2015 Itr2 Pr1 Ellappan 3

Schedules for filing Income Tax Return
Click on the sheets below

1
PART A - GENERAL
Personal Info., Filing Status
PARTB - TI - TTI
PartB-TI,PartB-TTI,Verification
IT
Tax Payments
TDS
Tax Payments (TDS1,TDS2,TDS3)
SALARY
HOUSE_PROPERTY
Schedule S
Schedule HP
CG
OS
Schedule CG
Schedule OS
CYLA-BFLA
Schedule CYLA, Schedule BFLA
10
CFL
ScheduleCFL
11
80G
Schedule 80G
12
VIA
Schedule VIA
Schedule SPI, Schedule SI
SPI - SI
13
14
EI
15
FSI
Schedule EI
Schedule FSI
TR_FA
Schedule TR, Schedule FA
SCH5A
Schedule 5A
16
17
Description
Click on applicable links to navigate to the respective sheet / schedule.
Details of Personal Information and filing status

Computation of total income and tax liability on total income
Details of Advance Tax and Self Assessment Tax Payments of Income-tax
Details of Tax Deducted at Source on Income [As per Form 16, 16 A, 26QB issued by Deductor(s)]
Details of Income from Salary
Details of Income from House Property
Capital Gains
Income from other sources
Details of Income after Set off of Current years losses and Brought Forward Losses of earlier years
Details of Losses to be carried forward to future Years
Details of donation entitled for deduction under Section 80G
Deductions under Chapter VI-A
Schedule SPI - Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor
child, in excess of Rs. 1,500 per child, to be included)
Schedule SI - Income chargeable to tax at special rates
Details of Exempt Income (Income not to be included in Total Income)
Details of Income accruing or arising outside India
Schedule TR - Details of Tax Relief claimed under Section 90 or Section 90A or Section 91.
Schedule FA - Details of foreign assets
Information regarding apportionment of income between spouses governed by Portuguese Civil Code
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FORM
INDIAN INCOME TAX RETURN

[For Individuals and HUFs not having Income from Business or Profession]
ITR-2
Assessment Year 2015-16
(Please see Rule 12 of the Income Tax-Rules,1962)
(Also see attached Instructions)

First Name
Middle Name
PARASURAMAN
Last Name
ELLAPPAN
Flat / Door / Block No

PERSONAL INFORMATION
PAN
AAVPE0881G
Status (I-Individual, H-HUF)
Name of Premises / Building / Village
NO.41, SECOND FLOOR
MUNOTH CENTRE
Road / Street / Post Office
I - Individual
Date of Birth
DD/MM/YYYY
Area / Locality
343, TRIPLICANE HIGH ROAD
TRIPLICANE
Town/City/District
12/05/1979
State
CHENNAI
Email Address-2
Mobile No 1
ellappanlic@gmail.com
9962485433
Do you have Aadhaar Number?
No
M-Male
Country
Pincode
91-INDIA
29-TAMILNADU
Email Address-1 (self)
Sex
(Std code)
Phone
Number
600005
Mobile No 2
Employer Category
OTH
If Yes, then please provide

your Aadhaar Number
Passport Number. (Individual)(If available)

Return filed under section
(Refer Instruction 7 )
Income Tax Ward/Circle

ITO, WARD VI (2)
TUS
Are you governed by Portuguese Civil Code as per section 5A?
11 - On Or BeforeDueDt 139(1)
No
Whether original or revised

return?
Original
FILING STATUS
If revised, defective, Modified then Enter Receipt No
Date of filing of Original

Return
Notice No (Where the original return filed was defective and a notice is
issued to the assessee to file a fresh return Sec 139(9)
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter
date of such notice
Whether this return is being filed by a representative assessee? If yes, please furnish following information
a
Name of the representative
Address of the representative
Permanent Account Number (PAN) of the representative
Residential Status
RES-Resident
No
Part B - TI
1
2
3
Computation of total income . PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AN
ENTERED. For ex : The income figures below will get filled up when the Schedules linked to the Income are filled.
Salaries (7 of Schedule S)
Income from house property (C of Schedule-HP) (Enter nil if loss)
Capital gains
a
Short term
i
Short-term chargeable (15%) 7(ii) of Table E of Schedule CG)
ii
Short-term chargeable (30%) 7(iii) of Table E of Schedule CG)
iii
Short-term (Applicable Rate) 7(iv) of Table E of Schedule CG)
TOTAL INCOME
iv
i
ii
iii
Total short-term (3ai + 3aii + 3aiii)

b
Long-term chargeable (10%) (7v of Table E of Sch CG)
Long-term chargeable (20%) (7vi of Table E of Sch CG)
Long-term (3bi + 3bii )
c
Total capital gains (3aiv + 3biii) (enter nil if loss)
a
Income from sources other than from owning race horses and income chargeable to tax at special rate (1i of
Schedule OS) (enter nil if loss)
b
c
5
6
7
8
9
10
11
12
13
14
Income chargeable to tax at special rate (1fiv of Schedule OS)

