ITR-7 Income Tax Return Form AY2011-2012 Assessment Year

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FORM ITR-7 INDIAN INCOME TAX RETURN

For persons including companies required to furnish return under section 139(4A) or section 139(4B) or section 139(4C) or section 139(4D)
(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
1. PERMANENT ACCOUNT NUMBER (PAN)

2. NAME (As mentioned in deed of creation/ establishing/ incorporation/ formation)

3. ADDRESS
(Flat No./Door/House No., Premises, Road, Locality)

Pin Telephone Fax, if any

4. Date of formation (DD-MM-YYYY)
5. Status (Please see instructions)

6. e-mail ID:

7. Is there any change in Address? Yes No

8. Number and Date of registration under section 12A/12AA and

9. If claiming exemption under section 10:

(i) Mention the clause(s) and sub-clause(s)

(ii) Date of notification/ approval, if any

(iii) Period of validity
To

10. Whether liable to tax at maximum marginal rate under section 164 Yes No

11. Ward/ Circle/ Range

12. Assessment Year 13. Residential Status (Please see instructions)

14. If there is change in jurisdiction, state old Ward/ Circle/ Range

15. Section under which this return is being filed
(Please see instructions) Return of Income

16. Whether Original
or Revised Return

If revised, Receipt No. and date of filing original return. and

17. Is this your first return? Yes No

For Office Use Only

For Office Use Only

Receipt No

Date

Seal and Signature of receiving official

PART-B
(a) Computation of total income

18. Income from house property [Sch.-(F-1A)]

19. (i) Profits and gains of business or profession [Sch.-(F-1B)]

(ii) Profits and gains from transactions chargeable to securities transaction tax included in (i) above (Sch.-(B-26(ii)]

20. Capital gains

(a) Short-term (under section 111A) [Sch.-F-1C(i)]

(b) Short-term (others) [Sch.- F-1C(ii)]

(c) Long-term [Sch.- F-1C(iii)]

21. Income from other sources [Sch.- F-1D]

22. Deemed income under section 11 [F-4(iv)]

23. Total [(18)+(19)+(20)+(21)+(22)]

24. Less: Exempt income [Sch.-F3(ix)]

25. Income chargeable under section 11(4) [Sch.-B(34)]

26. Total income [(23) (24)+(25)]

In words

(b) Statement of taxes on total income

27. Net agricultural income [Sch.F-9]

28. Tax on total income [Sch.G-6]

29. Surcharge, if applicable [Sch.G-7]

30. Education, including secondary and higher education cess [Sch.G-9]

31. Tax + Surcharge + Education Cess [Sch.G-10]

32. Tax deducted/ Collected at source [Sch.G-14B]

33. Advance tax paid [Sch.G-14A]

34. Self-assessment tax paid [Sch.G-14C]

35. Balance tax payable [(31) (32) (33) (34)]

36. Interest payable under section 234A/ 234B/ 234C [Sch.G-11]

37. Tax and interest payable [Sch.G-16]

38. Refund due, if any [Sch.G-17]

Number of documents / statements attached
Description In figures In words Description In figures In words
a. TDS Certificates f. Applications for exercising options under section 11(1)
b. Audit report in Form No. 10B g. Form 10DB / 10DC
c. Audit report in Form No. 10BB h. Income / expenditure account and balance sheet