FORM ITR-2 INDIAN INCOME TAX RETURN A. Y. 2010-2011 [For Individuals and HUFs not having Income from Business or profession] (Please see Rule 12 of the Income-tax Rules,1962) ____________________________________________________________ ___________________ PART A – GEN PERSONAL INFORMATION First name Middle name Last name PAN Nikita Sharma ABCDE1234F Flat/Door/Block No.

D-5 Name of Premises/Building/Village DEL Colony Road/Street/Lane/Post Office Jalahalli Area/Locality/Taluka/Sub Division Town/City/District Bangalore State/Union Territory KARNATAKA Pin Code 540013 Status [v] Individual [ ] HUF Date of Birth 07/10/1987

Employer Category [ ] Govt [ ] PSU [v] Others Sex [ ] Male [v] Female email address (STD)-Phone No ——————————————————————————- FILING STATUS Designation of Assessing Officer (Ward/Circle) Return filed under Section [ 11 ] Whether Original or Revised Return ? [v] Original [ ] Revised If revised enter, Receipt No. & dt. of filing original return. / / Residential Status [v] Resident [ ] Non-Resident [ ] Resident but Not Ordinarily Resident Whether this return is being filed by a representative assessee?

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If yes, please furnish following information -[ ] Yes [v] No (a) Name of the representative (b) Address of the representative (c) Permanent Account Number (PAN) of the representative ——————————————————————————- Part B – TI Computation of total income 1 Salaries (6 fo Sch. S) [1] 144000 2 Income from house property (3c of Schedule HP)(nil if loss) [2] 196900 3 Capital gains a) Short Term ) Short-term (u/s 111A)(nil if loss)A5-Sch CG[3ai] NIL ii) Short-term (others) (A6 of Schedule CG) [3aii] 275000 iii) Total Short-Term (3ai + 3aii) [3aiii] 275000 b) Long-term (B5 of Schedule CG) (nil if loss) [3b] NIL c) Total capital gains (3aiii + 3b) (Take adjusted Fig. in. CYLA)[3c] 275000 —————————————————————————— (space for Bar Code ) For Office Use Only Seal & Signature of Receiving officer

Receipt No. Date 4 Income from other sources a) from sources other than from owning race [4a] NIL horses and Winning from Lottery (3 of Schedule OS)(enter nil if loss) b) from owning race horses (4c of Schedule OS) [4b] NIL c) Total (a + b) (enter nil if 4c is a loss) [4c] NIL 5 Total (1+2+3c+4c) [5] 615900 6 Losses of current year set off against 5 [6] NIL (total of 2vi and 3vi of Schedule CYLA) Balance after set off current year losses (5-6) [7] 615900 (also total of column 4 of Schedule CYLA) 8 Brought forward losses set off against 7 [8] NIL (2vi of Schedule BFLA) 9 Gross Total income(7-8)(also 3vii of Schedule BFLA) [ 9] 615900 10 Deductions under Chapter VI-A (n of Schedule VIA) [10] 95000 11 Total income ( 9-10) [11] 520900 12 Net agricultural income/ any other income for rate purpose [12] NIL (4 of Schedule EI) 3 Aggregate income (11+12) [13] 520900 14 Losses of current year to be carried forward [14] NIL (Total of row xi of Schedule CFL) Part B – TTI Computation of tax liability on total income 1 Tax payable on total income a) Tax at normal rates [1a] 57270 b) Tax at special rates (11 of Schedule SI) [1b] NIL c) Tax Payable on Total Income (1a + 1b) [1c] 57270 2 Education Cess incl.

Secondary & Higher education cess on 1c [2] 1718 3 Gross tax liability (1c+ 2) [3] 58988 4 Tax relief a) Section 89 [4a] NIL b) Section 90 [4b] NIL c) Section 91 [4c] NIL d) Total (4a + 4b + 4c) [4d] NIL 5 Net tax liability (3 – 4d) [5] 58988 6 Interest payable a) For default in furn. he return (234A) [6a] NIL b) For def. in payment of advance tax (234B)[6b] NIL c) For deferment of advance tax (234C) [6c] 270 d) Total Interest Payable (6a+6b+6c) [6d] 270 7 Aggregate liability (5 + 6d) [7] 59258 ——————————————————————————- TAXES PAID 8 Taxes Paid a) Advance Tax (from Schedule-IT) [8a] NIL b) TDS (total of col 7 of Sch-TDS1 & TDS2) [8b] 50000 c) Self Assessment

Tax(from Schedule-IT) [8c] 9260 d) Total Taxes Paid (8a + 8b + 8c) [5d] 59260 9 Amount payable (Enter if 7 is greater than 8d, else enter 0) [9] NIL ——————————————————————————- 10 Refund (If 8d is greater than 7,also give bank details) [10] 11 Enter your bank account number 12 Do you want your refund by [ ]cheque, or [ ] deposited directly into your bank account? 13 In case of direct deposit to your bank account give additional details N.