Income from the activity of owning and maintaining race horses (3c of Schedule OS)(enter nil if loss)
d
Total (4a+4b+4c) (enter nil if loss)
Total (1+2+3c+4d)
Losses of current year set off against 5 (total of 2xi and 3xi of Schedule CYLA)
Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA +4b)
Brought forward losses set off against 7 (2x of Schedule BFLA)
Gross Total income (7-8)(3xi of Schedule BFLA +4b )
Income chargeable to tax at special rate under section 111A, 112 etc. included in 9
Deductions under Chapter VI-A [r of Schedule VIA and limited to (9-10)]
Total income (9 - 11)
Income which is included in 12 and chargeable to tax at special rates (total of (i) of schedule SI)
Net agricultural income/ any other income for rate purpose (4 of Schedule EI)
1
2
3ai
3aii
3aiii
0
0
0
3aiv
3bi
3bii
3biii
0
0
0
0
3c
4a
4b
4c
65480
0
0
4d
5
6
7
8
9
10
11
12
13
14
15 Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax]
16 Losses of current year to be carried forward (total of xi of Schedule CFL)
Part B - TTI
TAXES PAID
COMPUTATION OF TAX LIABILITY
15
16
Computation of tax liability on total income
Tax payable on total income

a
Tax at normal rates on 15 of Part B-TI
b
Tax at special rates (total of (ii) of Schedule-SI)
c
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum amount not chargeable to
tax]
d
Tax Payable on Total Income (1a+1b-1c)
2 Rebate under section 87A (applicable for resident and if 12 of Part B-TI does not exceed 5 lakh)
3 Tax payable (1d-2)
4 Surcharge on 3 (applicable if 12 of Part B-TI exceeds 1 crore)
5 Education Cess, including secondary and higher education cess, on (3 + 4)
6 Gross tax liability (3+4+5)
7 Tax relief
a
Section 89
b
Section 90/90A (2 of Schedule TR)
c
Section 91 (3 of Schedule TR)
d
Total (7a+7b+7c)
8 Net tax liability (6 7d) Enter 0 if negative
9 Interest payable
a
For default in furnishing the return (section 234A)
b
For default in payment of advance tax (section 234B)
c
For deferment of advance tax (section 234C)
d
Total Interest Payable (9a+9b+9c)
10 Aggregate liability (8 + 9d)
11 Taxes Paid
a
Advance Tax (from column 5 of 18A)
b
TDS (total of column 5 of 18B and column 8 of 18C)
c
Self Assessment Tax (from column 5 of 18A)
1a
1b
1c
0
0
0
1d
2
3
4
5
6
7a
7b
7c
0
0
0
7d
8
9a
9b
9c
0
0
0
9d
10
11a
11b
11c
0
6548
0
TAXES PAID
Total Taxes Paid (11a+11b+11c)
11d
12 Amount payable (Enter if 10 is greater than 11d, else enter 0)

13 Refund (If 11d is greater than 10) (Refund, if any, will be directly credited into the bank account)
12
13
14 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts). Provide the details below.
Sl.No
IFS Code of the Bank
1
CIUB0000279
Other Bank account details
Sl.No
Name of the Bank
Account Number
CITY UNION BANK LTD
IFS Code of the Bank
279001001502481
Name of the Bank
Type
SAVINGS
Account Number
2
3
4
5
Type
(Select)
(Select)
(Select)
(Select)
(Do Not Delete Blank Rows)

15 Do you have 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
(ii) ) have signing authority in any account located outside India or
(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 ]
15
VERIFICATION
I,
MR. ELLAPPAN
son/ daughter of
solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and that the amount of total income/ fring
particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income and fringe benefits chargeable to Income-tax for the pr
to the assessment year 2015-16.
Place
CHENNAI
PAN
AAVPE0881G
(Date)
06/07/2015
16 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP
Name of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof
Counter Signature of TRP
17
ED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE
n the Schedules linked to the Income are filled.
0
0
65480
65480
0
65480
0
65480
0
#VALUE!
#VALUE!
#VALUE!
0
#VALUE!
0
0
#VALUE!
#VALUE!
0
#VALUE!
#VALUE!
0
#VALUE!
0
#VALUE!
6548
#VALUE!
#VALUE!
counts)
1
Type of Account
SAVINGS
Type of Account
(Select)
(Select)
(Select)
(Select)
e Blank Rows)
No
MR.PARASURAMAN
es thereto is correct and complete and that the amount of total income/ fringe benefits and other
, in respect of income and fringe benefits chargeable to Income-tax for the previous year relevant
06/07/2015
18 A
TAX
PAYMENTS
Details of payments of Advance Tax and Self-Assessment Tax

Sl No
BSR Code
Date of Deposit
(DD/MM/YYYY)
Serial Number of
Challan
Amount (Rs)
2
If no entry is made in this
column, then columns (3) to (5)
will not be considered for that
row
1
2
3
4
5
6
Total
NOTE
Enter the totals of Advance tax and Self-Assessment tax in Sl No. 11a & 11c of Part B-TTI
(Do not delete blank rows)
18 B
Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]
Sl No
Tax Deduction Account

Number (TAN) of the
Deductor
Name of the Employer
Income chargeable
under Salaries
Total tax
deducted
1
2
3
4
Total
18 C
Details of Tax Deducted at Source on Income [As per FORM 16 A issued by Deductor(s)
Sl No
1
2
Tax Deduction Account

Number (TAN) of the
Deductor
Name of Deductor
Unique TDS Certificate

Number
2
If no entry is made in this column,
then columns (3) to (7) will not be
considered for that row
Unclaimed TDS brought forward (b/f)
Financial Year in which

TDS is deducted
5
Amount b/f
6
TDS of the current

fin. Year
Amount out of (6) or (7) bei

if corresponding income is b
year
In own hands
8
CHEL00264F
LIC OF INDIA CBO 25
2014
5876
5876
CHES24709G
STAR HEALTH AND

