INFORMATION

General Information for

Calculation & Submission of I.T. forms

Data is already filled in cell with YELLOW colour only in "INFO1", sheet, for
filling your data, filled in cell with YELLOW colour only in "INFO1" as per
given data. ( In BLUE cells only and only when necessary ). Any of this cell, if
you do not want to fill any information in "TEXT" format,than click "SPACE
BAR" in that cell. For information in NUMERICAL box when you do not want

5L/F S,Z JF/F ;[,DF\ lJUT EZ[, K[ T[ 5|DF6[ TDFZL lJUT ,FU] 50TF cc;[,cc DF\ NXF"JMP s
JFN/L S,ZGF ;[,DF\ OST H~ZLIFT CMI TM VG[ TM H lJUT EZM fPHIF DFlClT XaNGF
:J~5DF\ CMI VG[ T[ BFGFDF\ SM. lJUT EZJFGL YTL G CMI TM H[ T[ ;[,DF\ cc :5[;
AFZcc S,LS SZMP HIF VF\S0FSLI DFlClT G EZJFGL T[ ;[,DF\ c0L,[8cc S,LS SZMP

For printing of INCO, INCOTAX-P,FORM-16 and SARAL etc , select paper

size in print setup "GENERAL STANDARD FANFOLD 8.5 X 12" for dot matrix
printer & set "A-4" or "LEGAL" size for laser printer.
.gSM4 .gSM8[1Fv5L4 OMD"vGF\P!& VG[ ;Z, JU[Z[GF l5|g8L\U DF8[ l5|g8 ;[8
V5DF\ 5[5ZGL ;F.h 0M8 D[8=LS; 5|Lg8Z DF8[ ccHGZ, :8Fg00" O[GOM<0 (P5 2 !
Z .\Rcc VYJF HM ,[;Z 5|Lg8Z CMI TM ccV[v$cc VYJF cc,LU,cc ;L,[S8 SZMP
VG[ T[ 5|DF6[ ;[8L\U SZMP

Page 1 of 26
 INFORMATION

Please read informatiom about filling this in sheet

"INST".
VF XL8DF\ DFlCTL EZTF 5C[,F "INST" GL XL8DF\
VF5JFDF\ VFJ[,L DFlCTLGM VeIF; SZMP
U]HZFTLDF\ NXF"JJFDF\
Sr. VFJ[, lJUTDF\YL ,FU] 50TL
Description Details
No. lJUT V\U|[ÒDF\ VFU/GF ;
[,DF\ ,BMP
GENERAL INFORMATION
1 First Name BACHCHAN V8S

2 Middle Name AMITABH 5MTFG]\ GFD

3 Father's Name HARISHANKAR l5TFG]\ GFD

4 Grand Father's Name LABHSHANKER NFNFG]\ GFD
3 Designation Superstar CMNMP

6 Flat/Door/Block No "Amitabh" O,[8 q a,MS G\AZ q DSFG

5|LDSF.;L; q lAl<0\U q UFD0FG]\

7 Name Of Premises/Building/Village Lokhandwala Complex
GFD
8 Road/Street/Post Office Khanna Street ZM0 q X[ZL q 5M:8G]\ GFD
9 Area/Locality Colaba V[ZLIF q ,MSF,L8LG]\ GFD
10 Town/City/District Mumbai XC[Z q Ò<,FG]\ GFD

11 State Gujarat ZFHIG]\ GFD

12 Pin code 123456 5LGSM0

GMSZLIFTGL S[8[UZL4 ;ZSFZL4
Employer Category (Write "YES" HFC[Z ;FC; S[ VgI H[ ,FU] 50T]\
13
whichever applicable ) YES Govt PSU Other
CMI T[ BFGFDF\ V\U|[ÒDF\
ccI;cc ,BMP
4 Sex MALE D[, S[ OLD[, DF\YL ,FU] 50T]\ ,BMP
5 Birth date 7/15/1947 HgD TFZLBP
9 Telephone No. (O) 0123-4567890 OMG G\AZP
H[ A[\SDF\ BFT] CMI T[ A[\SG]\
10 Name of the Bank ICICI BANK
GFDP
11 MICR Code of the Bank
H[ A[\SDF\ BFT] CMI T[ A[\SGF
V[DVF.;LVFZ SM0
H[ A[\SDF\ BFT] CMI T[ A[\SG]\
12 Address of the Bank Kalbadevi Branch
;ZGFD]\\P
13 Type of Account SAVING A[\SDF\ BFTFGM 5|SFZP
14 Account Number A[\SGF BFTFGF G\AZP
15 Details of Credit Card : S|[0L8 SF0"GL lJUTP
16 Credit Card Number : S|[0L8 SF0"GF G\AZP
17 Issued by : S|[0L8 SF0" .:I] SZGFZGL lJUT
21 Parmanant Account No. (PAN No.) ABCDE1234F 5FG G\AZP
SR[ZL q BFTFGF J0FGM CMNMP s
18 Head of Office ( first ) Director
5C[,L SR[ZL
SR[ZL f
q BFTFG]\ GFDP s 5C[,L
19 Name of Office ( first ) Dutt Acting School
SR[ZL f
SR[ZL q BFT]\ HIF VFJ[, K[ T[ UFD
20 City of Office ( first ) Mumbai
S[ ;L8LP s 5C[,L SR[ZL f
12 Pin code 5LGSM0
SR[ZLGF 5FG q 8L0LV[; G\AZ
PAN / GIR NO.:- (of Office) OR TAN
22
NO.:- (of Office) ( first )
ABCDE1234F VYJF SR[ZLGF 8FG G\AZ P s 5C[,L
SR[ZL
SR[ZL fq BFTFGF J0FGM CMNMP s
18 Head of Office ( second ) Director
ALÒ SR[ZL
SR[ZL f
q BFTFG]\ GFDP s ALÒ
19 Name of Office ( second ) Dutt Acting School
SR[ZL f
SR[ZL q BFT]\ HIF VFJ[, K[ T[ UFD
20 City of Office ( second ) Mumbai
S[ ;L8LP s ALÒ SR[ZL f
12 Pin code 5LGSM0
SR[ZLGF 5FG q 8L0LV[; G\AZ
PAN / GIR NO.:- (of Office) OR TAN
22
NO.:- (of Office) ( second )
ABCDE1234F VYJF SR[ZLGF 8FG G\AZ P s ALÒ
SR[ZL f
23 Name of Drawing Officer Raj Kapoor SR[ZLGF p5F0 VlWSFZLG]\ GFD
SR[ZLGF p5F0 VlWSFZLGF l5TFG]\
24 Name of Drawing Officer's father Raj Kapoor
GFD
25 Designation of Drawing Officer Director SR[ZLGF p5F0 VlWSFZLGM CMNM
26 Date Of Issuing of Form No. 16 4/30/2010 OMD" G\AZ .:I] SIF"GL TFZLB
VFJSJ[ZFGF ZL8G" ;FY[ HM0[, 5|
(1) Form No. 16 ( Original )
YD 0MSI]D[g8P
Document to be attached with (2) ALHF 0MSI]D[g8G]\ GFDP
return ( To be attached with
27
"SARAL"
(3) +LHF 0MSI]D[g8G]\ GFDP
Form ) (4) RMYF 0MSI]D[g8G]\ GFDP
(5) 5F\RDF 0MSI]D[g8G]\ GFDP
(6) K99F 0MSI]D[g8G]\ GFDP
Quarter Acknowledgement no.

Q1 317301000010980
Acknowledgement no. of all Quarterly VCL NZ +6 DF; GF VMOL; ãFZF
statement of TDS under sub-Section(3) of
section 200 as provided by TIN facilitation
Q2 317301000010981 EZJFDF\ VFJ[, ZL8G"GF ZL;L58
center or NSDL web site. G\AZ ,BJFP
Q3 317301000010982

Q4 317301000010983

If Government Office than write G SR[ZL ;ZSFZL CMI TM V\U|[ÒDF\

28 or If Semi Government Office than G Ò VG[ HM SR[ZL VW" ;ZSFZL
write S CMI TM V\U|[ÒDF\ V[;
Are you P.H.? Than write here
VF5 XFZLZLS ZLT[ BM0 BF\56
29 NO WZFJTL jIlST s5LPV[RPf KM m TM
YES
VlC V\U|[ÒDF\ cI;c ,BMP
HM TD[ ;LGLIZ ;L8LhG CM TM
If you are Senior Citizen than,write
30 "YES" here,(If you are 65 year old
VCL V\U|[ÒDF\ I; ,BMPsTFP#!
NO
on 31-3-2008)
v_#vZ__( ;]WLDF\ &5 JQF"GL
p\DZf

INFORMATION ABOUT INCOME ( FROM PAY)

2 Basic 0.00
2 H.R.A. 0.00
2 MedicaL 0.00
Detail of pay of month March- DFR"vZ__) GF DF;GL 0L8[.,
2 Washing Allow. 0.00
2009 as per old pay VlC ,BMP
2 Vehicle Allow. 0.00
2 City Allow. 0.00
2 Other Allow. 0.00
DFR"vZ__) DF;DF\ D/[,
5UFZGL VgI lJUTM EZJF
Check and enter neccessary info. in "INCO" Sheet for detail pay of
2
March-2009
DF8[ "INCO" XL8DF\
H.G[ DFR"vZ__)GL ;FD[
,FUTFJ/UTF BFGF RSF;MP
3 Band Pay of April - 2009 0.00 V[5|L,vZ__) GM A[g0 5[ VCL ,BMP