A. VERIFICATION I, Nikita Kudva son/daughter of Mr. Anil Kudva holding PAN ABCDE1234F 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 yr. 010-2011 Date: 03/07/2010 Place:Bangalore …………….. Sign Here 14 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below: N. A. Schedule S Details of Income from Salary Name of Employer EnY Pan of Employer (Optional)

Address of Employer UB City,Bangalore Town/City State 1 Salary (Excluding all allowances, perquisites [1] 144000 & profit in lieu salary) 2 Allowances exempt u/s 10 [2] NIL 3 Allowances not exempt [3] NIL 4 Value of perquisites [4] NIL 5 Profits in lieu of salary [5] NIL 6 Income chargeable under the head “Salaries” [(1)+(3)+(4)+(5)] [6] 144000 —————————————————————————— Schedule HP Details of Income from House Property 1 Address of the Property 1 15 A Green City Town/City Bangalore State Karnataka Pin 540055 if let out [v] Name of Tenant Pan of Tenant (optional) a) Annual letable value/ rent received or receivable [1a] 325000 (higher if let out for whole of the year, lower if let out for part of the year) ) The amount of rent which cannot be realized [1b] 6000 c) Tax paid to local authorities [1c] 2000 d) Total (1b + 1c) [1d] 8000 e) Balance (1a – 1d) [1e] 317000 f) 30% of 1e [1f] 95100 g) Interest payable on borrowed capital [1g] 25000 h) Total (1f + 1g) [1h] 120100 i) Income from house property 1( e – h) [1i] 196900 Address of the Property 2 NOT APPLICABLE 3 Income under the head “Income from house property” a) Rent of earlier years realized under section 25A/AA [3a] NIL b) Arrears of rent received during the year [3b] NIL under sec 25B after deducting 30% c) Total (3a + 3b + 1i + 2i) [3c] 196900 Schedule CG Capital Gains A. Short-term capital gain 1 From assets in case of NR to which first proviso to section [1] 48 applicable 2 From assets in case of others a Full value of consideration [2a] 1000000 Exemption under section 48 (i) Cost of acquisition [bi] 675000 (ii) Cost of improvement [bii] NIL (iii) Expenditure on transfer [biii] 50000 (iv) Total ( i + ii + ii) [biv] 725000 c Balance (2a – biv) [2c] 275000 d Loss,if any, to be ignored under [2d] NIL section 94(7) or 94(8) e Deduction u/s 54B/54D [2e] NIL f Short-term capital gain (2c- 2d – 2e) [2f] 275000 3 Amount deemed to be short term capital gains under [3] NIL 54B/54D/54EC/54ED/54G/54GA Total short term capital gain (1 + 2f + A3 ) [4] 275000 5 Short term capital gain under section 111A included in 4 [A5] NIL 6 Short term capital gain other than ref to in sec 111A(4-5)[A6] 275000 B. Long-term capital gain 1 Assets in case of NR to which first proviso to [1] section 48 is applicable 2 Asset in the case of others where proviso to section 112(1) not exercised a Full value of consideration [2a] NIL b Deductions under section 48 i) Cost of acquisition after index. [bi] NIL (ii) Cost of improvement after index[bii] NIL (iii) Expenditure on transfer [biii] NIL (iv) Total ( bi + bii + biii) [biv] NIL c Balance (2a – biv) [2c] NIL d Deduction u/s 54/54B/54D/54EC/54F [2d] NIL 54G/54GA e Net balance (2c-2d) [2e] NIL 3 Asset in the case of others where proviso to section 112(1) exercised a Full value of consideration [3a] NIL Deductions under section 48 (i) Cost of acquisition w/o index. [bi] NIL (ii) Cost of improvement w/o index. [bii] NIL (iii) Expenditure on transfer [biii] NIL (iv) Total ( bi + bii + biii) [biv] NIL c Balance (3a – biv) [3c] NIL d Deduction u/s 54/54B/54D/54EC/54F [3d] NIL e Net balance (3c-3d) [3e] NIL 4 Amount deemed to be long term capital gains under sections [4] NIL 54/54B/54D/54EC/54ED/54F Total long term capital gain (1 + 2e + 3e + 4) [B5] NIL C Income chargeable under the head “CAPITAL GAINS” (A4 + B5) [C] 275000 ——————————————————————————- D. Information about accrual/receipt of capital gains Date upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3 —————————————————————————————– 1 Long Term Where proviso 0 0 0 0 u/s 112(1) is exercised Without Indexation) 2 Long Term Where proviso 0 0 0 0 u/s 112(1) is NOT exercised (With Indexation) 3 Short Term under 111A 0 0 0 0 4 Short Term Others 275000 0 0 0 [Note:Enter positive value from Sch CG AFTER Loss adjustment under this category in Sch CYLA and BFLA in any] ——————————————————————————- Schedule OS Income from other sources 1.