ALLIED INSURANCE
COMPANY LIMITED
2014
672
672
3
4
Total
6548
18 C
Details of Tax Deducted at Source (TDS) on Sale of Immovable Property u/s 194IA (For seller of property) As per Form 26QB]
Sl No
PAN of the buyer
Name of the buyer
Unique TDS Certificate

Number
2
If no entry is made in this column,
then columns (3) to (7) will not be
considered for that row
Unclaimed TDS brought forward (b/f)
Financial Year in which

TDS is deducted
5
Amount b/f
6
TDS of the current

fin. Year
Amount out of (6) or (7) bei

if corresponding income is b
year
In own hands
8
1
2
3
4
Total
te blank rows)
Amount out of (6) or (7) being claimed this Year (only

if corresponding income is being offered for tax this
year)
In the hands of spouse, if

section 5A is applicable
9
Amount out of (6) or (7)

being carried forward
10
0
0
0
0
Form 26QB]
te blank rows)
Amount out of (6) or (7) being claimed this Year (only

if corresponding income is being offered for tax this
year)
In the hands of spouse, if

section 5A is applicable
9
Amount out of (6) or (7)

being carried forward
10
0
0
0
0
Schedule S
Details of Income from Salary (Fields marked in RED should not be left Blank)
Name of Employer
Address of employer
State
1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separate
2 Allowances exempt under section 10 (Not to be included in 7 below)
i
Travel concession/assistance received [(sec. 10(5)]
ii
Tax paid by employer on non-monetary perquisite [(sec. 10(10CC)]
iii
Allowance to meet expenditure incurred on house rent [(sec. 10(13A)]
iv
Other allowances
3 Allowances not exempt (refer Form 16 from employer)
4 Value of perquisites (refer Form 16 from employer)
5 Profits in lieu of salary (refer Form 16 from employer)
6 Deduction u/s 16 (Entertainment allowance by Government and tax on employment)
7 Income chargeable under the Head Salaries (1 + 3 + 4 + 5 - 6)
Total
s of Income from Salary (Fields marked in RED should not be left Blank)
(Select)
xempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below)
der section 10 (Not to be included in 7 below)
ion/assistance received [(sec. 10(5)]
2i
mployer on non-monetary perquisite [(sec. 10(10CC)]
2ii
meet expenditure incurred on house rent [(sec. 10(13A)]
2iii
2iv
t (refer Form 16 from employer)
efer Form 16 from employer)
(refer Form 16 from employer)
rtainment allowance by Government and tax on employment)
der the Head Salaries (1 + 3 + 4 + 5 - 6)
PAN of Employer (optional)
PAN of Employer (optional)

Town/City
Pin code
1
3
4
5
6
7
0
0
SCH HP Details of Income from House Property (Fields marked in RED must not be left Blank)
ADDRESS OF PROPERTY
(NOTE : DO NOT LEAVE
ADDRESS BLANK )
Town/ City
State
PIN Code
(Select)
Is the property co-owned?
Your percentage of share in the

property.
(Select)
NAME OF CO-OWNER (TO ADD MORE

COOWNERS,
PAN of Co-owner
PLEASE CLICK ON "ADD COOWNERS" BUTTON
AT THE BOTTOM
S.No
Percentage Share in Property
1
2
3
4
5
Type of House Property ?
(Select)
S.No
Name of Tenant
PAN of Tenant (optional)
1
2
a
b
c
d
e
f
Annual letable value or rent received or receivable

(higher
of the
let out
for whole
of the year, lower of the two if let out for part of the year)
The
amount
oftwo,
rent ifwhich
cannot
be realized
Tax paid to local authorities
Total (b + c)
Annual value (a d) (nil, if self -occupied etc. as per section 23(2)of the Act)
Annual value of the property owned (own percentage share x e)
g 30% of f
h Interest payable on borrowed capital
i
Total (g + h)
0
e
f
0
Cannot exceed 2 lacs if not

let out
i
j Income from house property (f i)
ADDRESS OF PROPERTY
(NOTE : DO NOT LEAVE
ADDRESS BLANK )
Town/ City
State
PIN Code
(Select)
Is the property co-owned?
Your percentage of share in the

property.
(Select)
NAME OF CO-OWNER (TO ADD MORE

COOWNERS,
PAN of Co-owner
PLEASE CLICK ON "ADD COOWNERS" BUTTON
AT THE BOTTOM
S.No
Percentage Share in Property
1
2
3
4
5
Type of House Property ?
(Select)
S.No
Name of Tenant
PAN of Tenant (optional)
1
2
a
b
c
d
e
f
Annual letable value or rent received or receivable

(higher
of the
let out
for whole
of the year, lower of the two if let out for part of the year)
The
amount
oftwo,
rent ifwhich
cannot
be realized
Tax paid to local authorities
Total (b + c)
Annual value (a d) (nil, if self -occupied etc. as per section 23(2)of the Act)
Annual value of the property owned (own percentage share x e)
g 30% of f
h Interest payable on borrowed capital
i
Total (g + h)
0
e
f
0
Cannot exceed 2 lacs if not

let out
i
j Income from house property (f i)

