FORM ITR-6 INDIAN INCOME TAX RETURN
[For Companies other than companies claiming exemption under section 11]
(Please see rule 12 of the Income-tax Rules,1962)
(Also see attached instructions) Assessment Year
2 0 1 1 - 1 2
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Part A-GEN GENERAL
PERSONAL INFORMATION Name PAN
Is there any change in the company name? If yes, please furnish the old name
Flat/Door/Block No Name Of Premises/Building/Village Date of incorporation (DD/MM/YYYY)
/ /
Road/Street/Post Office Area/Locality If a domestic company
(Tick) ? ?
Town/City/District State Pin code If a public company write 6, and if private company write 7 (as defined in section 3 of the Company Act)
Office Phone Number with STD code Mobile No. Income Tax Ward/Circle
Email Address
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
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
( c) Permanent Account Number (PAN) of the representative
AUDIT INFORMATION 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
(e) Date of audit report.
Are you liable to furnish a report under section 92E? (Tick) ? ? Yes ? No
For Office Use Only
For Office Use Only
Receipt No
Date
Seal and Signature of receiving official
HOLDING STATUS Nature of company (write 1 if holding company, write 2 if a subsidiary company, write 3 if both, write 4 if any other) ?
