to
15/9 15/12 15/3 31/3
(i) (ii) (iii) (iv) (v)
1 Income by way of winnings 0 0 0 0 0

from lotteries, crossword
puzzles, races, games,
gambling, betting etc. referred
to in section 2(24)(ix)
2 Dividend Income referred in 0 0 0 0 0
Sl.no.1a(i)
3 Dividend Income u/s 115A(1) 0 0 0 0 0
(a)(i) @ 20% (Including PTI
Income)
4 Dividend Income u/s 115AC @ 0 0 0 0 0
10%
5 Dividend Income u/s 115ACA 0 0 0 0 0
(1)(a) @ 10% (Including PTI
Income)
6 Dividend Income (other than 0 0 0 0 0
units referred to in section
115AB) u/s 115AD(1) (i) @
20% (Including PTI Income)
7 Dividend income taxable at 0 0 0 0 0
DTAA rates
8 Income from retirement benefit 0 0 0 0 0
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.
15 of 39
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 Net loss from Other sources Current year's Income
year (Fill this column the current year set off chargeable at normal applicable remaining after set off
only if income is zero rates (other than loss from race
or positive) horses) of the current year set
off
1 2 3 4=1-2-3
Loss to be set off (Fill this 0 0

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

iv 0 0 0 0
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 0 0 0 0
vii at special rates in India as per
DTAA
Long term capital gain taxable @
viii 0 0 0 0
10%
Long term capital gain taxable @
ix 8,02,489 0 0 8,02,489
20%
Long-term capital gains taxable 0 0 0 0
x at special rates in India as per
DTAA
Net income from Other sources 82,525 0 0 82,525
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
16 of 39
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
SI. Head/ Source of Income Income after set off, if Brought forward loss Current year's income
No. any, of current year's set off remaining after set off
losses as per 4 of
Schedule CYLA)
1 2 3
i Salaries 0 0
ii House property 0 0 0
iii Short-term capital gain taxable @ 15% 0 0 0
iv Short-term capital gain taxable @ 30% 0 0 0
v Short-term capital gain taxable at applicable rates 0 0 0
vi Short-term capital gain taxable at special rates in India as per DTAA 0 0 0
vii Long-term capital gain taxable @ 10% 0 0 0
viii Long term capital gain taxable @ 20% 8,02,489 0 8,02,489
ix Long term capital gains taxable at special rates in India as per DTAA 0 0 0
Net income from other sources chargeable at normal applicable

x 82,525 82,525
rates
xi Profit from owning and maintaining race horses 0 0 0
xii Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii +2viii+ 2ix + 2xi) 0
xiii Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix + 3x + 3xi) 8,85,014
17 of 39
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
ii 2015-16 0 0 0
iii 2016-17 0 0 0
iv 2017-18 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 0 0 0
ix 0
year losses
Adjustment of 0 0 0 0
x above losses in
Schedule BFLA
2022-23 0 0 0 0
xi (Current year
losses)
Total loss 0 0 0 0
xii Carried Forward
to future years
18 of 39
Schedule VI-A Deductions under Chapter VI-A
1 Part B- Deduction in respect of certain payments
a 80C 0 b 80CCC 0
c 80CCD(1) 0 d 80CCD(1B) 0
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 1,824 t 80TTB 0
u 80 U 0
v Total deductions under Chapter VI-A (Total of a to u) v 1,824
19 of 39
Schedule 80G Details of donations entitled for deduction under section 80G
A Donations entitled for 100% deduction without qualifying limit
Amount of donation
Eligible Amount
Name and Address of Donee PAN of Donee
Donation in of Donation
Donation in cash Total Donation
other mode
Total 0 0 0 0
B Donations entitled for 50% deduction without qualifying limit
Amount of donation
Eligible Amount
Name and Address of donee PAN of Donee
other mode
Total 0 0 0 0
C Donations entitled for 100% deduction subject to qualifying limit
Amount of donation
Eligible Amount
other mode
Total 0 0 0 0
D Donations entitled for 50% deduction subject to qualifying limit
Amount of donation
Eligible Amount
other mode
Total 0 0 0 0
E Total donations (A + B + C + D) 0
20 of 39
Schedule 80GGA Details of donations for scientific research or rural development