3 Grade Pay of April - 2009 0.00 V[5|L,vZ__) GM U|[0 5[ VCL ,BMP

MAR 47 APR 22 MAY 22 JUN 22

VCL AFH]GF SMQ8SD\F\
13 ARate of D.A. ( % , Percentage) JUL 27 AUG 27 SEP 27 OCT 27
0LPV[PGF 8SF s@f ,BM\P
NOV 27 DEC 27 JAN 27 FEB 27
:5[XLI, 5UFZ D/TM CMI TM T[GM
7 Rate of Special Pay 0.00
NZP
H.R.A. %, 30 OR 20 OR 10 3ZEF0FGM NZ H[D S[ #_4 Z_4 !_
8 0
OR 0 (If living in Qtr.) VYJF _ sX}gIfsNZ[S V\U|[ÒDF\f
9 Medical Allowance 0.00 D[0LS, EyYFGM NZP
WM,F. E\yY] D/T]\ CMI TM T[GM
10 Washing Allowance 0.00
NZP
11 Vehicle Allowance (T.A.)] 0.00 JFCG EyYFGM NZP s 8LPV[Pf
;L8L V[,Fpg; D/T]\ CMI TM T[GM
12 City Allowance 0.00
NZP
Are you getting any other MAR 0 APR 0 MAY 0 JUN 0 TDG[ SM. :5[xI, EyY]\ NZ DF;\ D/T]\
special allowance ? Than write
the type of allowance in below CMI TM T[ EyYFG]\ GFD V\U|
13 cell. JUL 0 AUG 0 SEP 0 OCT 0
[ÒDF\ ATFJ[, ;[,DF\ ,BMP EyYFGM
Cash Allowance NOV 0 DEC 0 JAN 0 FEB 0 NZ NZ[S DF;GF ;[,DF\ ,BMP

Amount of D.A. Arrears (Total from all JQF" NZdIFG D/[, DM\3JFZL
14A 0.00
D.A. Arrears) E\yYFGF TOFJTGL ZSDP
JQF" NZdIFG D/[, DM\3JFZL
Amount deducted of "Proffetional Tax"
14B
from D.A. Arrears
0.00 E\yYFGF TOFJTGL ZSDDF\YL
jIJ;FIJ[ZFGL YI[, S5FTP
JQF" NZdIFG D/[, DM\3JFZL
Amount Paid in Cash from D.A.
14C
Arrears
0.00 E\yYFGF TOFJTGL ZSDDF\YL
S[XDF\ R]SJFI[, ZSDP
JQF" NZdIFG D/[, DM\3JFZL
Amount credited to "GPF" from D.A. E\yYFGF TOFJTGL ZSDDF\YL
14D
Arrears 0.00
ÒP5LPV[OPDF\ HDF SZJF5F+
ZSDP
Other Arrears (Total of all other JQF" NZdIFG D//, VgI V[ZLI;" q
15
Arrears) 0.00
TOFJTGM ;ZJF/M VCL ,BM\P
Amount deducted of "Proffetional Tax" JQF" NZdIFG D/[, VgI V[ZLI;" q
15A from Other Arrears (Total of all other 0.00 TOFJTGL ZSDDF\YL jIJ;FIJ[ZFGL
Arrears) YI[, S5FTP
JQF" NZdIFG D/[, VgI V[ZLI;" q
Amount Paid in Cash from Other
15B
Arrears (Total of all other Arrears) 0.00 TOFJTGL ZSDDF\YL S[XDF\
R]SJFI[,
JQF" ZSDPD/[, VgI V[ZLI;" q
NZdIFG
Amount credited to "GPF" from Other TOFJTGL ZSDDF\YL
15C
Arrears (Total of all other Arrears)
0.00
ÒP5LPV[OPDF\ HDF SZJF5F+
ZSDP
16 Bonus 0.00 AMG; D/T]\ CMI TM T[GL ZSDP
Amount of Bonus Credited to G.P.F. D/[, AMG; 5{SLGL ÒP5LPV[OPDF\
17
(If any)
0.00
HDF SZJF5F+ ZSDP
5ZL1FF S[ VgI SM. JWFZFGL
Remunration(Total of all
18
Remunrations) 0.00 SFDULZL ;AA DC[GTF6]\ D/[, CMI
TM T[GM S], ;ZJF/MP
ZHF ZMS0 EyY]\ ,LW[, CMI TM
19 Leave Surrendar 0.00
T[GL ZSDP
ZHF 5|JF; ZFCTGL H[ ZSD D/[, CMI
T[
20 L.T.C.( if actually enjoyed) 0.00
s HM BZ[BZ 5|JF; SZ[, CMI VG[ D/[,
CMI TM HfP
INFORMATION ABOUT INCOME ( FROM OTHER SOURCES)
A[\SG]\ jIFH D/[, CMI TM T[GL
1 Bank Intrest 0.00
ZSDP
VUFpGF JQFM"DF\ ZFQ8=LI ART
5+MDF\ ZMSF6 SZ[, CMI TM T[GF
2 N.S.C. Interest ( Series-8) 0.00
D/JF5F+ jIFHGL U6TZL SZL T[GL
S], ZSDP
V[GPV[;PV[;Ps:SLDv!)(*fGL D/[,
3 N.S.S.( Scheme-1987) 0.00
ZSDP
V[GPV[;PV[;Ps:SLDv!))ZfG]\ D/[,
4 N.S.S. Interest ( Scheme-1992) 0.00
jIFH
5 Income from Minor Children 0.00 ;ULZ AF/SGL VFJSP
ÒJGWFZF 5[gXG O\0DF\YL 5M,L;L
6 Jivansuraksha Pension Fund 0.00
;Zg0ZGL D/[, ZSDP
_!v_!vZ__$ 5KL S[gã ;ZSFZGF
Contribution of Central Government to SD"RFZL TZLS[ HM0FI[, CMI
New Employee join in new Pension
7
Scheme of Central Government after 0.00 VG[ GJL 5[gXG IMHGFDF\ H[ S5FT
01-01-2004 and join in . YTL CMI T[DF\ S[gã ;ZSFZ ãFZF
pD[ZJFDF\ VFJ[, OF/FGL ZSDP
8 L.I.C. Jivandhara 0.00 V[,PVF.P;LP ÒJGWFZFGL D/[, ZSDP
9 L.I.C. Jivanakshay 0.00 V[,PVF.P;LP ÒJGV1FIGL D/[, ZSDP
10 E.L.S.S. 0.00 .PV[,PV[;PV[;PGL D/[, ZSDP
11 Tution Income 0.00 8I]XGGL VFJSGL D/[, ZSDP
12 Any other Income 0.00 VgI SM. ;ZSFZL VFJSGL D/[, ZSDP

INFORMATION ABOUT INVESTMENT

EF0FGF DSFGDF\ ZC[TF CMI TM
1 House Rent Actually paid (Yearly) 0.00
R}SJ[, S], JFlQF"S EF0FGL ZSDP
DSFG 5[XULG]\ JQF" NZdIFG EZ[,
H.B.A. Interest as per Rule 24(2),
100% Upto Rs.30,000/-, ( If Loan jIFHGL S], ZSD sHM ,MG TFP_!
senction before 1-4-99) and after q_$q!))) 5C[,F D\H]Z YI[, CMI TM
1-4-99, if House purchased or ~FP #____qv ;]WL !__ @
2
Completed Construction within 0.00
VG[ sHM ,MG TFP_!q_$q!))) 5KL
three years of senctioin of loan, D\H]Z YI[, CMI VG[ S\g:8=SXG
than 100 % Upto Rs. 1,50,000/-.
(Enter as per condition )
+6 ;F,DF\ 5}6" SZ[, CMI TM ~FP !
5____qv ;]WL !__ @ f

Investment in Jivansuraksha Pension ÒJGWFZF 5[gXG O\0DF\ SZ[,

3
Fund
0.00
ZMSF6P
S[gã ;ZSFZGL SM.56 5[gXG
Investment any Pension Scheme of :SLDDF\ SZ[, ZMSF6P s _!v_!vZ__$
Central Government ( Concerned with
4
new employee employed after 01-01- 0.00 5KL ;ZSFZL GMSZLDF\ GJL :SLD
2004) C[9/ NFB, YI[, SD"RFZLVM
DF8[ GL f
JQF" NZdIFG D[0L S,[DDF\ SZ[, S],
5 A Medi Claim Primium 0.00
ZMSF6P
JQF" NZdIFG D[0L S,[D DFTF l5TF
5 B Medi Claim Primium for parents 0.00
DF8[ SZ[, S], ZMSF6P
Medical Expenses done for P.H. JQF" NZdIFG lJS,F\U VFlzT
6 0.00
Dipendable Person DF8[ SZ[, TALAL BR"GL ZSDP

Medical Expenses done for JQF" NZdIFG S[g;Z H[JF U\ELZ

7 Dangerous Deases like Cancer (pto 0.00 ZMUM DF8[ SZ[, TALAL BR" s~FP
limit Rs. 40000/- ) $____qvGL DIF"NFDF\fP
GF6FSLI ;\\:YF S[ DFgI WDF"NF
Intrest of loan taken for Higher ;BFJTL ;\:YF 5F;[YL prRTZ
8
Education 0.00
S[/J6LGF C[T];Z ,LW[, ,MGGF
jIFHGL SZ[, R]SJ6LGL ZSD
XFZLZLS ZLT[ BM0 BF\56 WZFJTL
Special Deduction for P.H. ( upto Rs.
9
50000/-) 0.00 jIlSTG[ D/T]\ :5[P0L0SXG s~FP
5____qv GL DIF"NFDF\fP