A Rent of earlier years realized under section 25A/AA
j
A
B Arrears of rent received during the year under section 25B after deducting 30%
C Total (A + B + Total of (j) for all properties above) (if negative take the figure to 2i of schedule CYLA)
B
C
0
0
0
0
Schedule CG
Capital Gains
A Short-term Capital Gains (STCG) (Items 3 , 4 and 7 are not applicable for residents)
1
From sale of land or building or both
CAPITAL GAINS
c
d
e
2
Full value of consideration received/receivable
ai
ii
Value of property as per stamp valuation authority
aii
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii)
aiii
Deductions under section 48

i
Cost of acquisition without indexation
ii
Cost of Improvement without indexation
bi
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii + biii)
biv
1c
1d
Balance (aiii biv)

Deduction under section 54B(Specify details in item D below)
Short-term Capital Gains on Immovable property (1c - 1d)
(i) 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 111A
ia Full value of consideration
ib Deductions under section 48
i
ii
iii
iv

Total ( i + ii + iii)
2ia
bi
bii
biii
ibiv
ic
Balance (2a 2biv)
2ic
id
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of
such asset to be ignored (Enter positive value only)
2id
ie
Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 111A [for others] (2c +2d)
(ii) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid u/s 115AD(1)(b)(ii) [for Foreign Institutional Investors]
iia Full value of consideration
iib Deductions under section 48
i
ii
iii
iv
Total ( i + ii + iii)
iic Balance (2a 2biv)
2iia
bi
bii
biii
iibiv
2iic
iid Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of
such asset to be ignored (Enter positive value only)
iie
5
Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 115AD(1)(b)(ii) [for Foreign Institutional Investors] (2iic +2iid)
From sale of assets other than at A1 or A2 or A3 or A4 above

a Full value of consideration
b Deductions under section 48
i
ii
iii
iv
Total (i + ii + iii)
c Balance (5a biv)
d
2iid
5a
bi
bii
biii
biv
5c
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 record date and dividend/income/bonus units are received,
then loss arising out of sale of such asset to be under (Enter positive value only)
5d
e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d)

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? If yes, (Select)
then provide the details below
Previous year in
which asset
transferred
Section under which

deduction claimed in
that year
New asset acquired/constructed

Year in which asset
acquired/constructed
Amount utilised out of

Capital Gains account
Amount not used for new

asset or remained
unutilized in Capital gains
account (X)
Sl.
i
ii
1
2
2011-12
2012-13
(Select)
(Select)
54B
(Select)
Long-term Capital Gains
b Amount deemed to be short term capital gains, other than at a

Total amount deemed to be short term capital gains (Xi + Xii + b)
8 Total Short-term Capital Gain chargeable under I.T. Act (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6-A7)
B Long-term capital gain (LTCG) (Items 4, 5, 6 and 9 are not applicable for residents)
1 From sale of land or building or both
i
Full value of consideration received/receivable
a
ii
Value of property as per stamp valuation authority
b
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains
(ai or aii)
Deductions under
section 48
ai
aii
aiii
b
i
ii
iii
iv
c
Cost of acquisition with indexation

Cost of Improvement with indexation
Total (bi + bii + biii)
Balance (aiii biv)
di Deduction under section 54 (Specify details in item D below)

dii Deduction under section 54B (Specify details in item D below)
diii Deduction under section 54EC (Specify details in item D below)
div Deduction under section 54F (Specify details in item D below)
dv Deduction under section 54GB (Specify details in item D below)
d Total Deduction under section 54/54B/54EC/54F/54GB (Specify details in item D below)
e Long-term Capital Gains on Immovable property (1c - 1d)
From sale of bonds or debenture (other than capital indexed bonds issued by Government)
i
ii
Cost of improvement without indexation
iii
iv
Total (bi + bii +biii)
c
di
dii
d
Balance (2a biv)

Deduction under sections 54EC (Specify details in item D below)
Deduction under sections 54F(Specify details in item D below)
Deduction under sections 54EC/54F(Specify details in item D below)
LTCG on bonds or debenture (2c 2d)
bi
bii
biii
biv
1c
di
dii
diii
div
dv
1d
2a
bi
bii
biii
biv
2c
di
dii
2d
(i) From sale of listed securities(other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable or unit of a Mutual Fund transferred on or before 10-07-2014 (taxable @ 10% witho
ia Full value of consideration
ib Deductions under section 48
i
ii
iii
iv
ic Balance (3a biv)
di Deduction under sections 54EC(Specify details in item D below)
dii Deduction under sections 54F(Specify details in item D below)
id Deduction under sections 54EC/54F(Specify details in item D below)
3ia
bi
bii
biii
ibiv
3ic
di
dii
3id
ie
Long-term Capital Gains on assets at B3 above (3c 3d)

(ii) From sale of GDR of an Indian company referred in sec. 115ACA
i
ii
iii
iv
c Balance (3a biv)
di Deduction under sections 54EC(Specify details in item D below)
dii Deduction under sections 54F(Specify details in item D below)
d Deduction under sections 54EC/54F(Specify details in item D below)
e Long-term Capital Gains on assets at B3 above (3c 3d)
From sale of assets where B1 to B6 above are not applicable
i
Cost of acquisition with indexation
ii
Cost of improvement with indexation
iii
iv
c Balance (7a biv)
di Deduction under sections 54EC (Specify details in item D below)
dii Deduction under sections 54F (Specify details in item D below)
d Deduction under sections 54EC/54F (Specify details in item D below)
e Long-term Capital Gains on assets at B7 above (7c-7d)
3iia
bi
bii
biii
iibiv
3iic
di
dii
3iid
7a
bi
bii
biii
biv
7c
di
dii
7d
8. 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? If yes, (Select)
then provide the details below
New asset acquired/constructed
Section under which
Amount not used for new
Previous year in
deduction claimed in
asset or remained
which asset
that year
Year in which asset
Amount utilised out of
unutilized in Capital gains
transferred
acquired/constructed
Capital Gains account
account (X)
Sl.
i
ii
1
2
2011-12
2012-13
(Select)
(Select)
54B
(Select)
b Amount deemed to be long-term capital gains, other than at a

