Form Ba - Return Of Net Wealth

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FORM BA
RETURN OF NET WEALTH
[See rule 3(1)(B) of Wealth-tax Rules, 1957]
For individuals/Hindu undivided families/companies
ACKNOWLEDGEMENT
n
Please follow enclosed instructions
For Office use only
n
n
Receipt No.
Date
PAN must be quoted.
Use block letters only.
1.
PERMANENT ACCOUNT NUMBER(PAN)
(If not applied for or not allotted, enclose Form 49A)
2.
NAME (LAST NAME/SURNAME, FIRST NAME, MIDDLE NAME IN THAT ORDER)
Seal and Signature of Receiving
Official
3.
Or B. OFFICE
)
8.
ADDRESS FOR COMMUNICATION (A. RESIDENCE
WARD/CIRCLE/SPECIAL RANGE
(Flat No./Door/House No., Premises, Road, Locality/Village, Town/ District,
State/Union Territory in that Order)
9.
IF THERE IS CHANGE IN JURISDICTION, STATE OLD
WARD/CIRCLE/SPECIAL RANGE
10.
-
-
VALUATION DATE
11.
12.
ASSESSMENT YEAR
RESIDENTIAL STATUS*
-
PIN
TELEPHONE
13.
or Revised
Return ?
WHETHER ORIGINAL
FAX, IF ANY
4. Sex (M/F)
u/s 14/15/17
6.
STATUS*
5.
-
-
14. If revised, Receipt No.
and
DATE OF BIRTH
,
(DD-M M- YYYY)
date of filing original Return
No
7.
Yes
No
15.
IS THERE ANY CHANGE IN ADDRESS ?
IS THIS YOUR FIRST RETURN ? Yes
16. ARE YOU ASSESSED TO INCOME-TAX ? Yes
No
If yes, whether A. Residence
or B. Office
STATEMENT OF NET WEALTH AND TAX (IN RS.)
Statement of net wealth
17.
Aggregate value of immovable property (item 28.1e)
112
18.
Aggregate value of movable property (item 28.2d)
113
19.
Includible net wealth of other persons (item 28.3e)
114
20.
Aggregate value of interest in assets held in a Firm/AOP as
partner/member (item 28.4f)
115
21.
Net wealth (As rounded off to nearest multiple of hundred rupees)
(17+18+19+20)
116
In words
Statement of tax
22.
Tax on net wealth
118
23.
Add: interest on late filing of return
119
24.
Total tax and interest payable (22+23)
135
25.
Less prepaid tax and interest (Attach Challans)
Date
Name of Bank and Branch
Branch Code
Amount (Rs.)
I
II
III
Total
137
26.
Balance tax and interest payable (24-25)
149
27.
Amount of refund due, if any
151
* Fill in code as mentioned in instructions.
[WTR57;BA,1]{1}
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