SI. Relevant clause under which Name and PAN of Donee Amount of Donation Eligible Amount
No. deduction is claimed (drop down address of Donee Donation in Donation in Total Donation of Donation
to be provided) Cash other mode
Total Donation 0 0 0 0
21 of 39
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 12 of PART-B-TI 1 8,83,190
2 Adjustment as per section 115JC(2)
Deduction claimed under any section included in Chapter VI-A under the
a 2a 0
heading “C.- Deductions in respect of certain incomes”
3 Adjusted Total Income under section 115JC(1)(1+2a) 3 8,83,190
4 Tax payable under section 115JC [18.5% of (3)](if 3 is greater than Rs. 20 lakhs) 4 0
22 of 39
Schedule AMTC Computation of tax credit under section 115JD
1 Tax under section 115JC in assessment year 2022-23 (1d of Part-B-TTI) 1 0
2 Tax under other provisions of the Act in assessment year 2022-23 (7 of Part-B-TTI) 2 1,66,918
3 Amount of tax against which credit is available [enter (2 - 1) if 2 is greater than 1, otherwise enter 0] 3 1,66,918
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
4
cannot exceed the sum of AMT Credit Brought Forward)
S.No Assessment AMT Credit Utilised Balance AMT Credit
AMT Credit
Year during the Current Carried Forward
(A) Gross Set-off in earlier Balance brought Assessment Year (D)= (B3) -( C)
(B1) assessment years forward to the current (C)
(B2) assessment year
(B3) = (B1)-(B2)
i 2013-14 0 0 0 0 0
ii 2014-15 0 0 0 0 0
iii 2015-16 0 0 0 0 0
iv 2016-17 0 0 0 0 0
v 2017-18 0 0 0 0 0
vi 2018-19 0 0 0 0 0
vii 2019-20 0 0 0 0 0
viii 2020-21 0 0 0 0 0
ix 2021-22 0 0 0 0 0
Current AY 0 0
(enter 1-2,
x
if 1>2 else
enter 0)
xi Total 0 0 0 0 0
5 Amount of tax credit under section 115JD utilised during the year [total of item No 4 (C)] 5 0
6 Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)] 6 0
23 of 39
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
24 of 39
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
111 - Tax on accumulated balance of recognised provident
1 1% 0 0
fund
2 112 Long term capital gains (with indexing) 20 % 8,02,489 1,60,498
Total 8,02,489 1,60,498
25 of 39
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1 Interest income 1 0
Gross Agricultural receipts (other than income to be excluded under

i i 0
rule 7A, 7B or 8 of 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
v
up details separately for each agricultural land
Name of district along with pin code Measurement Whether the Whether the
SI.No
in which agricultural land is located of agricultural agricultural land is agricultural land is
land in Acre owned or held on irrigated or rain-fed
Name of district Pin code
lease
3 Other exempt income (including exempt income of minor child) 3 0
SI.No. Other exempt income Amount
4 Income not chargeable to tax as per DTAA
SI. Amount of Income Nature of Income Country/Region Article of Head of Whether

