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FORM NO.

BA
RETURN OF NET WEALTH
[See rule 3(1)(B)) of Wealth-Tax Rules,1957]

(FOR INDIVIDUALS / HINDU UNDIVIDED FAMILIES / COMPANIES)


ACKNOWLEDGEMENT
For Office use only g

PLEASE FOLLOW ENCLOSED INSTRUCTIONS


g
USE BLOCK LETTERS ONLY

Receipt No.

Date

g PAN MUST BE QUOTED

1 PERMANENT ACCOUNT NUMBER 2 NAME 3 ADDRESS FOR COMMUNICATION ( A. RESIDENCE or B. OFFICE

Seal and Signature of Receiving Official

8 Ward / Circle / Special Range 9 If there is change in jurisdiction, state old Ward / Circle / Special Range 10 Valuation Date 11 Assessment Year 12. Residential Ststus
13.Whether Original

PIN Telephone Fax if any 5 Date of Birth/formation (DD-MM-YYYY) 7 Is there any change in Address? if yes, whether A.

4 Sex (M/F) 6 Status


Yes

or Revised u/s 14 / 15 / 17 14. If revised,Receipt No. date of filing original Return


Yes Yes

Return?

and No No

No or B.Office

15.Is this your first Return?

Residence

16.Are you assessed to Income Tax?

STATEMENT OF NET WEALTH AND TAX STATEMENT OF NET WEALTH 17 Aggregate Value of immovable property (item 28.1e) 18 Aggregate Value of movable property (item 28.2d) 19 Includible net wealth of other persons (item 28.3e) Aggregate value of interest in assets held in a Firm/AOP as 20 partner/member (item 28.4f) 21
NET WEALTH(As Rounded off to nearest multiple of hundred rupees)(17+18+19+20) in Words

112 113 114 115 116

0 0 0 0

STATEMENT OF TAX 22 Tax on Net Wealth 23 Add : interest on late filing of return 24 TOTAL TAX AND INTEREST PAYABLE (22+23) 25 Less prepaid tax and interest (Attach Challans) Date Name of the Bank and Branch I II III Total 26 Balance tax and interest payable (24-25) 27 Amount of refund due, if any 118 119 135 Branch Code Amount (Rs.)

137 149 151

COMPUTATION OF NET WEALTH INCLUDING NET WEALTH OF OTHE PERSON(S) INCLUDIBLE IN ASSESSEE'S NET WEALTH
VALUE OF ASSETS AS DEFINED U/S 2 (ea) OF THE WEALTH TAX ACT

28.1 IMMOVABLE PROPERTY Description (a) Building(s)S.2(ea)(i) Urban Land(s)S.2(ea)(v) Total Address (b) As per Statement As per Statement Value as per Schedule III (c) Debts owned Net Amount in relation to (c)- (d) ] the asset (d) (e) [

0 Source: www.taxguru.in

0 154

0 0

28.2 MOVABLE PROPERTY Description (a) (i) Motor Cars S.2(ea)(ii) (ii) Jewellery etc.S.2(ea)(iii) (iii) Yachts, etc S.2(ea)(iv) (iv) Cash in Hand S.2(ea)(vi) Total Value as per Schedule III (b) Debts owned in relation to the asset (c) Net Amount (b)- (c) ] (d) [

0 155 Debts owned Net Amount in relation to (c)- (d) ] the asset (d) (e)

0 0

28.3 INCLUDIBLE NET WEALTH OF OTHER PERSONS Name of other Person (a) Relationship (b) Aggregate Value of all Assets (c) [

Total

0 156

0 0

28.4 INTEREST HELD IN THE ASSETS OF A FIRM OR ASSOCIATION OF PERSONS (AOP) AS A PARTNER OR MEMBER THEREOF Names and Address of Firm(s) / AOP(s) (a) Name(s) of other Partners / Members (b)
Value of the Assessee' Assessee's interest s Profit in the assets of firm Sharing / AOP as per ratio % Schedule III

Debts owned Net Amount in relation to (d)- (e) ] such interest (e) (f)

(c)

(d)

Total 29 ASSETS CLAIMED EXEMPT Description of Asset Value

0 157

0 0

Debts owned in relation to the asset

Reason for the claim

30 LIST OF DOCUMENTS / STATEMENTS ATTACHED Description In figures

In Words

VERIFICATION I, Son / daughter of declare that , to the best of my knowledge and belief, the information given in this return and the annexures and statements accompanying it is correct and complete, and that the net wealth and other particulars shown therein are truly stated and in accordance with the provisions ot the Wealthtax Act, 1957, in respect of net wealth as on the valuation date chargeable to the Wealth-tax for the assessment year I Further declare that I am making this return in my capicity as and that I am competent to make this return and verify it. Date : 1/7/2014 Place : Pune Signature Source: www.taxguru.in