JQF" NZdIFG ;[SXG (_vÒ C[9/

Deduction under Section 80-G for
10
C.M. Fund,P.M.Fund 0.00 ;LPV[DP S[ 5LPV[DP O\0DF\ VF5[,
NFGGM S], ;ZJF/FGL ZSDP
JQF" NZdIFG ;[SXG (_vÒ C[9/
Deduction under Section 80-G ;LPV[DP S[ 5LPV[DP O\0DF\ VF5[,
11 otherthan C.M. Fund,P.M.Fund (other 0.00
donation) NFG l;JFIGL VgI ;\:YFG[ VF5[,
NFGGL S], ZSDP
JQF" NZdIFG 5LP5LPV[OPDF\ SZ[,
12 P.P.F. 0.00
S], ZMSF6P
JQF" NZdIFG ÒJG JLDFs
13 L.I.C. Primium 0.00 V[,PVF.P;LPfDF\ SZ[, S], ZMSF6GL
ZSDP
JQF" NZdIFG5M:8, ÒJG JLDF DF\
14 P.L.I. Primium 0.00
SZ[, S], ZMSF6GL ZSDP
5UFZDF\YL S5FT YTF U|]5
15 Group Insurance 0.00 .g:I]Zg;GM 5|lTDF;GF NZGL ZSDP
JQF" NZdIFG I]PV[,PVF.P5LPDF\
16 Investment done in U.L.I.P. 0.00
SZ[, S], ZMSF6GL ZSDP
JQF" NZdIFG 5MQ8 VMOL;GL
17 Post office CTD ( 10 OR 15 Year ) 0.00 ;LP8LP0LPDF\ SZ[, S], ZMSF6GL
ZSDP
JQF" NZdIFG ZFQ8=LI ART 5+M
18 N.S.C. ( Series-8) 0.00 sV[GPV[;P;LPf DF\ SZ[, S],
ZMSF6GL ZSDP
VUFpGF JQFM"DF\ ZFQ8=LI ART
N.S.C. Interest as reinvestment 5+MDF\ ZMSF6 SZ[, CMI TM T[GF
19
( Series-8)
0.00
D/JF5F+ jIFH 5{SLGL 5]Go
ZMSF6DF\ U6TZL SZJF5F+ ZSDP
DSFG 5[XUL ,LW[, CMI TM T[GL
20 H.B.A.Principal 0.00
JQF" NZdIFG EZ[, D}/ sS],f ZSDP
JQF" NZdIFG V[GPV[;PV[;P
21 N.S.S. (Scheme-1992) 0.00 GL !))ZGL :SLDDF\ SZ[, S],
ZMSF6GL ZSDP
JQF" NZdIFG V[,PVF.P;LPGL
22 L.I.C. JIivandhara Premium 0.00 ÒJGWFZF :SLDDF\ SZ[, S],
ZMSF6GL ZSDP
JQF" NZdIFG V[,PVF.P;LPGL
23 L.I.C. Jivanakshay Premium 0.00 ÒJGV1FI :SLDDF\ SZ[, S],
ZMSF6GL ZSDP
Investment in units of E.L.S.S. JQF" NZdIFG .PV[,PV[;PV[;PGF
24
(Limit upto Rs. 10000/-)
0.00
I]GL8DF\ SZ[, S], ZMSF6GL ZSDP
.gO|F:8=SRZ4 5FJZ S[ 8[,L
Investment in Share or Debenture
SMdI]GLS[XGGF X[Z
25 of Infrastructure, Power or 0.00
Teli Communication Company S[ 0LA[gRZDF\ SZ[, S], ZMSF6GL
ZSDP
JQF" NZdIFG CMD ,MG :SLDDF\
26 Investment in Home Loan Ssheme 0.00
SZ[, S], ZMSF6GL ZSDP
Children's tution fee for one child or JQF" NZdIFG V[S S[ A[ AF/S
27
two Children 0.00
DF8[ EZ[, lX1F6 OLGL ZSDP
JQF" NZdIFG VgI SM. ZMSF6 SZ[,
28 Other investment if any 0.00
CMI TM T[GL S], ZMSF6GL ZSDP

SOME OTHER DETAILS AND CALCULATIONS

Incom-tax Amount of D.A. in
G.P.F. deducted per
Month deducted per G.P.F. deducted
month
month per month
5|lT DF; DM\3JFZL
VFJS J[ZFGL ÒP5LPV[OP S5FT 5|lT EyYFGL
DF;
S5FT 5|lT DF; DF; ÒP5LPV[OPDF\
HDF SZJF 5F+ ZSD
Mar-09 0.00 0.00
Apr-09 0.00 0.00 0.00
May-09 0.00 0.00 0.00
Jun-09 0.00 0.00 0.00
In the table Jul-09 0.00 0.00 0.00 AFH]DF\ VF5[,F
given Aug-09 0.00 0.00 0.00 SMQ8SDF\ 5|lT DF;GL
beside , VFJS J[ZFGL S5FT T[DH
Sep-09 0.00 0.00 0.00
enter the ÒP5LPV[OPGL S5FTGL
1 amount of Oct-09 0.00 0.00 0.00 ZSD NXF"JMP DM\3JFZL
Incomtax Nov-09 0.00 0.00 0.00 EyYFGL ÒP5LPV[OPDF\
and G.P.F. Dec-09 0.00 0.00 0.00 HDF SZJF5F+ ZSD 56
deducted per Jan-10 0.00 0.00 0.00 AFH]DF\ NXF"JJFDF\
month. VFJ[, K[P
VCL SZJFGL
V[g8=L
INCOTAX-P
Feb-10
GF J 95 0.00 0.00
G\AZGF ;
[,DF\ SZMP

Details of income from House Property

A1 Address of property 1 "Amitabh", Lokhandwala Complex, KhannaDSFG q 5|M58L" G]\ ;ZGFD]\
A2 Town / City 1 Mumbai DSFG q 5|M58L" G]\ UFD
DSFG q 5|M58L" H[ ZFHIDF\ CMI
A3 State 1 Gujarat
T[ ZFHIG]\ GFD
A4 PIN code 1 123456 5LGSM0

HM DSFG q 5|M58L" EF0[ VF5[,

A5 If let out ? Than write here YES 1
A6 Name of Tenant 1
A7 PAN of Tenant (optional ) 1
Annual letable value / rent received or
receivable ( Higher if let out for whole of
A8
the year, lower if let out for part of the
year. ) 1
NO
CMI TM VCL V\U|[ÒDF\ cI;c ,BMP
HM DSFG q 5|M58L" EF0[ VF5[,
CMI TM VCL EF0[ ZFBGFZG]\ GFD
,BMP
HM DSFG q 5|M58L" EF0[ VF5[,
CMI TM VCL EF0[ ZFBGFZGF 5FG
G\AZ ,BMP
HM DSFG q 5|M58L" EF0[ VF5[,
0.00 CMI TM VCL JFlQF"S EF0FGL
VFJS ,BMP

The amount of rent which cannot be

A9
realized 1
0.00

A10 Tax paid to local authorities. 1 0.00

Details of Tax Deducted at Source on Interest [As per

Form 16 A issued by Deductor(s)]
Tax Deduction Account
Sr Name and address of the Date of Payment / Total tax Amount out of (6)
Number (TAN) of the Amount paid / Credit
No. Deductor Credit deposited claimed for this year
Employer

ii

Page 2 of 26
 INFORMATION

Details of Tax Deducted at Source on Interest [As per

Form 16 A issued by Deductor(s)]
Tax Deduction Account
Sr Amount paid / Date of Total tax Amount out of (6)
Number (TAN) of the Name and address of the Deductor Credit Payment / Credit deposited
No. claimed for this year
Employer

(1) (2) (3) (4) (5) (6) (7)

i 0 0
ii 0 0
iii 0 0

23 Details of Advance Tax and Self Assessment Tax Payments

Sl Date of Deposit Serial Number of
Name of Bank & Branch BSR Code (DD/MM/YYYY)
Amount (Rs)
No. Challan
i 0
ii 0
iii 0
iv 0
v 0
Note Enter the totals of Advance tax and Self Assessment tax in Sl No. 15 a and 15c of TAXES PAID
Return filed under Section - 1 1
i Voluntarily before the due date 1 1
ii voluntarily after the due date 1 2
iii In response to notice under section 142 (1) 1 3
iv In response to notice under section 148 1 4
v In response to notice under section 153 A 1 5
Detail information about deduction of tax at source for form No. 16
GLR[GL lJUT H[6[ VFJSJ[ZM EZ[, CMI T[GL S5FTGL lJUT OMD" GF\P !& DF\ NXF"JJF DF8[ EZJLP
Details of Tax Deducted and Deposited into Central Government Account .
Name of Bank and Branch where
Sr.No. Amount Date of Payment Tax Deposited
Mar-09
Apr-09
2 May-09
Jun-09
Jul-09
Aug-09
Sep-09
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
3 Ward No. of Incomtax Office. I.T.O., WARD NO. 4(1) .gSD 8[1F VMOL;GF JM0" G\AZ

Page 3 of 26
 Dutt Acting School, Mumbai
INCOME YEAR :- 2009-2010 ASSESSMENT YEAR:- 2010-2011