No. name & Code DTAA Income TRC
obtained
(Y/N)
Total Income from DTAA not chargeable to tax 4 0
5 Pass through income not chargeable to tax (Schedule PTI) 5 0
6 Total (1+2+3+4+5) 6 0
26 of 39
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
27 of 39
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
28 of 39
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 section (specify 90, 90A or
Schedule FSI in respect of FSI in respect of each 91)
each country) 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
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by
4 4
the 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.
29 of 39
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 Country/ Country/ Name of Address of ZIP code Account Status Account Peak Closing Gross interest
No Region Region financial financial Number opening balance balance paid/credited
name code institution institution date During the to the account
period 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 ZIP code Account Status Account Peak Closing Gross interest paid/
Region Region financial of number opening balance balance credited to the account
name code institution financial date During the during the period (drop
institution 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 value of balance gross proceeds
name code the of the investment amount from
interest investment 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 institution the contract contract during the period
in 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 Nature Name and Nature of Date Total Income Nature Income taxable and
No. Region Code of entity Address of the Interest- since Investment (at accrued of offered in this return
Name Entity Direct/ held cost) (in rupees) from Income Amount Schedule Item
and Beneficial such where number
code 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
No Region of the Direct/ acquisition Investment derived Income offered in this return
Name and Property Beneficial (at cost) from the Amount Schedule Item
code owner/ (in rupees) property where number of
Beneficiary offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11)
30 of 39
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
SI. Country/ Zip code Nature of Ownership- Date of Total Income Nature of Income taxable and
No Region Asset Direct/ acquisition Investment derived Income offered in this return
Name and Beneficial (at cost) from the Amount Schedule Item
code owner/ (in 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
No of the of the Region of the Number Balance/ income is yes, offered in this 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 Name and Date Whether If (8) If (8) is yes, Income
No Region CODE address of the address of address of address of since income is yes, offered 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 schedule
hands? trust
(1) (2) (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
G
business or profession
SI. Country/ ZIP CODE Name and address of Income Nature of Whether If (6) is yes, Income offered in this
No Region the person from whom derived income taxable in return
Name and derived your hands? Amount Schedule Item
code where number of
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.
31 of 39
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 Amount apportioned in Amount of TDS deducted TDS apportioned in the
the head the 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
32 of 39
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
Financial assets. Amount (cost) in Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities. 0

(iv)
(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.
33 of 39
Information related to Tax deferred - relatable to income on perquisites referred in section 17(2) (vi)
Schedule ESOP
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 Ceased to be the employee of the Forty-eight months have expired tax payable of tax deferred
forward from equity shares were sold (Specify the employer who allotted or transferred from the end of the relevant in the current to be carried
earlier AY date and amount of tax attributed to such specified security or sweat assessment year in which Assessment Year forward to the next
such sale out of Col 3) equity share? specified security or sweat equity Assessment years
(i) Option selected (ii) Total Amount (i) Option selected (ii) Date of shares referred to in the said Col (3- 7)
of Tax Attributed Ceased to be *clause were allotted. If yes,
out of the sale employee specify date
(1) (2) (3) (4) (5) (6) (7) (8)
1 2021-22 0 0 0 0
2 2022-23 0
34 of 39
Part B – TI Computation of total income
1 Salaries (6 of Schedule S) 1 0
2 Income from house property (4 of Schedule-HP) (Enter nil if loss) 2 0
3 Capital Gains
Short term
i Short-term chargeable @ 15% (9ii of item E of schedule CG) ai 0
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 0
Long-term
i Long-term chargeable @ 10% (9vi of item E of schedule CG) bi 0
b ii Long-term chargeable @ 20%(9vii of item E of schedule CG) bii 8,02,489
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 8,02,489
c Total Capital gains (3av + 3biv) (enter nil if loss) 3c 8,02,489
4 Income from other sources
Net income from other sources chargeable to tax at normal applicable rates (6 of Schedule OS) (enter
a 4a 82,525
nil if loss)
b Income chargeable to tax at special rates (2 of Schedule OS) 4b 0
c Income from the activity of owning and maintaining race horses (8e of Schedule OS)(enter nil if loss) 4c 0
d Total (4a + 4b + 4c) (enter nil if loss) 4d 82,525
5 Total of head wise income (1+2+3c+4d) 5 8,85,014
6 Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule CYLA) 6 0
7 Balance after set off current year losses(5-6) (total of column 4 of Schedule CYLA + 2 of Schedule OS) 7 8,85,014
8 Brought forward losses set off against 7 (2xii of Schedule BFLA) 8 0
9 Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS) 9 8,85,014
10 Income chargeable to tax at special rate under section 111A, 112 , 112A etc. included in 9 10 8,02,489
11 Deductions under Chapter VI-A [v of Schedule VIA and limited to(9-10)] 11 1,824
12 Total income (9-11) 12 8,83,190
13 Income which is included in 12 and chargeable to tax at special rates (total of column (i) of schedule SI) 13 8,02,489
14 Net agricultural income/ any other income for rate purpose (3 of Schedule EI) 14 0
15 Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax] 15 80,701
16 Losses of current year to be carried forward (total of row xi of Schedule CFL) 16 0
17 Deemed income under section 115JC (3 of schedule AMT) 17 8,83,190
35 of 39
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 0
2 b Tax at special rates (total of col.(ii) of Schedule SI) 2b 1,60,498
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds

c 2c 0
maximum amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b - 2c) 2d 1,60,498
3 Rebate under section 87A 3 0
4 Tax payable after rebate (2d - 3) 4 1,60,498
5 Surcharge
Surcharge computed before marginal relief
@ 25% of 15(ii) of Schedule SI

i 5i 0
10% or 15% as applicable of 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) , Dividend
0
ii income u/s 115AD(1)(a) of Schedule SI and Dividend income included in 5ii
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

0
iia Schedule SI On [(4) – ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule 5iia
SI)]
iii Total(ia+iia) 5iii 0
6 Health and Education cess @4% on (4 + 5iv) 6 6,420
7 Gross tax liability (4 + 5iv + 6) 7 1,66,918
8 Gross tax payable (higher of 1d and 7) (8a+8b) 8 1,66,918
Tax on income without including income on perquisites referred in section

1,66,918
a 17(2)(vi) received from employer, being an eligible start-up referred to in 8a
section 80-IAC (Schedule Salary) (8-8b)
Tax deferred - relatable to income on perquisites referred in section 17(2)
0
b (vi) received from employer, being an eligible start-up referred to in section 8b
80-IAC
Tax deferred from earlier years but payable during current AY ( total of col
c 8c 0
7 of schedule 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 1,66,918
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
36 of 39
d Total (11a + 11b + 11c) 11d 0
12 Net tax liability (10 – 11d) (enter zero if negative) 12 1,66,918
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 2,552
c Interest for deferment of advance tax (section 234C) 13c 638
d Fee for default in furnishing return of income (section 234F) 13d 0
e Total Interest and Fee Payable (13a+13b+13c+13d) 13e 3,190
14 Aggregate liability (12 + 13e) 14 1,70,108
15 Taxes Paid
a Advance Tax (from column 5 of 20A) 15a 0
b TDS (total of column 5 of 20B and column 9 of 20C) 15b 1,03,076
c TCS (total of column 5 of 20D) 15c 0
d Self-Assessment Tax (from column 5 of 20A) 15d 67,032
e Total Taxes Paid (15a + 15b + 15c + 15d) 15e 1,70,108
16 Amount payable (Enter if 14 is greater than 15e, else enter 0) 16 0
17 Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank account) . 17 0
18 Do you have a bank account in India (Non- Residents claiming refund with no bank account in India may select No) Yes
IFS Code of the Bank Indicate the account in which you

SI.
in case of Bank Name of the Bank Account Number prefer to get your refund credited,
No
Accounts held in India if any (tick accounts for refund)
1 SBIN0016223 STATE BANK OF INDIA 00000010075421712
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 :-