FORM NO. BA RETURN OF NET WEALTH [See rule 3(1)(B)) of Wealth-Tax Rules,1957] (FOR INDIVIDUALS / HINDU UNDIVIDED FAMILIES / COMPANIES) ACKNOWLEDGEMENT For Office use only g g PLEASE FOLLOW ENCLOSED INSTRUCTIONS PAN MUST BE QUOTED g USE BLOCK LETTERS ONLY AAXPR7562H Seal and Signature of Receiving Official 8 Ward / Circle / Special Range 9 If there is change in jurisdiction, state old B. OFFICE P ) Ward / Circle / Special Range 10 Valuation Date 11 Assessment Year 2011-12 Telephone 4 Sex (M/F) 6 Status 15-04-1952 No or P M Individual 13.Whether Original P or u/s 14 / 15 / 17 14. If revised,Receipt No. date of filing original Return 15.Is this your first Return? Yes 16.Are you assessed to Income Tax? Yes No P and 31st March 2011 12. Residential Ststus RESIDENT Revised Return? Receipt No. Date

1 PERMANENT ACCOUNT NUMBER 2 NAME ( A. RESIDENCE 133 4th Nain Road, Industrial Town BANGALORE PIN 560044 Fax if any 5 Date of Birth/formation (DD-MM-YYYY) 3 ADDRESS FOR COMMUNICATION or

A. RAVINDRANATH

7 Is there any change in Address? Yes if yes, whether A. Residence

B.Office

P No

STATEMENT OF NET WEALTH AND TAX STATEMENT OF NET WEALTH 17 Aggregate Value of immovable property (item 28.1e) 18 Aggregate Value of movable property (item 28.2d) 19 Includible net wealth of other persons (item 28.3e) 20 Aggregate value of interest in assets held in a Firm/AOP as partner/member (item 28.4f) 112 113 114 115 116 29,099,124 920,747 20,825,143 50,845,000

21 NET WEALTH(As Rounded off to nearest multiple of hundred rupees)(17+18+19+20) Five Crores Eight Lakhs Forty Five Thousand Fourteen only in Words STATEMENT OF TAX 22 Tax on Net Wealth 23 Add : interest on late filing of return 24 TOTAL TAX AND INTEREST PAYABLE (22+23) 25 Less prepaid tax and interest (Attach Challans) Date I III Total 26 Balance tax and interest payable (24-25) 27 Amount of refund due, if any 30/03/2012 11/9/2012 II 18/08/2012 Name of the Bank and Branch State Bank of India, Commercial Branch Bangalore State Bank of India, Commercial Branch Bangalore State Bank of India, Commercial Branch Bangalore

118 119 135

478,450 47,840 526,290

Branch Code 4196 4196 4196 137 149 151

Amount (Rs.) 100,000 200,000 226,290 526,290 -

COMPUTATION OF NET WEALTH INCLUDING NET WEALTH OF OTHE PERSON(S) INCLUDIBLE IN ASSESSEE'S NET WEALTH VALUE OF ASSETS AS DEFINED U/S 2 (ea) OF THE WEALTH TAX ACT 28.1 IMMOVABLE PROPERTY Description (a) Building(s)S.2(ea)(i) Urban Land(s)S.2(ea)(v) Total Address (b) As per Statement As per Statement Value as per Schedule III (c) 26870630 2228494 29099124 0 154 28.2 MOVABLE PROPERTY Description (a) (i) Motor Cars S.2(ea)(ii) (ii) Jewellery etc.S.2(ea)(iii) (iii) Yachts, etc S.2(ea)(iv) (iv) Cash in Hand S.2(ea)(vi) Total Value as per Schedule III (b) 0 776000 0 144747 920747 0 155 28.3 INCLUDIBLE NET WEALTH OF OTHER PERSONS Name of other Person (a) Relationship (b) Aggregate Value of all Assets (c) Debts owned in relation to Net Amount the asset (b)- (c) ] (c) 0 0 0 (d) 776,000 144,747 920,747 920,747 [

Debts owned in relation to the asset (d)

Net Amount (c)- (d) ] (e)

26,870,630 2,228,494 29,099,124 29,099,124

Debts owned in relation to the asset (d)

Net Amount (c)- (d) ] (e)