Income other than from owning race horse(s): (a) Dividend , Gross [1a] NIL (b) Interest Gross [1b] NIL (c) Rental Income from machinery, plants , buildings etc. [1c] NIL (d) Others Gross [1d] NIL (e) Total of (1a)+(1b)+(1c)+(1d) [1e] NIL f. Deductions u/s 57: (i) Expenses/Deductions [f1] NIL (ii) Depreciation [fii] NIL (iii) Total [fiii] NIL g.

Balance [1(e) – fiii] [1g] NIL 2. Winning from lotteries, cross word puzzles races etc [2] NIL 3 Income from other sources & Winning from Lottery (other than from owning race horses) (1g + 2) [3] NIL (Enter NIL if Loss) 4. Income from owning and maintaining race horses a. Receipts [4a] NIL b. Deductions u/s 57 in relation to (4) [4b] NIL c. Balance (4a – 4b) [4c] NIL 5. INCOME CHARGEABLE UNDER THE HEAD INCOME FROM OTHER SOURCES” (3 + 4c) [5] NIL (Enter NIL if Loss) Schedule CYLA Details of Income after Set off of current year losses ——————————————————————————————- S. | Head/Source of Income |Income of | House Property |Other Sources Loss |Current Yr No. | |current |Loss of the current|(Other than Loss | income | |year | year set off* | from race | remaining | |(If income| | horses) of the | after |is zero or|——————-| current yr setoff*| set off | |positive) |Total Loss| |——————-| |LOSSES TO BE ADJUSTED | |3c of Sch | NIL|Total Loss | NIL| | | |edule HP | |3 of Sch OS| | | |———-|——————-|——————-|———— | | (1) | (2) | (3 ) | (4)= 1-2-3 —|————————|———-|——————-|——————-|———— 1. Salaries | 144000| 0 | 0 | 144000 —|————————|———-|——————-|——————-|———— 2. | House Property | 196900| 0 | 0 | 196900 —|————————|———-|——————-|——————-|———— 3. | Short term capital gain| 275000| 0 | 0 | 275000 —|————————|———-|——————-|——————-|———— 4. Long term capital gain| 0| 0 | 0 | 0 —|————————|———-|——————-|——————-|———— 5. | Other sources(including| | | | | from race horses but | | | | | excl. Lottery Income | 0| 0 | 0 | 0 —|————————|———-|——————-|——————-|———— 6. Total Loss setoff | | 0 | 0 | —|————————|———-|——————-|——————-|———— 7. | Loss remaining after | | 0 | 0 | | set-off | | | | —|————————|———-|——————-|——————-|————

Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years —————————————————————————- S. | Head/Source of Income |Income after set| Brought |Current Year No. | | off, if any of | forward loss | income | | current year’s | set off | remaining | | losses as per 4 | | after | | of Sch.

CYLA | | setoff | |—————–|————–|————– | | (1) | (2) | (3) —|————————|—————–|————–|————– i | Salaries | 144000 | 0| 144000 —|————————|—————–|————–|————– ii | House Property | 196900 | 0| 196900 —|————————|—————–|————–|————– iii| Short Term Capital Gain| 275000 | 0| 275000 —|————————|—————–|————–|————– iv | Long Term Capital Gain | 0 | 0| 0 —|————————|—————–|————–|————– v | Other sources(including| | | | profit from owning | | | | race horses but excl. | | | winning from Lottery | 0 | | 0 —————————————————————————- vi| TOTAL OF B/F LOSSES SET OFF | 0| —————————————————————————- vii| Current year’s income remaining after set off | 615900 (i3+ii3+iii3+iv3+v3+vi3) —————————————————————————- Schedule CFL Details of Losses to be carried forward to future years —————————————————————————— ———– S. | Assessement Year | Date of | House |Short Term| Long Term|Loss from No. | Filing | Property | Capital | Capital |owning | | | Loss | Loss | Loss |Race | | | | | |Horses —————————————————————————————– i 2002-2003 / / 0 0 0 ii 2003-2004 / / 0 0 0 iii 2004-2005 / / 0 0 0 iv 2005-2006 / / 0 0 0 v 2006-2007 / / 0 0 0 vi 2007-2008 / / 0 0 0 vii 2008-2009 / / 0 0 0 viii 2009-2010 / / 0 0 0 ix Total of earlier Losses 0 0 0 x Adjustment of above losses in 0 0 0 Schedule BFLA i 2010-2011 (Current year losses) 0 0 0 xii Total loss Carried Forward to 0 0 0 future years ————————————————————————————————- Schedule VIA Deductions under Chapter VI-A (Section) a) 80C 95000 e) 80DD NIL i) 80GG NIL b) 80CCC NIL f) 80DDB NIL j) 80GGA NIL c) 80CCD NIL g) 80E NIL k) 80GGC NIL d) 80D NIL h) 80G NIL l) 80RRB NIL m) 80U NIL n) Total Deductions (Total of a to m) [n] 95000 Schedule SPI Income of specified persons(spouse, minor child etc) includable in income of the assessee NOT APPLICABLE

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