NAME:- BACHCHAN AMITABH HARISHANKAR DESIGNATION :- Superstar

Name of Cash
Sr.No. Description Basic Pay Grade Pay Total Sp. Pay D.A. H.R.A. M.A. W.A. T.A. C.L.A Total P.T. G.I. G.P.F. I.T.DED
the Month Allowance

1 Mar-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Apr-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 May-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 Jun-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Jul-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 Aug-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7 Sep-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 Oct-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 Nov-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Dec-2009 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 Jan-2010 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 Feb-2010 Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 D.A. Arrears 0.00 0.00 0.00 0.00
14 Other Arrears 0.00 0.00 0.00 0.00
15 Bonus 0.00 0.00 0.00
16 Remunretion 0.00 0.00
17 Leave Surrender 0.00 0.00
17 L.T.C. 0.00 0.00
18
19 TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
ANY OTHER INCOME (ACCEPT SALARIES TO BE DECLARED SHOW HERE ( LIKE INTEREST,DIVIDEND, ETC)
Bank Intrest 0.00 L.I.C. Jivandhara 0.00
N.S.C. Interest ( Series-8) 0.00 L.I.C. Jivanakshay 0.00
N.S.S.( Scheme-1987) 0.00 E.L.S.S. 0.00
N.S.S. Interest ( Scheme-1992) 0.00 Tution Income 0.00
Income from Minor Children 0.00 Any other Income 0.00
Jivansuraksha Pension Fund 0.00 Income from House Property. 0.00
Contribution of Central Government 0.00

( BACHCHAN AMITABH HARISHANKAR )

Total other Income 0.00 GROSS INCOME 0.00 SIGNATURE OF GOVT.SERVANT
 STATEMENT OF INCOME TAX

Dutt Acting School, Mumbai

INCOME YEAR : 2009-2010 ASSESSMENT YEAR : 2010-2011

NAME : BACHCHAN AMITABH HARISHANKAR

DESIGNATION : Superstar

PAN NO. : ABCDE1234F SEX : MALE

Divison ( A ) Income from Salary :
"(1) Gross income from salary : as per rule 17 Rs. 0.00
"(2) Deduction of allowances under section (10)
(a) House rent allowance as per rule 10 (13-A)
( i ) H.R.A. Actually paid as per Bill ( Annualy) Rs. 0.00
( ii ) If the amount actually paid as a rent is > Rs. 0.00
10 % Amount of Basic + D.A. Than ( A - B )
( A ) Actual Paid H.R.A. Rs. 0.00
( B ) 10 % of ( Pay + D.A. ) Rs. 0.00
( iii ) 40 % of ( Pay + D.A. ) Rs. 0.00
( iv ) Net elligible deduction of H.R.A.(Out of 1,2 OR 3 whichever is Minimum) Rs. 0.00
(b) Under Rule 10(14)(i)Rule 2,BB(i),Dress WASHING ALLOWNCE Paid (100 %) Rs. 0.00

(c) Under Rule 10(14)(ii)Rule 2,BB(ii)TRANS.ALLOWANCE,( 1->100 % Upto limit of Monthly Rs. 0.00
Rs. 800/-) And ( 2->100 % Upto limit of Monthly Rs. 1600/- For P.H. Employee)
(d) Total of (a)+(b)+(c) ( Allowances to be deducted Under Rule 10) Rs. 0.00

"(3) Deduction under rule As per Rule 16(3), PROFESSIONAL TAX ( 100 % ) Rs. 0.00
"(4) Deduction under rule As per Rule 16(5), L.T.C. Rs. 0.00
A Remaining Salary Income (Column : 1-2(d)-(3) Rs. 0.00

Division ( B ) Income from other sources :

"(1) Bank Intrest Rs. 0.00
"(2) N.S.C. Interest ( Series-8) Rs. 0.00
"(3) N.S.S.( Scheme-1987) Rs. 0.00
"(4) N.S.S. Interest ( Scheme-1992) Rs. 0.00
"(5) Income from Minor Children Rs. 0.00
"(6) Jivansuraksha Pension Fund Rs. 0.00
"(7) Contribution of Central Government Rs. 0.00
"(8) L.I.C. Jivandhara Rs. 0.00
"(9) L.I.C. Jivanakshay Rs. 0.00
"(10) E.L.S.S. Rs. 0.00
"(11) Tution Income Rs. 0.00
"(12) Any other Income Rs. 0.00
"(13) Income from House Property. Rs. 0.00
"(14) Total Other Income [ Column (1) to (12) Rs. 0.00
B Total gross income ( Salary + Other Income [ A + DIV. B( 14 )]) Rs. 0.00
Division ( C ) deduction admissible from total gross income
"(1) LESS : H.B.A. Interest as per Rule 24(2), 100% Upto Rs.30,000/-,( If Loan senction before 1-4-99) Rs. 0.00
and after 1-4-99, if House purchased or Completed Construction within three years of senctioin of loan,
than 100 % Upto Rs. 1,50,000/-.

"(2) As per Rule 80-CCC. Jivansuraksha Pension Fund ( Limit Upto Rs. 100000.00) Rs. 0.00
"(3) As per Rule 80-CCD. Investment in any Pension Scheme of Central Government ( Concerned with new Rs. 0.00
employee employed after 01-01-2004)

Page 5 of 26
 STATEMENT OF INCOME TAX
"(4) As per Rule 80-C ( Limit Upto Rs. 110000.00) but less of 80-CCC & 80-CCD
(i) G.P.F./ C.P.F. Rs. 0.00
(ii) P.P.F. Rs. 0.00
(iii) L.I.C. Premium Rs. 0.00
(iv) P.L.I. Premium Rs. 0.00
(v) Group Insurance Rs. 0.00
(vi) Investment in U.L.I.P. Rs. 0.00
(vii) Post Office C.T.D. ( 10 Or 15 Year ) Rs. 0.00
(viii) N.S.C. (Series - 8 ) Rs. 0.00
(ix) N.S.C.Interest as Reinvestment Rs. 0.00
(x) H.B.A.Principal Rs. 0.00
(xi) N.S.S. (Scheme-1992) Rs. 0.00
(xii) L.I.C. Jivandhara Premium Rs. 0.00
(xiii) L.I.C. Jivanakshay Premium Rs. 0.00
(xiv) E.L.S.S. Unit Investment Rs. 0.00
(xv) Investment in Share or Debenture of Infrastructure,Power or Teli Communication Company. Rs. 0.00
(xvi) Investment in Home Loan Scheme Rs. 0.00
(xvii) Tution fee paid for children Rs. 0.00
(xviii) Other elligible if any Rs. 0.00
Total of (i) TO (xviii) Rs. 0.00
Total of ( 80-C ) + ( 80-CCC ) + ( 80-CCD ) Rs. 0.00
"(5) Net Deduction under section 80-CCE Rs. 0.00
"(6) Under section 80-D, Mediclaim Premium ( Upto Rs. 15,000.00, but Rs.20,000.00 for ceniyor citizen ) Rs. 0.00
"(6) Under section 80-D, Mediclaim Premium for parents ( Upto Rs. 15,000.00 ) Rs. 0.00
"(7) Under section 80-DD, Medical Expenses done for P.H. dipendable personal relative Rs. 0.00
"(8) Under section 80-DDB,Medical Expense done for Dangerous deases like Cancer (Upto Rs. 40000.00). Rs. Err:504
If the person is senior citizen, than upto Rs. 60000.00.
"(9) Rs. 0.00
Under section 80-E,Intrest of loan taken for higher Education from Financil Institute or from Recognised
Charitable Trust ( Trustes which are mentioned under rule 80G(2) of Income Tax) for 7 year from starting)

"(10) Under section 80-G,Donation like C.M. Fund, P.M. Fund or other Donations Rs. 0.00
"(11) As Per Rule 80-U,Special Deduction to P.H. & Blind employee ( Upto Rs. 50,000/- ) Rs. 0.00
"(12) Total of amount to be deducted of Division (C) [(1)+(5)+(6)+(7)+(8)+(9)+(10)+(11) Rs. Err:504
Less Income [ Division : B - Division : C(12) ] Rs. Err:504
Remaining Amount Rounded to Rs.10/- ( Ten) Rs. Err:504
DIivision : E Calculation of Income Tax
General Women Ciniyer Citizen Tax Amount Tax
"(1) Upto Rs. 160000/- Upto Rs. 190000/- Upto Rs. 240000/- 0% Err:504 Rs. 0.00
"(2) 160001 TO 300000/- 190001 TO 300000/- 240001 TO 300000/- 10% Err:504 Rs. Err:504
"(3) 300001 TO 500000/- 300001 TO 500000/- 300001 TO 500000/- 20% Err:504 Rs. Err:504
"(4) 500001/- to onward 500001/- to onward 500001/- to onward 30% Err:504 Rs. Err:504
Total amount of Tax : Rs. Err:504
Adjustment of Income Tax
Amount of Income Tax Rs. Err:504
2 % education surcharge Rs. Err:504
1 % SEC & HSEC surcharge Rs. Err:504
Net amount of Income Tax Rs. Err:504
Details of Income Tax paid or to be pay
1 Recovered Upto JANU-2010 Rs. 0.00
2 To be recovered from pay of FEB-2010 Rs. Err:504
3 Recovered from pay of FEB-2010 Rs. 0.00
4 Total Income-Tax paid Rs. 0.00

Page 6 of 26
 STATEMENT OF INCOME TAX

Certificate by employee

This is to certify that the information given in this statement is true and mistake
less.