Total amount deemed to be long-term capital gains (aXi + aXii + b)
10 Total long term capital gain chargeable under I.T. Act [B1e +B2e+B3e + B4c + B5e +B6c+ B6f+ B7e+ B8-B9] (In case of loss take the figure to 5xi of schedule CFL)
C Income chargeable under the head CAPITAL GAINS (A8 + B10) (take B10 as nil, if loss)(If C is negative, take the figure to 4xi of schedule CFL and if it is positive, take the figure to respective row in item E)
D Information about deduction claimed
1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
Section
Amount of Deduction Cost of New Asset
1
2
3
4
5
6
Date of its acquisition/

construction
Amount deposited in
Capital Gains Accounts
Scheme before due date
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
c
2
1c
Total deduction claimed
In case of deduction u/s 54GB, furnish PAN of the company
E Set-off of current year capital losses with current year capital gains (excluding amounts included in A7 & B9 which is chargeable under DTAA)
SI.
Type of Capital Gain
i
ii
Loss to be set off (Fill this row if figure

computed is negative)
------>
15%
Short term
capital gain
Short term capital loss set off
Curre
rem
Long term capital loss set off
Gain of current year

(Fill this column only if
computed figure is
positive)
15%
30%
applicable rate
10%
20%
iii
iv
v
vi
vii
Short term
capital gain
30%
applicable rate
10%
20%
Long term
capital gain
Total loss set off
(ii + iii + iv + v + vi)
viii Loss remaining after set off

(i vii)
F Information about accrual/receipt of capital gain
Type of Capital gain / Date
Upto 15/9
(i)
16/9 to 15/12
(ii)
Short-term capital gains taxable at the rate of 15%

Enter value from item 3iii of schedule BFLA, if any.
Short-term capital gains taxable at the rate of 30%

Enter value from item 3iv of schedule BFLA, if any.
Short-term capital gains taxable at applicable rates

Enter value from item 3v of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 10%
Enter value from item 3vi of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 20%

Enter value from item 3vii of schedule BFLA, if any.
4
5
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
0
0
A1e
A2ie
111A
0
0
b)(ii) [for Foreign Institutional Investors]
0
0
A2iie
0
0
A5e
A6
A8
0
0
(Select)
0
0
0
B1e
B2e
0
0
tual Fund transferred on or before 10-07-2014 (taxable @ 10% without indexation benefit)
0
0
B3ie
B3iie
B7e
0
0
0
0
(Select)
B8
ure to 5xi of schedule CFL)

FL and if it is positive, take the figure to respective row in item E)
B10
C
0
0
0
Current years capital gains

remaining after set off
(7= 1-2-3-4-5-6)
0
0
0
0
16/3 to 31/3
(iv)
16/12 to 15/3
(iii)
Sch OS
OTHER SOURCES

Income
a
b
Dividends, Gross
Interest, Gross
1a
1b
c
d
Rental income from machinery, plants, buildings, etc., Gross
1c
Others, Gross (excluding income from owning race horses) (Fill up the Source and the Income Below).
Note: For source other than the available Section Codes in Sl no 3 dropdown and Sl no1, Pl enter
Source
description in Sl no 2 below. Note: Do not enter amount without
selecting Section Code/Filling
(i)
Description. 1st coumn is mandatory.
1
5BB-Winnings from lotteries, crossword puzzles etc.
LIC/STAR HEALTH INSURANCE - COMMISSION RECEIVED
2
3
4
5
1d
Income
(ii)
65480
(Select)
(Select)
(Select)
Total
65480
e
f
Total (1a + 1b + 1c + 1d)

Income included in 1e chargeable to tax at special rate (to be taken to schedule SI)
i
Winnings from lotteries, crossword puzzles, races, games, gambling,

betting etc (u/s 115BB)
1fi
ii
Any other income chargeable to tax at the rate specified under chapter XII/XII-A
1fii
1fiv
iv Income included in 1e chargeable to tax at special rate (1fi +1fii+ 1fiii)

g
Gross amount chargeable to tax at normal applicable rates (1e-1fiv)
1g
65480
Deductions under section 57 (other than those relating to income under 1fi, 1fii & 1fiii for non-residents)
i Expenses / Deductions
ii Depreciation
iii Total
hi
hii
hiii
i
2
3
Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g hiii)
schedule CYLA)
Income from other sources (other than from owning race horses) (1fiii + 1i) (enter1i as nil, if negative)
Income from the activity of owning and maintaining race horses
a Receipts
b Deductions under section 57 in relation to (3)
c
Balance (3a 3b) if negative, take figure to 6xi of Sch CFL
Income under the head Income from other sources (2 + 3c) (take 3c as nil if negative)
NOTPlease include the income of the specified persons referred to in Schedule SPI while computing the income under this head
3a
3b
(If negative take the figure to 3i of
delete blank rows)
1e
65480
ad
1i
65480
65480
3c
65480
Schedule CYLA
CURRENT YEAR LOSS ADJUSTMENT
Sl.No
Head/ Source of Income
Income of current year (Fill

this column only if income is
positive)
ii
iii
iv
v
vi
vii
viii
ix
xi
xii
Salaries
House property
Short-term capital gain taxable @ 15%
Short-term capital gain taxable @ applicable rates
Long term capital gain taxable @ 10%
Other sources (excluding profit from owning race
horses and amount chargeable to special rate of tax)
i
ii
Current years
Income remaining
after set off
0
4=1-2-3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
65480
0
0
0
0
0
0
0
0
0
0
0
65480
Profit from owning and maintaining race horses