0 Total 0 0 156 28.4 INTEREST HELD IN THE ASSETS OF A FIRM OR ASSOCIATION OF PERSONS (AOP) AS A PARTNER OR MEMBER THEREOF Names and Address of Name(s) of other Firm(s) / AOP(s) Partners / Members (a) (b) A. Ravindranath Rajhans Enterprises A.Balachandra Murthy A.R. Ashwath B. Akash Total Assesse e's (c) 51% 25% 12% 12% 183789333 0 157 29 ASSETS CLAIMED EXEMPT Description of Asset Land & Building No. 133, 4th Main, Rajajinagar Land & Building No. 132, 4th Main, Rajajinagar 20,825,143 20,825,143 Value of the Assessee's (d) 183789333 Debts owned in relation to such (e) Net Amount (d)- (e) ] (f) 20,825,143 [ 0 0

Value 1,986,587 4,293,959

Debts owned in relation to Reason for the claim the asset Used for Business Used for Business

Land & Building No. 136, 4th Main, Rajajinagar Land & Building No. 137, 4th Main, Rajajinagar Building No. 61/63 & 66, 2nd Main, Rajajinagar Land & Building No. 50/11, 2nd Main, Rajajinagar Land 62/63, 4th Main Road Land & Building Davanagere Land & Building No. 101, Jayanagar Land & Building No. 134, 4th Main Road Land & Building No. 27 (SK) 2nd Main, Rajajinagar Land Chaitanya Developers No. 273, V.V. Puram House 30 LIST OF DOCUMENTS / STATEMENTS ATTACHED Description

1,528,904 3,341,967 3,353,813 44,596,462 2,345,710 780,752 11,450,200 2,366,150 769,565 53,000

Used for Business Used for Business Used for Business Used for Business Used for Business Rented Residential-Self Occupied Used for Business Rented Residential-Self Occupied

In figures

In Words

VERIFICATION I , A. BALA CHANDRA MURTHY Son / daughter of ASHWATHRAM SHETTY declare that , to the best of my knowledge and belief, the information given in this return and the annexures and statements accompanying it is correct and complete, and that the net wealth and other particulars shown therein are truly stated and in accordance with the provisions ot the Wealthtax Act, 1957, in respect of net wealth as on the valuation date Wealth-tax for the assessment year I Further declare that I am making this return in my capicity as competent to make this return and verify it. Date : Place : 20/10/2012 BANGALORE Signature and that I am chargeable to the

FORM NO. BA RETURN OF NET WEALTH [See rule 3(1)(B)) of Wealth-Tax Rules,1957] (FOR INDIVIDUALS / HINDU UNDIVIDED FAMILIES / COMPANIES) ACKNOWLEDGEMENT For Office use only g g PLEASE FOLLOW ENCLOSED INSTRUCTIONS PAN MUST BE QUOTED g USE BLOCK LETTERS ONLY ABDPB4068P Seal and Signature of Receiving Official 8 Ward / Circle / Special Range 9 If there is change in jurisdiction, state old B. OFFICE P ) Ward / Circle / Special Range 10 Valuation Date 11 Assessment Year 2011-12 Telephone 4 Sex (M/F) 6 Status 8-Jul-1960 No or P M Individual 13.Whether Original P or u/s 14 / 15 / 17 14. If revised,Receipt No. date of filing original Return 15.Is this your first Return? Yes 16.Are you assessed to Income Tax? Yes No P and 31st March 2011 12. Residential Ststus RESIDENT Revised Return? Receipt No. Date

1 PERMANENT ACCOUNT NUMBER 2 NAME ( A. RESIDENCE 134 4th Nain Road, Industrial Town BANGALORE PIN 560044 Fax if any 5 Date of Birth/formation (DD-MM-YYYY) 3 ADDRESS FOR COMMUNICATION or

A. BALACHANDRA MURTHY

7 Is there any change in Address? Yes if yes, whether A. Residence

B.Office

P No

STATEMENT OF NET WEALTH AND TAX STATEMENT OF NET WEALTH 17 Aggregate Value of immovable property (item 28.1e) 18 Aggregate Value of movable property (item 28.2d) 19 Includible net wealth of other persons (item 28.3e) 20 Aggregate value of interest in assets held in a Firm/AOP as partner/member (item 28.4f) 112 113 114 115 116 35,353,343 7,021,788 1,952,393 44,327,500