( BACHCHAN AMITABH HARISHANKAR )

Signature of Govt. Servant

Certificate by office

This is to certify that the information given in this statement compared with office
record as well as documents presented by employee and found correct.

Signature and seal of Head of Office

Page 7 of 26
 FORM NO.:-16
[See Rule 31(1)(a)]
Certificate under Section 203 of the Income-Tax act,1961 for the tax deducted at source from Income chargable under
the head "SALARIES".
Name and Address of the Employer Name & Designation of the Employee

Director BACHCHAN AMITABH HARISHANKAR

Dutt Acting School Superstar
Mumbai Dutt Acting School
Mumbai
PAN / GIR NO.:- ABCDE1234F PAN / GIR NO.:- ABCDE1234F
PERIOD Assessment Year
TDS Circle where annual Return / Statement under
FROM TO
section 206 is to be filled.
4/1/2009 3/31/2010
2010-2011

Quarter Acknowledgement no. Quarter Acknowledgement no.

Acknowledgement no. of all Quarterly
statement of TDS under sub-Section(3) of
Q1 317301000010980 Q3 317301000010982
section 200 as provided by TIN facilitation
center or NSDL web site.
Q2 317301000010981 Q4 317301000010983
Details of salary paid and any other income and tax deducted.
Rs. Rs. Rs.
1 Gross Salary
(a) Salary as per provisions contained in section 17(1) 0.00
Value of perquisites under section 17(2) ( as per Form No.
(b)
12BB, whereever applicable
Profits in lieu of salary under section 17(3) ( as per Form No.
(b)
12BB, whereever applicable
(d) Total 0.00
2 Less Allowances to the extent exempt under section 10,
House rent allowance 0.00
Washing allowance 0.00
Transport allowance 0.00 0.00
3 BALANCE (1-2) 0.00
4 DEDUCTIONS :-
(a)Standard deduction 0.00
(b)Entertainment allowance 0.00
(c)Tax on Employment 0.00
5 Aggregate of 4 (a to c) 0.00
6 Income chargeble under the head "salaries"(3-5) 0.00
7 ADD : Any other income reported by the employee 0.00
8 Gross Total Income(6+7) 0.00
9 Deduction under Chapter VI-A Gross Amount Qualifying Deductible
(a) H.B.A. Intrest Section 24(2) 0.00 Amount 0.00 Amount0.00
(b) Deduction under Section 80-CCE 0.00 0.00 0.00
(c) Mediclaim Premium under Section-80-D 0.00 0.00 0.00
(d) Medical Exp. under Section-80-DD & 80-DD 0.00 Err:504 Err:504
(e) Instalment of loan taken for higher Education 0.00 0.00 0.00
(f) Special Deduction for P.H.Under section-80- 0.00 0.00 0.00
(g) Donation Under Section-80-G 0.00 0.00 0.00
10 Aggregate of deductible amount under chapter VI-A Err:504
11 Total Income (8-10) Err:504
Total Amount Rounded TO Rs. Ten Err:504
12 Tax on Total Income Err:504
Under Section 89 (attach details) 0.00
Aggregate of Tax Rebates and Relief at 13
14 0.00
above[(d)+II(a)+II(b)+III
15 Tax Payable (12-14) Err:504
16 Less : Tax deducted at source 0.00
17 Tax Payable / Refundable. Payable Err:504 Refundable. Err:504
Details of Tax Deducted and Deposited into Central Government Account .
Amount (Rs.) Date of Payment Name of Bank and Branch where Tax Deposited
Mar-09
Apr-09
May-09
Jun-09

"FORM-16"
Page 8 of 26
Jul-09
Aug-09
Sep-09
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Certified that a sum of Rs. 0.00 Rs.(in woNIL
has been deducted at source and paid to the credit of Central Government,Further Certified that above information is
true and correct as per records.

Signature of the person responsible for deduction of Tax.

Place : Mumbai Full name : Raj Kapoor

Dated: 4/30/2010 Designation : Director

"FORM-16"
Page 9 of 26
FORM NO.2D
SARAL ITS-2D
[*INCOME-TAX RETURN FORM FOR NON CORPORATE ASSESSEES OTHER THAN
PERSONS CLAIMING EXEMPTION UNDER SECTION 11 ]
[ See proviso to rule 12( I )( b ) ( III )]
1. NAME : BACHCHAN AMITABH HARISHANKAR
2. FATHER'S NAME : BACHCHAN HARISHANKAR LABHSHANKER
3. ADDRESS : "Amitabh" Lokhandwala Complex Khanna Street Colaba
Mumbai
PIN : 123456 TELEPHONE : (O) 0123-4567890
4. Permanent Account Number : ABCDE1234F 8. Ward/Circle/Special Range : I.T.O., WARD NO. 4(1)
5. Date of Birth 7/15/1947 9. SEX : Male / Female MALE
6. Individual/Hindu Undevided family / 10. Income for the previous year i.e. 01/04/2009 TO 31/03/2010
Association offirm /
Persons / Local INDIVIDUAL
11. Assessment Year 2010-2011
authority
7. Resident/Non-Resident/Not Ordinarily Resident 12. Return Original or Revised : ORIGINAL
13. Details of Bank Acconts :
Name of the Bank Address of the Bank Account Number
ICICI BANK Kalbadevi Branch 0
*Please tick[ ] the bank account,where you would like the amount of refund to be credited
14. Details of Credit Card :
Credit Card Number : Issued by :
15. INCOME FROM SALARY ( ATTACH FORM NO.16 ) ### Rs. 0.00
16. INCOME FROM HOUSE PROPERTY ### Rs. 0.00
17. INCOME FROM BUSINESS OR PROFESSION ### Rs.
18. CAPITAL GAINS 15/9 15/12 15/3 31/3 TOTAL
( a ) Short term ### ### ### ### ###
( b ) Long term ### ### ### ### ### ### Rs.
19. INCOME FROM OTHER SOURCES ### Rs. 0.00
20. INCOME OF ANY OTHER PERSON TO BE ADDED ### Rs. 0.00
21. GROSS TOTAL INCOME (15+16+17+18+19+20) ### Rs. 0.00
22. LESS : DEDUCTION UNDER CHAPTER VI-A : SECTION Rs.
Code (For Office Use) Section Amount(Rs.) Section Amount(Rs.)
(a) 0.00 ( e ) Err:504 Err:504
(b) 0.00 ( f ) 0.00
(c) 0.00 ( g ) 0.00
(d) 0.00 ( h ) 0.00 ### Rs. Err:504
23. TOTAL INCOME : (21 - 22 ) ### Rs. Err:504
24. ADD : AGRICULTRAL INCOME ( For rate purpose ) ### Rs.
25. INCOME CLAIMED TO BE EXEMPT FROM INCOME TAX ### Rs.
26. TAX ON TOTAL INCOME INCOME INCOME TAX
( a ) At normal rates ### Err:504 ### Err:504
( b ) At special rates ### ### ### Rs. Err:504
27. LESS : REBATE ### Rs. 0.00
28. TAX PAYABLE ### Rs. Err:504
29. ADD SURCHARGE ### Rs. Err:504
30. TOTAL TAX PAYABLE (28+29) ### Rs. Err:504
31. LESS : RELIEF ### Rs.
32. NET TAX PAYABLE ### Rs. Err:504
33. LESS : TAX DEDUCTED AT SOURCE ### Rs. 0.00
34. LESS : ADVANCE TAX PAID
Date Date Date
Amount Amount Amount ### Rs.
35. ADD : INTEREST PAYABLE U/s 234A 234B 234C Total ### Rs.
36. LESS : SELF ASSESSMENT TAX PAID ### Rs.
37. BALANCE TAX : PAYABLE / REFUNDABLE ### Rs. Err:504
DOCUMENTS ATTACHED WITH THE RETURN
1. Form No. 16 ( Original ) 2.
3. 4.
5. 6.
VERIFICATION
I, BACHCHAN AMITABH HARISHANKAR ( name in full and in block letters),
son of BACHCHAN HARISHANKAR LABHSHANKER solemniy declare that to the best of my knowledge
and belief, the information given in this return and the annexures and statements accompanying it are correct.,complete
and truly stated and in accordance with the provisions of Income Tax Act. 1961, in respect of income chargeble to
income tax for the previous year relevant to the assessment year 2010-2011

Receipt No. Date

Signature
Seal Date :
Signature of the receiving official Place : Mumbai
 INDIAN INCOME TAX RETURN Assessment Year

FORM
ITR-1 [For Individuals having Income from Salary / Pension / Family Pension & Interest]
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 1 0 - 1 1
(Also see attached instructions)

First name Middle name Last name PAN

PERSONAL INFORMATION

BACHCHAN AMITABH HARISHANKAR A B C D E 1 2 3 4 F

Flat/Door/Block No Name Of Premises/Building/Village Date of Birth (DD/MM/YYYY)
"Amitabh" Lokhandwala Complex 7/15/1947
Road/Street/Post Office Area/Locality Employer Category (Tick)
Khanna Street Colaba Ö Govt PSU Other
Town/City/District State Pin code Sex (Tick)
Mumbai Gujarat 1 2 3 4 5 6 Ö Male Female
Email Address (STD code)-Phone Number (O) 0123-4567890

Designation of Assessing Officer (Ward/Circle) Return filed under Section - 1 1

FILING STATUS

I.T.O., WARD NO. 4(1) [Please see instruction number-9(i)]

Whether original or Revised return? (Tick) Ö Original Revised

If revised, enter Receipt No and Date of filing

original return (DD/MM/YYYY)

