Income Tax Return Form(ITR-5) Assessment Year 2010-2011

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Assessment Year F O R M ITR-5 INDIAN INCOME TAX RETURN [For firms, AOPs and BOIs] (Please see Rule 12 of the Income-tax Rules,1962) (Also see attached instructions) 2 0 1 0 - 1 1 Part A-GEN GENERAL PAN Name Is there any change in the name? If yes, please furnish the old name Date of formation (DD/MM/YYYY) Flat/Door/Block No Name Of Premises/Building/Village / / Road/Street/Post Office Area/Locality Status (firm-1, local authority- 2,cooperative bank-3, other cooperative society-4, any other AOP/BOP artificial juridical person-5) ? Pin code Town/City/District State (STD code)-Phone Number Income- tax PE R SO N A L I N F O R M A T IO N Email Address ( ) Area Code AO Type Range Code AO NoDesignation of Assessing Officer Return filed under section (Enter Code) [Please see instruction number9(i)] Fringe Benefits Whether original or Revised return? (Tick) ? ? Original ? Revised If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) ? ? Resident ? Non-Resident In the case of non-resident, is there a permanent establishment (PE) in India (Tick) ? ? Yes ? No Whether this return is being filed by a representative assessee? (Tick) ? ? Yes ? No If yes, please furnish following information - (a) Name of the representative (b) Address of the representative F IL IN G S T A T U S ( c) Permanent Account Number (PAN) of the representative Are you liable to maintain accounts as per section 44AA? (Tick) ? ? Yes ? No Are you liable for audit under section 44AB? (Tick) ? ? Yes ? No, If yes, furnish following information- (a) Name of the auditor signing the tax audit report (b) Membership no. of the auditor (c) Name of the auditor (proprietorship/ firm) (d) Permanent Account Number (PAN) of the proprietorship/ firm A U D IT I N F O R M A T IO N (e) Date of audit report. For Office Use Only For Office Use Only Receipt No Date Seal and Signature of receiving official A. Whether there was any change during the previous year in the partners/members of the firm/AOP/BOI (Tick) ? ? Yes ? No (Income of societies and cooperative banks give details of Managing Committee) B. Particulars of persons who were partners/ members in the firm/AOP/BOI on 31st day of March, 2010 S.No. Name and Address Percentage of share (if determinate) PAN P A R T N E R S/ M E M B E R S I N F O R M A T IO N Nature of business or profession, if more than one business or profession indicate the three main activities/ products S.No. Code [Please see instruction No.9(ii)] Description (i) (ii) N A T Y U R E O F B U SI N E SS (iii) Part A-BS BALANCE SHEET AS ON 31 ST DAY OF MARCH, 2010 (fill items 1 to 5 in a case where regular books of accounts are maintained, otherwise fill item 6) 1 Partners' / members' fund a Partners' / members' capital a b Reserves and Surplus i Revaluation Reserve bi ii Capital Reserve bii iii Statutory Reserve biii iv Any other Reserve biv v Total (bi + bii + biii + biv) bv S O U R C E S O F F U N D S c Total partners'/ members' fund (a + bv) 1c 2 Loan funds a Secured loans i Foreign Currency Loans ai ii Rupee Loans A From Banks iiA B From others iiB C Total ( iiA + iiB) iiC iii Total (ai + iiC) aiii b Unsecured loans (including deposits) i From Banks bi ii From others bii iii Total (bi + bii) biii c Total Loan Funds (aiii + biii) 2c 3 Deferred tax liability 3 4 Sources of funds (1c + 2c +3) 4 1 Fixed assets a Gross: Block 1a b Depreciation 1b c Net Block (a - b) 1c d Capital work-in-progress 1d e Total (1c + 1d) 1e 2 Investments a Long-term investments i Government and other Securities - Quoted ai ii Government and other Securities - Unquoted aii iii Total (ai + aii) aiii b Short-term investments i Equity Shares bi ii Preference Shares bii iii Debenture biii iv Total (bi + bii + biii) biv c Total investments (aiii + biv) 2c 3 Current assets, loans and advances a Current assets i Inventories A Stores/consumables including packing material iA B Raw materials iB C Stock-in-process iC D Finished Goods/Traded Goods iD E Total (iA + iB + iC + iD) iE ii Sundry Debtors aii iii Cash and Bank Balances A Cash-in-hand iiiA B Balance with banks iiiB C Total (iiiA + iiiB) iiiC iv Other Current Assets aiv v Total current assets (iE +aii + iiiC + aiv) av b Loans an

