1.

Name of the assessee

:

2.

Address

:

3.

Permanent account number

:

4.

Status

:

5.

Previous year ended

:

6.

Assessment year

:

7.

a)

If firm or association of persons, indicate names of the partners/members and their profit sharing ratios.

b)

If there is any change in the partners or members or in their profit sharing ratio since the last date of preceding year, the particulars of such change.

8.

a)

Nature of business or profession (if more than one business or profession is carried on during the previous year, nature of every business or profession)

b)

If there is any change in the nature of business or profession, the particulars of such change.

9.

a)

Whether the books of account are prescribed under section 44AA, if yes, list of books so prescribed.

b)

Books of account maintained. (In case books of account are maintained in a computer system, mention the books of accounts generated by such computer system.)

c)

List of books of accounts examined.

10.

Whether the profit and loss account includes any profits and gains assessable on presumptive basis, if yes, indicate the amount and the relevant section (44AD, 44AE, 44AF, 44B, 44BBA, 44BBB or any other relevant section.)

11.

a)

Method of accounting employed in the previous year.

b)

Whether there has been any change in the method employed vis-à-vis the method employed in the immediately preceding previous year.

c)

If answer to (b) above is in affirmative, give details of such change, and the effect thereof on the profit or loss.

d)

Details of deviation, if any, from the method of valuation prescribed under section 145A, and the effect thereof on the profit or loss.

12.

a)

Method of valuation of closing stock employed in the previous year.

b)

Details of deviation, if any, from the method of valuation prescribed under  section 145A, and the effect thereof on the profit and loss.

12A.

Give the following particulars of the capital asset converted into stock-in-trade:

a)    Description of capital asset,

b)   Date of acquisition;

c)    Cost of acquisition;

d)   Amount at which the asset is converted into stock-in-trade

13.

Amounts not credited to the profit and loss account, being,

a)    The items falling within the scope of section:

b)   The Performa credits, drawbacks, words refund of duty of customs or excise or service tax, or refund of sales tax or value added tax, where such credits, drawbacks or refunds are admitted due by the authorities concerned.

c)    escalation claims accepted during the previous year;

d)   Any other item of income;

e)    Capital receipt, if any.

14.

Particulars of depreciation allowed as per the Income-tax Act, 1961 in respect of each asset or block of assets, as the case may be, in the following form:

a)    description of asset/block of assets

b)   Rate of depreciation

c)    Actual cost or written down value, as the case may be.

d)   Additions/deductions during the year with dates, in the case of any additions of any asset, date put to use; including adjustments on account of

      i)  Modified Value Added Tax credit claimed and allowed under the Central Excise rules, 1944, in respect of assets acquired on or after 1^st March, 1994,

      ii) Change in the rate of exchange of currency, and

      iii)  Subsidy or grant or reimbursement, by whatever name called.

      iv) Depreciation allowable

      v) Written down value at the end of year.

15.

Amounts admissible under sections

a)    33AB

b)   33ABA

c)    33AC (wherever applicable)

d)   35

e)    35ABB

f)    35AC

g)   35CCA

h)   35CCB

i)    35D

j)    35DD