Residential Status (Tick) Ö Resident Non-Resident Resident but Not Ordinarily Resident

1 Income chargeable under the Head ‘Salaries’ ( Salary / Pension ) 1 0.00

2 Income chargeable under the Head ‘Other Sources’
a Family Pension 2a
b Interest 2b 0.00
c Total ( 2a + 2b ) 2c 0.00
INCOME & DEDUCTIONS

3 Gross Total Income ( 1 + 2c ) 3 0.00

4 Deductions under chapter VI A (Section)
a 80C 0.00 e 80DD 0.00 i 80GG 0.00
b 80CCC 0.00 f 80DDB Err:504 j 80GGA 0.00
c 80CCD 0.00 g 80E 0.00 k 80GGC 0.00
d 80D 0.00 h 80G 0.00 l 80U 0.00
m Deductions ( Total of a to l ) 4m Err:504
5 Total Income ( 3-4m ) 5 Err:504
6 Net Agricultural Income (Enter only if greater than Rs 5,000) 6
7 ‘Aggregate Income’ (5+6) 7 Err:504
8 a Tax Payable on ‘Aggregate Income’ 8a Err:504
b Rebate in respect of Net Agricultural income 8b 0.00
9 a Tax Payable on Total Income ( 8a-8b ) 9a Err:504
TAX COMPUTATION

b Surcharge on 9a 9b Err:504
Education Cess,including secondary and higher
c
education cess on ( 9a+9b )
9c Err:504

d Total Tax, Surcharge and Education Cess Payable ( 9a + 9b + 9c ) 9d Err:504

10 Relief under Section 89 10 0.00
11 Relief under Section 90/91 11 0.00
12 Balance Tax Payable (9d-10-11) 12 Err:504
Do not write or stamp in this area (Space for bar code) 13 a Interest Payable U/s 234A 13a
b Interest Payable U/s 234B 13b
c Interest Payable U/s 234C 13c
Total Interest Payable
d
(13a+13b+13c)
13d 0.00
Total Tax and Interest Payable
14
(12+13d)
14 Err:504
For Office Use Only Seal and Signature of receiving official

Receiiptt No

Date
 15 Taxes Paid
a Advance Tax (from item 23) 15a 0.00

TAXES PAID
b TDS (column 7 of item 21 +column 7 of item 22) 15b 0.00
c Self Assessment Tax (from item 23) 15c
d Total Taxes Paid (15a+15b+15c) 15d 0.00
16 Tax Payable (14-15d) (Enter if 14 is greater than 15d, else leave blank) 16 Err:504
17 Refund (15d-14) (enter if 15d is greater than 14, also give Bank Account details below) 17 Err:504
REFUND

18 Enter your bank account number (mandatory in case of refund)

19 Do you want your refund by Ö cheque, or deposited directly into your bank account? (tick as applicable)
20 In case of direct deposit to your bank account give additional details
MICR Code Type of Account (tick as applicable) Ö Savings Current

21 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
Tax
Sr Tax Deduction Account Number (TAN) of the Income
Name and address of the chargeable Deduction
payable( Incl. Total tax Tax payable
under under Chapter
No. Employer Employer surch. and edu. deposited /refundable
the head Salaries VI-A
cess)
TDS ON SALARY

(1) (2) (3) (4) (5) (6) (7) (8)

i Director, Dutt Acting

0 Err:504 Err:504 0 Err:504
School, Mumbai
A B C D E 1 2 3 4 F
ii Director, Dutt Acting
0
A B C D E 1 2 3 4 F School, Mumbai

22 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]
Amount out
Date of
Sr Tax Deduction Account Number (TAN) of the Name and address of the Total tax of (6)
Amount paid / Credit Payment /
No. Deductor Deductor deposited claimed for
Credit
this year
TDS ON INTEREST

1 (2) (3) (4) (5) (6) (7)

i
0

ii
0

iii
0

Note Enter the totals of column (7) of 21 and column (7) of 22 in Sl No. 15b of TAXES PAID

23 Details of Advance Tax and Self Assessment Tax Payments

Sl Date of Deposit Serial Number of
Name of Bank & Branch BSR Code Amount (Rs)
TAX PAYMENTS

No. (DD/MM/YYYY) Challan

i
ii
iii
iv
v
Note Enter the totals of Advance tax and Self Assessment tax in Sl No. 15 a and 15c of TAXES PAID

24 Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sr. Code Amount (Rs) Sr. Code Amount (Rs) Sr. Code Amount (Rs)
a 001 d 004 g 007
b 002 e 005 h 008
c 003 f 006

25 Tax-exempt interest income (for reporting purposes only) 25

VERIFICATION
I, BACHCHAN AMITABH HARISHANKAR son / daughter of BACHCHAN HARISHANKAR LABHSHANKER

solemniy declare that to the best of my knowledge and belief, the information given in the return thereto is correct and
complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with
the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to
the
Assessment Year 2010-2011

Place Mumbai Date Sign here -->

26 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 (to be filled by TRP) 28
 Government of India

INCOME TAX - DEPARTMENT

ACKNOWLEDGEMENT
Received with thanks f BACHCHAN AMITABH HARISHANKAR a return of income
and / or return of fridge benefits in Form ITR - 1 for the assessment year 2010-2011 having the following particulars

Name PAN

BACHCHAN AMITABH HARISHANKAR A B C D E 1 2 3 4 F

PERSONAL INFORMATION

Flat/Door/Block No Name Of Premises/Building/Village

"Amitabh" Lokhandwala Complex

Road/Street/Post Office Area/Locality

Khanna Street Colaba

Town/City/District State

Mumbai Gujarat

1 Gross Total Income 1 0.00

2 Deductions under chapter VI A (Section) 2 Err:504
COMPUTATION OF INCOME AND TAX THEREON

3 Total Income 3 Err:504

4 Net tax payable 6 Err:504
5 Interest payable 7 0.00
6 Total tax and Interest payable 6 Err:504
7 Taxes Paid

a Advance Tax 7a 0.00

b TDS 7b 0.00
c TCS 7c 0.00
d Self Assessment Tax 7d

d Total Taxex Paid (7a + 7b + 7c + 7d ) 7e 0.00

8 Tax Payable ( 6 - 7d ) 8 Err:504
9 Refund ( 7e - 6 ) 9 Err:504

10 Value of Fridge benefits 10

COMPUTATION OF FRINGE BENEFITS

11 Total Fridge benefit tax liability 11

12 Total interest payable 12

AND TAX THEREON

13 Total tax and Interest payable 13

14 Taxes Paid

a Advance Tax 14a

b Self Assessment Tax 14b

c Total Taxes Paid (14a+14b) 14c

15 Tax Payable (13-14c) 15

16 Refund (14c-13) 16

Receiiptt No Seal and Signature of receiving official

Date
 INDIAN INCOME TAX RETURN Assessment Year
FORM ITR-2 [For Individuals and HUFs not having Income from Bussiness or Profession]
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 1 0 - 1 1
(Also see attached instructions)

Part A Gen GENERAL

First name Middle name Last name PAN

BACHCHAN AMITABH HARISHANKAR A B C D E 1 2 3 4 F

PERSONAL INFORMATION

Flat/Door/Block No Name Of Premises/Building/Village Status ( Tick )

"Amitabh" Lokhandwala Complex Ö Individual HUF
Date of Birth (DD/MM/YYYY)
Road/Street/Post Office Area/Locality ( in case of individual )

Khanna Street Colaba 7/15/1947

Town/City/District State Pin code Sex (Tick)

Mumbai Gujarat 1 2 3 4 5 6 Ö Male Female

Employer Category ( if in
Email Address (STD code)-Phone Number
empoyment ) (Tick)
(O) 0123-4567890 Ö Govt PSU Other

Designation of Assessing Officer (Ward/Circle) Return filed under Section - 1 1

I.T.O., WARD NO. 4(1) [Please see instruction number-9(i)]

Whether original or Revised return? (Tick) Ö Original Revised

If revised, enter Receipt No and Date of filing

FILING STATUS

original return (DD/MM/YYYY)

Residential Status (Tick) Ö Resident Non-Resident Resident but Not Ordinarily Resident

Whether this return is being filed by a representative assesseem ? ( tick ) Ö Yes Ö No

If yes, please furnish following information

( a ) Name of representative
( b ) Address of representative

( c ) Permanent Account Number ( PAN ) of the representative

Part B
Part B - TI Computation of total income
1 Salaries ( 6 of Schedule S ) 1 0.00
2 Income from house property ( 3c of scedule HP ) ( enter nil if loss ) 2 0.00
3 Capital gains
TOTAL INCOME

a Short term

I Short - term ( u/s 111 A ( A5 of schedule CG ) 3ai 0.00

II Short - term ( others ) ( A6 of schedule CG ) 3aii 0.00
III Total Short - term ( 3ai + 3aii ) (A4 of schedule CG 3aiii 0.00
b Long term ( B5 of schedule CG ) ( enter nil if loss ) 3b 0.00
c Total capital gains ( 3aiii + 3b ) 3c 0.00
Do not write or stamp in this area (Space for bar code) For Office Use Only