Total loss set-off
(ii + iii + iv + v + vi + vii + viii + ix + x)
Loss remaining after set-off (i - xi)
Schedule BFLA
Sl.
No.
Other sources loss (other

than loss from race
horses) of the current
year set off
House property loss of the

current year set off
Loss to be set off

1
LOSS ADJUSTMENT
Details of Income after set-off of current years losses
Head/ Source of Income
Salaries
House property
Details of Income after Set off Brought Forward Losses of earlier years
Income after set off, if any, of
current years losses as per
col. 4 of Schedule CYLA
Brought forward loss

set off
Current years
income remaining
after set off
0
0
0
0
BROUGHT FORWARD LOSS ADJUSTMENT
iii
iv
v
vi
vii
viii

Short-term capital gain taxable @ applicable rates
Other sources (excluding profit from owning race
horses and winnings from lottery, game etc.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
65480
ix
65480
Profit from owning and maintaining race horses

0
Total of brought forward loss set off

(ii2 + iii2 + iv2 + v2+vi2+vii2+ix2)
xi
Current years income remaining after

set off Total (i3 + ii3 + iii3 + iv3 +
v3+vi3+vii3+viii3+ix3)
Please click on "Compute Set off" button on top to allow the utility to auto fill
the Adjustment of Current Year and Brought Forward Loss in yellow fields .
65480
Schedule CFL
CARRY FORWARD OF LOSS
Sl.
No.
Details of Losses to be carried forward to future Years
Assessment Year
Date of Filing
(DD/MM/ YYYY)
House
property loss
Short-term
capital loss
Long-term
Capital loss
2007-08
ii
2008-09
iii
2009-10
iv
2010-11
2011-12
vi
2012-13
vii
2013-14
viii
2014-15
ix
Total of earlier year

losses
Adjustment of above
losses in ScheduleBFLA
xi
2015-16 (Current year losses)
xii
Total loss Carried Forward to future years
Loss from owning and maintaining

race horses
0
0
Schedule 80G
Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction without qualifying limit.

A (Please see the NOTE given below) (Note : If no entry is made in Donee Name, then other columns will not be considered for that row)
Name of donee
Address
City or Town or
District
1
2
3
4
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GA

B Donations entitled for 50% deduction without qualifying limit
Name of donee
Address
City or Town or
District
1
2
3
4
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GB :
C Donations entitled for 100% deduction subject to qualifying limit

Name of donee
Address
City Or Town Or
District
State Code
PinCode
PAN of Donee
Amount of donation
Eligible Amount of
Donation
1
2
3
4
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GC :
#VALUE!

D Donations entitled for 50% deduction subject to qualifying limit
City Or Town Or
Name of donee
Address
District
1
2
3
4
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GD
0
0
0
0
0
#VALUE!
#VALUE!

E Total Donations (A + B + C + D)
NOTE : (IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),
PLEASE USE PAN AS "GGGGG0000G")
TOTAL DEDUCTIONS
Schedule VI-A
Deductions under Chapter VI-A
System Calculated
80C
80CCC
c(i)
80CCD(1) (assessees contribution)
c(ii)
c(ii)
80CCD(2) (employers contribution)
c(i)
80CCG
80D
#VALUE!
80DD
80DDB
80E
80EE
80G
#VALUE!
#VALUE!
80GG
#VALUE!
80GGA
80GGC
80QQB
80RRB
80TTA
80U
Total deductions (total of a to q)
#VALUE!
#VALUE!
Sch SPI
Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor child, in excess of Rs. 1,500 per child, to be included)
Sl No
Name of person
PAN of person (optional)
Relationship
Nature of Income
Amount (Rs)
1
2
3
4
5
6
Total
Sch SI
Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
SPECIA
L RATE Sl
No
Section
code (Serial nos other than Sl no 1,2 are
autofilled)
111 - Tax on accumulated balance of

recognised PF
Chargeable under DTAA Rate
Taxable Income after

adjusting for Min Chargeable
to Tax
Income
i
System calculated tax thereon
15
#VALUE!
#VALUE!
20
#VALUE!
#VALUE!
10
#VALUE!
#VALUE!
10
111A (STCG on shares where STT paid)
112 (LTCG on others)
112 proviso (LTCG on listed securities/

units without indexation)
Special rate
(%)
112(1)(c)(iii)(LTCG on unlisted securities in

case of non-residents)
115BB (Winnings from lotteries, puzzles,

races, games etc.)
115AD(1)(ii) -STCG (other than on equity

share or equity oriented mutual fund
referred to in section 111A) by an FII
115AD(1)(b)(ii)- Short term capital gains

referred to in section 111A
10
11
115A(1)(a)(i)- Dividends interest and

income from units purchase in foreign
currency
115A(1)(a)(ii)- Interest received from
govt/Indian Concerns recived in Foreign
Currency
30
30
15
20
20
12
115A(1) (a)(iia) -Interest from Infrastructure

Debt Fund
13
115A(1) (a)(iiaa) -Interest as per Sec.