21 NET WEALTH(As Rounded off to nearest multiple of hundred rupees)(17+18+19+20) Five Crores Eight Lakhs Forty Five Thousand Fourteen only in Words STATEMENT OF TAX 22 Tax on Net Wealth 23 Add : interest on late filing of return 24 TOTAL TAX AND INTEREST PAYABLE (22+23) 25 Less prepaid tax and interest (Attach Challans) Date I III Total 26 Balance tax and interest payable (24-25) 27 Amount of refund due, if any 30/03/2012 11/9/2012 II 18/08/2012 Name of the Bank and Branch State Bank of India, Commercial Branch Bangalore State Bank of India, Commercial Branch Bangalore State Bank of India, Commercial Branch Bangalore

118 119 135

413,275 41,320 454,595

Branch Code 4196 4196 4196 137 149 151

Amount (Rs.) 100,000 200,000 154,595 454,595 -

COMPUTATION OF NET WEALTH INCLUDING NET WEALTH OF OTHE PERSON(S) INCLUDIBLE IN ASSESSEE'S NET WEALTH VALUE OF ASSETS AS DEFINED U/S 2 (ea) OF THE WEALTH TAX ACT 28.1 IMMOVABLE PROPERTY Description (a) Building(s)S.2(ea)(i) Urban Land(s)S.2(ea)(v) Total Address (b) As per Statement As per Statement Value as per Schedule III (c) 34001290 1352053 35353343 0 154 28.2 MOVABLE PROPERTY Description (a) (i) Motor Cars S.2(ea)(ii) (ii) Jewellery etc.S.2(ea)(iii) (iii) Yachts, etc S.2(ea)(iv) (iv) Cash in Hand S.2(ea)(vi) Total Value as per Schedule III (b) 1382716 5529750 0 109322 7021788 0 155 28.3 INCLUDIBLE NET WEALTH OF OTHER PERSONS Name of other Person (a) Relationship (b) Aggregate Value of all Assets (c) Debts owned in relation to Net Amount the asset (b)- (c) ] (c) 0 0 0 (d) 1,382,716 5,529,750 109,322 7,021,788 7,021,788 [

Debts owned in relation to the asset (d)

Net Amount (c)- (d) ] (e)

34,001,290 1,352,053 35,353,343 35,353,343

Debts owned in relation to the asset (d)

Net Amount (c)- (d) ] (e)

0 Total 0 0 156 28.4 INTEREST HELD IN THE ASSETS OF A FIRM OR ASSOCIATION OF PERSONS (AOP) AS A PARTNER OR MEMBER THEREOF Names and Address of Name(s) of other Firm(s) / AOP(s) Partners / Members (a) (b) A.Balachandra Murthy Rajhans Enterprises A. Ravindranath A.R. Ashwath B. Akash Total Assesse e's (c) 25% 51% 12% 12% 17230570 0 157 29 ASSETS CLAIMED EXEMPT Description of Asset No. 132, 4th Main Road Rajajinagar No. 136, 4th Main Road, Rajajinagar 1,952,393 1,952,393 Value of the Assessee's (d) 17230570 Debts owned in relation to such (e) Net Amount (d)- (e) ] (f) 1,952,393 [ 0 0

Value 5,133,508 1,218,416

Debts owned in relation to Reason for the claim the asset Used for Business Used for Business

No. 137, 4th Main Road, Rajajinagar No. 50/11, 2nd Main Road, Rajajinagar No. 66, 2nd Main Road, Rajajinagar Chaitanya Developers Davanagere Building Gandhi Bazaar Building Land & Building No. 101, Jayanagar Land & Building No. 134, 4th Main Road No. 31, Jayanagar, 4th Block No. 273, V.V. Puram House 30 LIST OF DOCUMENTS / STATEMENTS ATTACHED Description

4,082,489 531,004 3,353,813 44,596,462 2,345,710 780,752 11,450,200 2,366,150 769,565 53,000

Used for Business Used for Business Used for Business Used for Business Used for Business Rented Residential-Self Occupied Used for Business Rented Residential-Self Occupied

In figures

In Words

VERIFICATION I , A. BALACHANDRA MURTHY Son / daughter of ASHWATHRAM SHETTY declare that , to the best of my knowledge and belief, the information given in this return and the annexures and statements accompanying it is correct and complete, and that the net wealth and other particulars shown therein are truly stated and in accordance with the provisions ot the Wealthtax Act, 1957, in respect of net wealth as on the valuation date Wealth-tax for the assessment year I Further declare that I am making this return in my capicity as competent to make this return and verify it. Date : Place : 20/10/2012 BANGALORE Signature and that I am chargeable to the

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