Receiiptt No

Date

Seal and Signature of receiving official

Page 16
 4 Income from other sources
a from sources other than from owning race horses ( 3 of Schedule OS) 4a 0.00
b from owning race horses ( 4c of Schedule OS ) ( enter nil if loss) 4b 0.00
c total ( a + b ) ( enter nil if 4c is a loss) 4c 0.00
5 Total ( 1 + 2 + 3c + 4c ) 5 0.00
6 Losses of current year set off against 5 ( total of 2vi and 3 vi of schedule CYLA ) 6 0.00
7 Balance after set off current year losses ( 5 - 6 ) ( also total of column of 4 of schedule CYLA ) 7 0.00
8 Brought forward losses set off against 7 ( 2vi of shedule BFLA ) 8 0.00
9 Gross Total income ( 7 - 8 ) ( also 3vii of shedule BFLA ) 9 0.00
10 Deduction under chapter VI - A ( n of shedule VIA ) 10 Err:504
11 Total income ( 9 - 10 ) 11 Err:504
12 Net agricultural income / any other income for rate purpose ( 4 of schedule El ) 12 0.00
13 Aggregate income ( 11 +- 12 ) 13 Err:504
14 Losses of current year to be carried forward ( total of row xi of schedule CFL ) 14 0.00
Part B - TTI Computation of tax liability on total income
1 Tax Payable on Total Income
a Tax at normal rates 1a Err:504
b Tax at special rates ( 11 of schedule SI ) 1b
c Tax Payable on Total Income ( 1a + 1b ) 1c Err:504
2 Surcharge on 1c 2 Err:504
COMPUTATION OF TAX LIABILITY

3 Education Cess, including secondary and higher education cess on ( 1c + 2 ) 3 Err:504

4 Gross tax liability ( 1c + 2 + 3 ) 4 Err:504
5 Tax relief
a Section 89 5a
b Section 90 5b
c Section 91 5c
d Total ( 5a + 5b + 5c ) 5d 0.00
6 Net tax liability ( 4 - 5d ) 6 Err:504
7 Interest payable
a For default in furnishing the return ( section 234A ) 7a
b For default in payment of advance tax ( section 234B ) 7b
c For deferment of advance tax ( section 234AC ) 7c
d Total Interest Payable ( 7a + 7b + 7c ) 7d 0.00
8 Aggregate liability ( 6 + 7d ) 8 Err:504
9 Taxes Paid
a Advance Tax (from schedule - IT ) 9a 0.00
TAXES PAID

TDS (total of column 7 of schedule - TDS1 and column

b
7 of schedule - TDS-2)
9b 0.00
c Self Assessment Tax (from schedule-IT ) 9c
d Total Taxes Paid ( 9a+9b+9c) 9d 0.00
10 Amount Payable (Enter if 8 is greater than 9d, else enter 0 ) 10 Err:504
11 Refund ( if 9d is greater than 8, also give Bank Account details below) 11 Err:504
12 Enter your bank account number (mandatory in case of refund)
REFUND

13 Do you want your refund by Ö cheque, or deposited directly into your bank account? (tick as applicable)
14 In case of direct deposit to your bank account give additional details
MICR Code Type of Account (tick as applicable) Ö Savings Current

VERIFICATION
I, BACHCHAN AMITABH HARISHANKAR son / daughter of BACHCHAN HARISHANKAR LABHSHANKER

solemniy declare that to the best of my knowledge and belief, the information given in the return and shedules thereto is correct and
complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the
provision of the Income-tax Act, 1961, in respect of income chargeble to Income-tax for the previous year relevent to the
Assessment Year 2010-2011

Place Date Sign here -->

Page 17
15 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 16

Schedule - S Details of income from salary

Name of Employer PAN of employer (optional )
Director A B C D E 1 2 3 4 F
Address of employer Town / City State PIN code
Dutt Acting School Mumbai Gujarat
SALARIES

1 Salary ( Excluding all allowanse, prequisites & profit in lieu of salary ) 1 0.00
2 Allowances exempt under section 10 2 0.00
3 Allowances not exempt 3
4 Value of perquisites 4
5 Profit in lieu of salary 5
6 Income chargeble under the Head "Salaries" ( 1+3+4+5 ) 6 0.00
Schedule - HP Details of income from House Property ( Please refer to instructions. )
Address of property 1 Town / City State PIN code
1
"Amitabh", Lokhandwala Complex, Khanna Street Mumbai Gujarat 1 2 3 4 5 6

Tick Ö if let out Name of Tenant PAN of Tenant (optional )

Annual letable value / rent received or receivable ( Higher if let out for whole of the year,
a 1a 0.00
lower if let out for part of the year. )
b The amount of rent which cannot be realized 1b
c Tax paid to local authorities. 1c
d Total ( 1b + 1c ) 1d 0.00
e Balance ( 1a - 1d ) 1e 0.00
f 30 % of 1e 1f 0.00
g Interest payable on borrowed capital 1g 0.00
h Total ( 1f + 1g ) 1h 0.00
HPUSE PROPERTY

i Income from house property 1 ( 1e - 1h ) 1i 0.00

Address of property 2 Town / City State PIN code
2

Tick Ö if let out Name of Tenant PAN of Tenant (optional )

Annual letable value / rent received or receivable ( Higher if let out for whole of the year,
a 2a
lower if let out for part of the year. )
b The amount of rent which cannot be realized 2b
c Tax paid to local authorities. 2c
d Total ( 2b + 2c ) 2d
e Balance ( 2a - 2d ) 2e
f 30 % of 2e 2f
g Interest payable on borrowed capital 2g
h Total ( 2f + 2g ) 2h
i Income from house property 2 ( 2e - 2h ) 2i
3 Income under the head " Income from house property "
a Rent of earlier years realized under section 25 A / AA 3a
b Arrears of rent received during the year under section 25 B after deducting 30 % 3b
c Total ( 3a + 3b + 1i + 2i ) 3c 0.00
NOTE > Please include the income of the specified person referred to in Schedule SPI while computing the income under this head.

Schedule - CG Capital Gains

A Short term capital gains
1 From assets in case of non-resident to which first proviso to section 48 applicable 1
CAPITAL GAINS

2 From other assets

a Full value of consideration 2a
b Deduction under section 48
i Cost of acquisition bi
ii Cost of Improvement bii
iii Expenditure of transfer biii

Page 18
 iv Total ( i +ii + iii ) biv
c Balance ( 2a - biv ) 2c
Loss if any, to be ignored under section 94(7) or
CAPITAL GAINS
d 2d
94(8) ( enter positive values only. )
e Exemption under section 54B/54D 2e
f Short term capital gain ( 2c - 2d - 2e ) 2f
3 Amount deemed to be short term capital gains under section 54B/54D/54EC/54ED/54G/54GA A3
4 Total short term capital gain ( 1 + 2f + A3 ) A4
5 Short term capital gain under section 111A included in 4 A5
6 Short term capital gain other than referred to in secion 111A (A4 - A5 ) A6
B Long term capital gains
1 Assets in case of non-resident to which first proviso to section 48 applicable 1
2 Other assets where proviso to section 112 (1) not applicable
a Full value consideration 2a
b Deduction under section 48
i Cost of acquisition after indexation bi
ii Cost of Improvement after indexation bii
iii Expenditure on transfer biii
iv Total ( bi +bii + biii ) biv
c Balance ( 2a - biv ) 2c
Exemption under sections
d 54/54B/54D/54EC/54F/54G/54GA 2d
e Net balance ( 2c - 2d ) 2e
3 Other assets where proviso to section 112 (1) is applicable
CAPITAL GAINS

a Full value consideration 3a

b Deduction under section 48
i Cost of acquisition without indexation bi
ii Cost of Improvement without indexation bii
iii Expenditure on transfer biii
iv Total ( bi +bii + biii ) biv
c Balance ( 3a - biv ) 3c
d Exemption under sections 54/54B/54D/54EC/54F 3d
e Net balance ( 3c - 3d ) 3e
4 Amount deemed to be long term capital gains under section 54/54B/54D/54EC/54ED/54F B4
5 Total long term capital gain 1 + 2e [ (enter 2e as nil if loss) + 3e (enter 3e as nil if loss)+ 4 )] B5
C Income chargeable under the head " CAPITAL GAINS " ( A4 + B5 ) (enter B5 as nil, if loss) C
D Information about actual / receipt of capital gain
Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
Date
(i) ( ii ) ( iii ) ( iv )
1 Long - term
2 Short - term
NOTE > Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head.

Schedule - OS Income from other sources

1 Income
a Dividends, Gross 1a 0.00
b Interest Gross 1b 0.00
c Rental income from machinery, plants, buildings, 1c
d Other, Gross ( excluding income from owning race horses ) 1d 0.00
e Total ( 1a + 1b + 1c + 1d ) 1e 0.00
OTHER SOURCES

f Deduction under section 57 :-

i Expenses fi
ii Depreciation fii
iii Total fiii 0.00
g Balance ( 1e - fiii ) 1g 0.00
2 Winning from lotteries, crossword puzzles, races, etc. 2
3 Income from other sources ( other than owning race horses ) ( 1g + 2 ) (enter 1g as nil, if loss) 3 0.00
4 Income from owning and maintaining race horses.
a Receipts 4a
b Deduction under section 57 in relation to ( 4 ) :- 4b
c Balance ( 4a - 4b ) 4c 0
Income chargeable under the head " Income from other sources" ( 3 + 4c ) (enter 4c as nil if loss
5 5 0.00
and take 4c loss figure to schedule CFL)
NOTE > Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head.