194LC
14
115A(1) (a)(iiab) -Interest as per Sec.

194LD
15
115A(1) (a)(iiac) -Interest as per Sec.

194LBA
16
115A(1) (a)(iii) - Income received in respect

of units of UTI purchased in Foreign
Currency
20
17
115A(1)(b)(A)- Income from royalty &

technical services
25
18
115A(1)(b)(B) Income from royalty &

technical services
25
19
20
115AC(1)(a & b) - Income from bonds or

GDR purchased in foreign currency - nonresident
115ACA(1)(a) - Income from GDR

purchased in foreign currency -resident
22
115ACA(1)(b) - LTCG arising from the

transfer of GDR purchased in foreign
currency -resident
24
10
10
10
20
10
20
115AC(1)(c) -LTCG arising from the

transfer of bonds or GDR purchased in
foreign currency - non-resident
21
23
10
115AD(1)(i) -Income received by an FII in

respect of securities (other than units as per
Sec 115AB)
115AD(1)(i) -Income received by an FII in
respect of bonds or government securities as
per Sec 194LD
25
115AD(1)(iii)-Long term capital gains by an

FII
26
115BBA - Tax on non-residents sportsmen

or sports associations
27
115BBC - Anonymous donations
30
28
115BBE - Tax on income referred to in

sections 68 or 69 or 69A or 69B or 69C or
69D
30
115E(a) - Investment income
20
29
30
115E(a)-LTCG on any asset other than a

specified asset-non resident Indian
31
115E(b) - Income by way of long term

capital gains
Tax at Spl Rate
20
10
#VALUE!
#VALUE!
EXEMPT INCOME
Schedule EI
Details of Exempt Income (Income not to be included in Total Income)
Interest income
Dividend income
Long-term capital gains from transactions on which Securities Transaction Tax is paid
Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or
8 of I.T. Rules)
i
ii
Expenditure incurred on agriculture
iii Unabsorbed agricultural loss of previous eight assessment years
ii
iii
iv Net Agricultural income for the year (i ii iii) (enter nil if loss)
Others, including exempt income of minor child
Total (1+2+3+4+5)
FSI Details of Income from outside India and tax relief

Sr No
Country Code
(Select)
(Select)
Taxpayer Identification
number
Sr No
i
ii
iii
iv
v
Total
i
ii
iii
iv
v
Total
Head of Income
Income from outside

India (included in
PART B-TI)
(ia)
Tax paid outside India

(ib)
Salary
House Property
Business or Profession
Capital Gains
Other Sources
0
Salary
House Property
Business or Profession
Capital Gains
Other Sources
Tax payable on such

income under normal
provisions in India
(ic)
Tax relief available in

India
(id)= (ib) or (ic)
whichever is lower
Relevant article of
DTAA if relief claimed
u/s 90 or 90A
(ie)
0
0
0
0
0
0
0
0
0
0
0
0
##
##
Schedule TR
1
Summary of tax relief claimed for taxes paid outside India
Details of Tax relief claimed
Country Code
Total
Section under which relief

claimed
(90, 90A or 91)
(e)
Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes,
provide the details below
a) Amount of tax refunded
Schedule FA
A
Total tax relief available

((id+iid+iiid+ivd) of Schedule
FSI
(d)
Total taxes paid outside India

Tax Identification number
((ib+iib+iiib+ivb) of Sch FSI)
(b)
(c)
b) Assessment year in which tax relief allowed in India
Details of Foreign Assets and Income from any source outside India
Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year
Sr No
Country Name and Code
Name of the Bank
Address of the Bank
Account holder name
(1)
(2)
(3)
(4)
(5)
1
2
3
4
5
Status
(6)

B
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
Nature of entity
Name of the Entity
(1)
(2)
(3)
(4)
Address of the Entity
Nature of Interest
(5)
(6)
1
2
3
4
5

C
Details of Immovable Property held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
Address of the Property
(1)
(2)
(3)
Ownership
(4)
Date of acquisition
Total Investment (at cost)

(in rupees)
(5)
(6)
1
2
3
4
5
Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
Nature of Asset
(1)
(2)
(3)
Ownership
(4)
Date of acquisition

(in rupees)
(5)
(6)
1
2
3
4
5

E
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been included in A to D abo
Sr No
(1)
Name of the Institution in which the

account is held
(Note : If no entry is made in this
Address of the Institution
column, then other columns will not be
considered for that row)
(2)
(3)
Name of the Account Holder
Account Number
Peak Balance/Investment /
during the year (in rupees)
(4)
(5)
(6)
1
2
3
4
5

F
Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sr No
Country Code
Name of trust
Address of the trust
Name of trustees
Address of trustees
Sr No
Country Code
(1)
(2)
Name of trust
(3)
Address of the trust
Name of trustees
Address of trustees
(4)
(5)
(6)
1
2
3
4
5

G
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 or profession
Sr No
Country Code
Name of the person from

whom derived
Address of the person from

whom derived
Income derived
(1)
(2)
(3)
(4)
(5)
Nature of income
(6)
1
2
3
4
5

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 acqui
schedule if no income is derived from that asset during the current previous year.
0
0
(Select)
Interest taxable and offered in this return

