FORM ITR-2 INDIAN INCOME TAX RETURN
[For Individuals and HUFs not having Income from Business or Profession]
(Please see Rule 12 of the Income-tax Rules,1962)
(Also see attached instructions) Assessment Year
2 0 1 1 - 1 2
________________________________________
Part A-GEN GENERAL
PERSONAL INFORMATION First name Middle name Last name PAN
Flat/Door/Block No Name Of Premises/Building/Village Status (Tick) ?
? Individual ? HUF
Road/Street/Post Office Area/locality Date of Birth (DD/MM/YYYY)
( in case of individual)
/ /
Town/City/District State Pin code Sex (in case of individual) (Tick) ?
? Male ? Female
Residential/Office Phone Number with STD code Mobile No. Employer Category(if in employment) (Tick) ?
? Govt ? PSU ? Others
Email Address
Income Tax Ward/Circle
FILING STATUS Return filed (Tick)[Please see instruction number-7] ?Before due date -139(1) ? After due date -139(4) ? Revised Return- 139(5)
OR In response to notice ? 142(1) ? 148 ? 153A/153C
If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / /
Residential Status (Tick) ? ? Resident ? Non-Resident ? Resident but Not Ordinarily Resident
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
( c) Permanent Account Number (PAN) of the representative
PART-B
Part B - TI Computation of total income
TOTAL INCOME 1 Salaries (6 of Schedule S) 1
2 Income from house property (3c of Schedule HP) (enter nil if loss) 2
3 Capital gains
a Short term
i Short-term (u/s 111A) (enter nil, if loss) (A5 of Schedule CG) 3ai
ii Short-term (others) (A6 of Schedule CG) 3aii
iii Total short-term (3ai + 3aii) (A4 of Schedule CG) 3aiii
b Long-term (B5 of Schedule CG) (enter nil if loss)
3b
c Total capital gains (3aiii + 3b) (enter nil if 3c is a loss)
3c
4 Income from other sources
a from sources other than from owning race horses and Winnings from Lottery
(3 of Schedule OS) 4a
b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b
c Total (a + b) (enter nil if 4c is a loss) 4c
5 Total (1+2+3c +4c) 5
Do not write or stamp in this area (Space for bar code)
For Office Use Only
Receipt No
d Total (4a + 4b+4c) 4d
5 Net tax liability (3 4d) 5
6 Interest payable
a For default in furnishing the return (section 234A) 6a
b For default in payment of advance tax (section 234B) 6b
c For deferment of advance tax (section 234C) 6c
d Total Interest Payable (6a+6b+6c) 6d
7 Aggregate liability (5 + 6d) 7
TAXES PAID 8 Taxes Paid
a Advance Tax (from Schedule-IT) 8a
b TDS (total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2) 8b
c Self Assessment Tax(from Schedule-IT) 8c
d Total Taxes Paid (8a+8b+8c) 8d
9 Amount payable (Enter if 7 is greater than 8d, else enter 0) 9
REFUND 10 Refund (If 8d is greater than 7) 10
11 Enter your bank account number (mandatory in all cases)
12 Do you want your refund by ? cheque, or ? deposited directly into your bank account? (tick as applicable ? )
13 Give additional details of your bank account
MICR Code Type of Account (tick as applicable ? ) ? Savings ? Current
VERIFICATION
I, son/ daughter of holding permanent account number solemnly declare that to the best of my knowledge and belief, the information given in the return and schedules thereto is correct and complete and 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 2011-2012.
Place Date
Sign here ?
14 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 15