Page 19
Schedule - CYLA Details of Income after Set off of current year losses.
Sr.No. Head / Sources of Income Income of current year ( Fill House property loss of the Other sources loss ( other than Current year's Income
this column only if income is current year set off loss from race horses ) of the remaining after set off
zero or positive ) current year set off
CURRENT YEAR LOSS ADJUSTMENT

Total loss ( 3c of Schedule - Total loss ( 3 of Schedule -

HP ) OS )

1 2 3 4=1-2-3
Lose to be adjusted

i Salaries 0.00 0.00 0.00

ii House Property

iii Short term capital gain

iv Long term capital gain

Other sources ( including

v profit from owning race
horses )

vi Total loss set off 0.00

vii Loss remaining after set-off out of 2 & 3

BROUGHT FORWARD LOSS ADJUSTMENT

Schedule - BFLA Details of Income after Set off of Brought Forward losses of earlier years.
Sr.No. Head / Sources of Income Income after set off, if any, of current Brought forward loss set off Current year's Income remaining after set
year's losses as per 4 of schedule CYLA off

1 2 3
i Salaries
ii House Property
iii Short term capital gain
iv Long term capital gain
Other sources ( including
v profit from owning race
horses )

vi Total of brought forward loss set off

vii Current year's income remaining after set-off Total ( i3 + ii3 + iii3 + iv3 + v3 )

Schedule - CFL Details of Losses to be carried Forward to future years.

Sr.No. Assessment year Data of filing House property loss Short term capital loss Long term Other sources loss ( from owning race
(DD/MM/YYYY) capital loss horses )
i 2000-01
CARRY FORWARD OF LOSS

ii 2001-02
iii 2002-03
iv 2003-04
v 2004-05
vi 2005-06
vii 2006-07
viii 2007-08
ix Total of earliar year losses
x Adjustment of above losses in
Schedule BFLA
xi 2008-09 ( Current year losses )
Total loss Carried Foraward to
xii future years

Schedule - VIA Deductions under chapter VI A (Section)

a 80C 0.00 h 80G 0.00
b 80CCC 0.00 i 80GG
TOTAL DEDUCTIONS

c 80CCD 0.00 j 80GGA

d 80D 0.00 k 80GGC

e 80DD 0.00 l 80RRB

f 80DDB Err:504 m 80U 0.00

g 80E 0.00
n Total deductions ( total a toi m ) n Err:504

Page 20
 Income of specified persons(spouse, minor child etc) includable of the assessee ( income
Schedule - SPI of the minor child to be included after Rs. 1,500 per child)
Sr.No. Name of person PAN of person (optional) Relationship Nature of Income Amount(Rs.)
1
2
3

Income chargeble to Income tax at special rates [ Please see instruction No.9(iii) for
Schedule - SI section code and rate of tax]
Sr. Section Special rate Income Tax thereon Sr. Special rate Income Tax thereon
No. code Ö (%) i ii No.
Section code Ö
(%) i ii
SPECIAL RATE

1 6
2 7
3 8
4 9
5 10
11 Total ( 1ii to 10 ii )

Schedule - EI Details of Exempt Income ( Income not to be included in Total Income )

1 Interest income 1
EXEMPT INCOME

2 Dividend income 2
3 Long term capital gains from transaction on which Securities Transaction Tax is paid 3
4 Neat Agriculture income / any other income for rate purpose 4
5 Others, including exempt income of minor children 5
6 Total ( 1 + 2 + 3 + 4 + 5 ) 6
Other Information (transactions reported through Annual Information Return)
Schedule - AIR [ Please see instruction No.9(ii) for code ]
SI Code of transaction Ö Amount ( Rs. ) SI Code of transaction Ö Amount ( Rs. )
1 001 5 005
2 002 6 006
3 003 7 007
4 004 8 008

Schedule - IT Details of Advance Tax and Self Assessment Tax Payments of Income - tax.
Sl Date of Deposit Serial Number of
Name of Bank & Branch BSR Code Amount (Rs)
No. (DD/MM/YYYY) Challan
TAX PAYMENTS

i 0.00
ii 0.00
iii 0.00
iv 0.00
v 0.00
NOTE > Enter the totals of Advance tax and Self Assessment tax in Sl No. 9a and 9c of Part-B TTI.

Schedule - TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
Deduction Tax payable( Total
Income Tax
Sr Tax Deduction Account Number (TAN) of the Name and address of the chargeable under Incl. surch. tax
under payable
No. Employer Employer the head Salaries Chapter VI- and edu. deposite
/refundable
A cess) d
TDS ON SALARY

(1) (2) (3) (4) (5) (6) (7) (8)

i Director, Dutt Acting

0 Err:504 Err:504 0 Err:504
School, Mumbai
A B C D E 1 2 3 4 F
ii Director, Dutt Acting
0 0 0
School, Mumbai
A B C D E 1 2 3 4 F

Schedule - TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)]

Amount out
Date of
TDS ON OTHER INCOME

Sr Tax Deduction Account Number (TAN) of the Name and address of the Total tax of (6)
Amount paid / Credit Payment /
No. Deductor Deductor deposited claimed for
Credit
this year
(1) (2) (3) (4) (5) (6) (7)
i
0

ii
0

Page 21
 TDS ON
0

NOTE > Enter the total of column (7) of Schedule TDS-1 and column (7) of Schedule-TDS-2 in 9 (b) of Part B - TTI.

Government of India

INCOME TAX - DEPARTMENT

ACKNOWLEDGEMENT
Received with thanks f BACHCHAN AMITABH HARISHANKAR a return of income
and / or return of fridge benefits in Form ITR - 2 for the assessment year 2010-2011 having the following particulars

Name PAN

BACHCHAN AMITABH HARISHANKAR

PERSONAL INFORMATION

A B C D E 1 2 3 4 F
Flat/Door/Block No Name Of Premises/Building/Village

"Amitabh" Lokhandwala Complex

Road/Street/Post Office Area/Locality

Khanna Street Colaba

Town/City/District State

Mumbai Gujarat

1 Gross Total Income 1 0.00

2 Deductions under chapter VI A (Section) 2 Err:504
COMPUTATION OF INCOME AND TAX THEREON

3 Total Income 3 Err:504

4 Net tax payable 6 Err:504
5 Interest payable 7 0.00
6 Total tax and Interest payable 6 Err:504
7 Taxes Paid

a Advance Tax 7a 0.00

b TDS 7b 0.00
c TCS 7c

d Self Assessment Tax 7d

d Total Taxex Paid (7a + 7b + 7c + 7d ) 7e 0.00

8 Tax Payable ( 6 - 7d ) 8 Err:504
9 Refund ( 7e - 6 ) 9 Err:504

10 Value of Fridge benefits 10

COMPUTATION OF FRINGE BENEFITS

11 Total Fridge benefit tax liability 11

12 Total interest payable 12

AND TAX THEREON

13 Total tax and Interest payable 13

14 Taxes Paid

a Advance Tax 14a

b Self Assessment Tax 14b

c Total Taxes Paid (14a+14b) 14c

15 Tax Payable (13-14c) 15

16 Refund (14c-13) 16

Receiiptt No Seal and Signature of receiving official

Page 22
Date

Page 23
;DH]TL ov TFP !5q_*q!)() GF ZMH BZLN SZ[, ~FP !____qvGL lS\DTGF V[GPV[;P;LP G]\ K99
JQF"G]\ jIFH U6J]\ K[P TM VF TFZLB TFP_(q_5q!)() YL TFP#!q!Zq!))( JrR[ VFJ[ K[PT[GL
;FD[ SM0 ccV[cc VF5[, K[P TM 5L/F S,ZGF ;[,DF\ ccV[cc ;FY[ ccKcc ,BMPU|[ S,ZGF ;[,DF\ ~F
!____qv ,BMP 5ZL6FD[ HF\A,L S,ZGF ;[,DF\ V[GPV[;P;LP H[ T[ JQF"GL jIFHGL ZSD
~FPZZ$_qv D/X[P VF ZLT[ H]NF H]NF S], !_ V[GPV[;P;LPGF jIFHGL U6TZL V[SL
;FY[ SZLG[ jIFHGL S], ZSD GLR[ VF5[, 5M58L S,ZGF ;[,DF\ D/X[P
08-5-1989 TO 31-12-1998 A D1 5000.00
01-01-1999 TO 14-01-2000 B D2 5000.00
15-01-2000 TO 28-02-2001 C D3 5000.00
01-03-2001 TO 28-02-2002 D D4 5000.00
01-03-2002 TO 28-02-2003 E D5 5000.00
01-03-2003 TO ONWARDS F D6 5000.00
B4 0.00
C3 0.00
D2 0.00
E1 0.00
 lS\DTGF V[GPV[;P;LP G]\ K99F
!q!Zq!))( JrR[ VFJ[ K[PT[GL
ccKcc ,BMPU|[ S,ZGF ;[,DF\ ~FP
T[ JQF"GL jIFHGL ZSD
jIFHGL U6TZL V[SL
D/X[P
486.00 4.86
533.50 5.335
585.50 5.855
642.50 6.425
705.00 7.05
773.50 7.735
0.00
0.00
0.00
0.00

3726.00

A1 124.00
A2 139.00
A3 156.00
A4 175.00
A5 197.00
A6 224.00
B1 118.30
B2 132.30
B3 148.00
B4 165.40
B5 185.10
B6 206.90
C1 113.00
C2 125.80
C3 140.00
C4 155.80
C5 173.50
C6 193.10
D1 97.20
D2 106.70
D3 117.10
D4 128.50
D5 141.00
D6 154.70
E1 92.00
E2 100.50
E3 109.70
E4 119.80
E5 130.90
E6 142.90
F1 81.60
F2 88.30
F3 95.50
F4 103.30
F5 111.70
F6 120.80