(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or
Yes
19 (ii) have signing authority in any account located outside India; or
(iii) have income from any source outside India? No
[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/YYYY) Serial number of challan Amount(Rs)
(1) (2) (3) (4) (5)
I 0011349 27-Jul-2022 12512 67,032
Advance Tax and Self Assessment Tax (total of column 5) 67,032
Note: Enter the totals of Advance tax and Self-Assessment tax in Sl No. 15a & 15d of Part B-TTI
37 of 39
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 Year TDS credit being claimed this Year (only if Corresponding TDS credit
No. relating to of Other Deductor/PAN/ brought forward (TDS deducted during the FY corresponding income is being offered for tax Receipt/withdrawals being
self /other Person (if Aadhaar of (b/f) 2021-22) this year, not applicable if TDS is deducted u/s offered carried
person TDS credit Tenant/ Buyer 194N) forward
[spouse as related to other Fin. TDS Deduc Deducted in the Claimed Claimed in the hands of spouse as Gross Head of
per section person) Year in b/f ted in hands of spouse as in own per section 5A or any other person Amount Income
5A/other which own per section 5A or hands as per rule 37BA(2) (if applicable)
person as deduc hands any other person
per rule ted as per rule 37BA(2)
37BA(2)] (if applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/ Aadhaar
I Self MUMS86160E 0 8,076 0 0 8,076 0 0 80,701 OS 0
TDS claimed in own hands (total of column 9) 8,076
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 Year TDS credit being claimed this Year (only if Corresponding TDS credit
No. relating to of Other No. of the brought forward (b/ (TDS deducted during the FY corresponding income is being offered for tax Receipt/withdrawals being
self /other Person (if Buyer / Tenant f) 2021-22) this year) offered carried
person TDS credit Fin. TDS b/f Deducted Deducted in the Claimed Claimed in the hands of spouse as Gross Head of forward
[spouse as related to other Year in in own hands of spouse in own per section 5A or any other person Amount Income
per section person) hands as per section hands as per rule 37BA(2) (if applicable)
which
5A/other 5A or any other
deduc
person as person as per rule
ted
per rule 37BA(2) (if applicable)
37BA(2)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Income TDS Income TDS PAN/Aadhaar
I Self ACZPC0297Q 0 95,000 0 0 95,000 0 0 CG 0
95,00,000
TDS claimed in own hands (total of column 9) 95,000
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
SI.No. Tax Collected
Collection Account being claimed the hands of spouse, if section 5A is
Number of the applicable
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
38 of 39
xyz
xyz
VERIFICATION
xyz
I, CHANNAPATNA SUNDAR PRAKASH son/ daughter of S C RAMAIAH 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 am holding permanent account number (if allotted) DJTPP4952D A (Please see instruction) I further declare that the
critical assumptions specified in the agreement have been satisfied and all complied with. (Applicable in a case where
return is furnished under section 92CD)
Date: 13-Aug-2022 Sign Here:
xyz
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
39 of 39

Form PDF 146451900270722

Uploaded by

Copyright:

Available Formats

Form PDF 146451900270722

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Form PDF 146451900270722

Uploaded by

Copyright:

Available Formats

Acknowledgement Number : 146451900270722 Date of filing : 27-Jul-2022*

INDIAN INCOME TAX RETURN Assessment

(a1ii) Or Filed in response to notice u/s 139(9), 142(1), 148

Whether this return is being filed by a Representative Assesse? Yes No

SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)

Schedule Salary Details of Income from Salary

2 Total Gross Salary (from all employers) 2 0

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 0

5 Deduction u/s 16 (5a + 5b + 5c) 5 0

A Standard deduction u/s 16(ia) 5a 0

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 0

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

Income under the head "Income from house property" (1k + 2k + 3)

Schedule CG Capital Gains

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

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

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

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

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

(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 (5aiii - biv) 5c 0

In case of asset (security/unit) loss to be disallowed u/s 94(7) or

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

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

Date of purchase/acquisition Date of sale/transfer

a i Full value of consideration received/receivable ai 95,00,000

ii Value of property as per stamp valuation authority aii 95,00,000

Full value of consideration adopted as per section 50C for the

b Deductions under section 48

i Cost of acquisition bi 11,85,890

iia Cost of acquisition with indexation biia 22,51,061

iib Total Cost of Improvement with indexation biib 0

iv Total (bi + bii + biii) biv 23,46,061

c Balance (aiii – biv) 1c 71,53,939

Deduction under section 54/54B/54EC/54F/54GB (Specify details in

e Long-term Capital Gains on Immovable property (1c - 1d) B1e 8,02,489

a Full value of consideration 2a 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 (bi + bii +biii) biv 0