Account Number
Account opening date
Peak Balance During the

Year (in rupees)
(7)
(8)
(9)
Interest accrued in the

account
Amount
Schedule where offered
(10)
(11)
(12)
t delete blank rows)
Income taxable and offered in this return

Date since held

(in rupees)
Income accrued from such

Interest
Nature of Income
(7)
(8)
(9)
(10)
Amount
(11)
(12)
t delete blank rows)
rows)

Income derived from the
property
Nature of Income
(7)
(8)
Amount
Item number of schedule
(9)
(10)
(11)
Income derived from the

asset
Nature of Income
(7)
(8)
Amount
(9)
(10)
(11)
rows)
cluded in A to D above.
If (7) is yes, Income offered in this return
Whether income accrued
is taxable in your hands?
If (7) is yes, Income

accrued in the account
(7)
Name of Settlor
Amount
(8)
(9)
(10)
(11)
Address of Settlor
Name of Beneficiaries
Address of Beneficiaries
Date since position held
rows)
Whether income derived is

taxable in your hands?
Name of Settlor
Address of Settlor
Name of Beneficiaries
Address of Beneficiaries
Date since position held
Whether income derived is

taxable in your hands?
(7)
(8)
(9)
(10)
(11)
(12)
rows)
ofession
Whether taxable in your

hands?
Amount
(7)
(8)
(9)
(10)
t visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this
Interest taxable and offered in this return

(13)

(13)
If (12) is yes, Income derived

from the trust
If (12) is yes, Income derived

from the trust
Amount
(13)
(14)
(15)
(16)
Information regarding apportionment of income between spouses governed by

Portuguese Civil Code
Name of the Spouse
Schedule 5A
PAN of the Spouse

Heads of Income
Income received under the

head
Amount apportioned in the

hands of the spouse
(i)
(ii)
(iii)
House Property
Business or profession
Capital Gains
Other Sources
Total
Amount of TDS deducted

on income at (ii)
TDS apportioned in the

hands of spouse
(iv)
(v)
Schedule
SCHEDULE S
HOUSE_PROPERTY
SPI
SI
IT
TDS1
TDS2
TDS3
No of entries
1
2
0
33
0
0
2
0
VERIFICATION DETAILS
Name
Son / daughter of
Place
Date
PARASURAMAN ELLAPPAN
MR.PARASURAMAN
CHENNAI
06/07/2015
Verification PAN
AAVPE0881G
Please verify the following schedules / sheets

whichever showing up as empty, whether they are
optional, not filled, or are they actually empty
Amount
0
0
6548
0
Schedule CFL
Schedule EI
Empty
Empty
1. Validate against each schedule the count of no of entries.
2. This is required to confirm that the total no of entries

entered per schedule is valid and being generated in the final
XML
3. In case this count does not match to the entered number of

entries, you may recheck the schedules, refer to instructions
for filling up tables, and ensure that all entries are valid and
completely entered.
4. Once this sheet is validated, you may click on Save XML to

generate the XML file
If the no of entries are 0

In a schedule, there are mandatory fields
For a row to be valid, these must be
filled in.
Also, do not skip blank rows
Do not leave blank rows in between
Even when a sheet/schedule is filled
the status reflects as 'Empty"

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the utility reflects them as Empty
Even optional schedules, if applicable
have rules for filling.
The mandatory fields required

for an optional schedule cannot be left
blank.

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Schedules for filing Income Tax Return

Click on the sheets below

Personal Info., Filing Status

Tax Payments (TDS1,TDS2,TDS3)

Schedule CYLA, Schedule BFLA

Schedule TR, Schedule FA

Details of Personal Information and filing status

Select applicable sheets below

Select sheets to print and

INDIAN INCOME TAX RETURN

Assessment Year 2015-16

(Please see Rule 12 of the Income Tax-Rules,1962)

(Also see attached Instructions)

Flat / Door / Block No

Name of Premises / Building / Village

NO.41, SECOND FLOOR

Road / Street / Post Office

343, TRIPLICANE HIGH ROAD

Do you have Aadhaar Number?

If Yes, then please provide

Passport Number. (Individual)(If available)

Income Tax Ward/Circle

Are you governed by Portuguese Civil Code as per section 5A?

Whether original or revised

If revised, defective, Modified then Enter Receipt No

Date of filing of Original

Name of the representative

Address of the representative

Permanent Account Number (PAN) of the representative

Total short-term (3ai + 3aii + 3aiii)

Income chargeable to tax at special rate (1fiv of Schedule OS)

COMPUTATION OF TAX LIABILITY

Computation of tax liability on total income

Tax payable on total income

Total Taxes Paid (11a+11b+11c)

12 Amount payable (Enter if 10 is greater than 11d, else enter 0)

IFS Code of the Bank

Name of the Bank

CITY UNION BANK LTD

IFS Code of the Bank

(Do Not Delete Blank Rows)

Counter Signature of TRP

Details of payments of Advance Tax and Self-Assessment Tax

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Tax Deduction Account

Name of the Employer

(Do not delete blank rows)

Tax Deduction Account

Unique TDS Certificate

Unclaimed TDS brought forward (b/f)

Financial Year in which

TDS of the current

Amount out of (6) or (7) bei

LIC OF INDIA CBO 25

STAR HEALTH AND

(Do not delete blank rows)

PAN of the buyer

Name of the buyer

Unique TDS Certificate

Unclaimed TDS brought forward (b/f)

Financial Year in which

TDS of the current

Amount out of (6) or (7) bei

(Do not delete blank rows)