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Instructions for filling out FORM ITR-5 These instructions are guidelines for filling the particulars in this Return Form. In case of any doubt, please refer to relevant provisions of the Income-tax Act, 1961 and the Income-tax Rules, 1962. 1. Assessment Year for which this Return Form is applicable This Return Form is applicable for assessment year 2010-2011 only, i.e., it relates to income earned in Financial Year 2009-10. 2. Who can use this Return Form This Form can be used a person being a firm, AOP, BOI, artificial juridical person referred to in section 2(31)(vii), cooperative society and local authority. However, a person who is required to file the return of income under section 139(4)(a) or 139(4)(a) or 139(4)(b) or 139(4)(c) or 139(4)(d) shall not use this form. 3. Annexure-less Return Form No document (including TDS certificate) should be attached to this Return Form. All such documents enclosed with this Return Form will be detached and returned to the person filing the return. 4. Manner of filing this Return Form This Return Form can be filed with the Income Tax Department in any of the following ways, - (i) by furnishing the return in a paper form; (ii) by furnishing the return electronically under digital signature; (iii) by transmitting the data in the return electronically and thereafter submitting the verification of the return in Return Form ITR- V; (iv) by furnishing a Bar-coded return. However, a firm whose accounts are liable to audit under section 44AB shall compulsorily furnish the return in the manner mentioned at (ii) above. Where the Return Form is furnished in the manner mentioned at 5(iii), the assessee should print out two copies of Form ITR-V. One copy of ITR-V, duly signed by the assessee, has to be sent by ordinary post to Post Bag No. 1, Electronic City Office, Bangaluru-560100 (Karnataka). The other copy may be retained by the assessee for his record. 5. Filling out the acknowledgement Only one copy of this Return Form is required to be filed. Where the Return Form is furnished in the manner mentioned at 5(i) or at 5(iv), the acknowledgement slip attached with this Return Form should be duly filled. 6. Codes for filling this Return Form Under the heading 'Filing Status' in the Return Form details have to be filled out regarding section under which the return is being filed on the basis of relevant codes. The codes corresponding to the section under which a return is being filed are as under:- Sl.No. How the return is filed Code i. Voluntarily before the due date under section 139 11 ii. Voluntarily after the due date under section 139 12 iii. In response to notice under section 142(1) 13 iv. In response to notice under section 148 14 v. In response to notice under section 153A/ 153C 15 7. Instructions for filling out this Form (i) The codes for nature of business to be filled in 'Part-A- Nature of business' are as under- Sector Sub-Sector Code Agro-based industries 0101 Automobile and Auto parts 0102 Cement 0103 Diamond cutting 0104 Drugs and Pharmaceuticals 0105 Electronics including Computer Hardware 0106 Engineering goods 0107 Fertilizers, Chemicals, Paints 0108 Flour & Rice Mills 0109 Food Processing units 0110 Marble & Granite 0111 Paper 0112 Petroleum and Petrochemicals 0113 Power and energy 0114 Printing & Publishing 0115 Rubber 0116 Steel 0117 Sugar 0118 Tea, Coffee 0119 Textiles, handloom, Power looms 0120 Tobacco 0121 Tyre 0122 Vanaspati & Edible Oils 0123 (1) Manufacturing Industry Others 0124 Chain Stores 0201 Retailers 0202 Wholesalers 0203 (2) Trading Others 0204 (3) Commission Agents General Commission Agents 0301 (4) Builders Builders 0401 Estate Agents 0402 Property Developers 0403 Others 0404 Civil Contractors 0501 Excise Contractors 0502 Forest Contractors 0503 Mining Contractors 0504 (5) Contractors Others 0505 Chartered Accountants, Companies Secretaries, etc. 0601 Fashion designers 0602 Legal professionals 0603 Medical professionals 0604 Nursing Homes 0605 Specialty hospitals 0606 (6) Professionals Others 0607 Advertisement agencies 0701 Beauty Parlours 0702 Consultancy services 0703 Courier Agencies 0704 Computer training/educational and coaching institutes 0705 Forex Dealers 0706 Hospitality services 0707 Hotels 0708 I.T. enabled services, BPO service providers 0709 Security agencies 0710 Software development agencies 0711 Transporters 0712 Travel agents, tour operators 0713 (7) Service Sector Others 0714 Banking Companies 0801 Chit Funds 0802 Financial Institutions 0803 Financial service providers 0804 Leasing Companies 0805 Money Lenders 0806 Non-Banking Finance Companies 0807 Share Brokers, Sub-brokers, etc. 0808 (8) Financial Service Sector Others 0809 Cable T.V. productions 0901 Film distribution 0902 Film laboratories 0903 Motion Picture Producers 0904 Television Channels 0905 (9) Entertainment Industry Others 0906 (ii) In Schedule SI, the codes for the sections which prescribed special rates of tax