Acknowledgement Number:768656890080722 Date of filing:08-07-2022

INDIAN INCOME TAX RETURN

[For Individuals, HUFs and Firms (other than LLP) being a resident
having total income upto Rs.50 lakh and having income from
business and profession which is computed under sections 44AD, Assessment
ITR-4
44ADA or 44AE] Year
SUGAM
[Not for an individual who is either Director in a company or has invested in 2022 - 23
unlisted equity shares or if income-tax is deferred on ESOP or has agricultural
income more than Rs.5000]
(Please refer instructions for eligibility)

PART A GENERAL INFORMATION

(A1) First Name (A2) Middle Name (A3) Last Name (A4) Permanent Account
BALA LINGAM GUMDELLY Number
AEZPG5065L
(A5) Date of Birth/Formation (DD/MM/YYYY) (A6) Flat/Door/Block No.
03-Aug-1976 4-1-338
(A7) Name of Premises/Building/Village (A8) Road/Street/Post (A9) Area/Locality
ALAMPALLY ROAD Office K.V.RANGAREDDY
Vicarabad
(A10) Town/City/District (A11) State (A12) Country (A13) PIN Code/ZIP
Vikarabad H.O 36-Telangana 91-India Code
501101
(A14) Aadhaar Number(12 digits)/Aadhaar Enrolment Id(28 digits) (if eligible for (A15) Status
Aadhaar No.) ✔ Individual
9xxx xxxx 7058 HUF
Firm (other than LLP)
(A16) Residential/Office Phone Number with STD (A17) Mobile No.2 (A18) Email Address-1
Code/Mobile No.1 (Self)
/ 91 9849368858 knaveen.
kumar64@gmail.com
Email Address-2
(A19) Nature of employment- Central Govt. State Govt. Public Sector Undertaking CG - Pensioners
SG - Pensioners PSU - Pensioners Other Pensioners Others ✔ Not Applicable (e.g. Family Pension
etc.)
(A20)(a) Filed u/s (Tick) ✔ 139(1)- On or before due date 139(4)- After due date
[Please see instruction] 139(5)- Revised Return 119(2)(b)- After Condonation of delay
(b) Or Filed in response 139(9) 142(1) 148
to notice u/s
(A21) If revised/defective then enter Receipt No. and
Date of filing of original return (DD/MM/YYYY)
(A22) If filed in response to notice u/s 139(9)/142(1)
/148 or order u/s 119(2)(b)- enter Unique Number/
Document Identification Number (DIN) & Date of such
Notice or Order

(A23) Have you opted for new tax regime u/s 115BAC and filed Form 10IE in AY 2021-22 ? Yes ✔ No

Option for current assessment year ,

Opting in now ✔ Not opting Continue to opt Opt out

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
For other than not opting, please furnish date of filing of form 10-IE along with
Acknowledgment number
(A24) Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to
furnish return of income? (Not applicable in case of firm) - (Tick) Yes ✔ No
If yes, please furnish following information
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing
return of income due to fulfilling one or more conditions mentioned in the seventh proviso to section 139(1)]
(i) Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in 0
one or more current account during the previous year? Yes ✔ No
(ii) Have you incurred expenditure of an amount or aggregate of amount 0
exceeding Rs. 2 lakhs for travel to a foreign country for yourself or for any other
person?
Yes ✔ No
(iii) Have you incurred expenditure of amount or aggregate of amount exceeding 0
Rs. 1 lakh on consumption of electricity during the previous year? Yes ✔
No
(iv) Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to
section 139(1)) (If yes, please select the relevant condition from the drop down menu) Yes ✔ No

S.No Amount

(A25) Whether this return is being filed by a representative assessee? (Tick) Yes ✔ No
If yes, please furnish following information -
(1) Name of the representative
(2) Capacity of the representative
(3) Address of the representative
(4) Permanent Account Number (PAN)/ Aadhaar No. of the representative /
PART B GROSS TOTAL INCOME Whole - Rupee only

B1 Income from Business & Profession (NOTE-Enter value from E8 of Schedule BP) B1 302492
B2 i Gross Salary (ia + ib + ic + id + ie) i 0
a Salary as per section 17(1) ia 0
b Value of perquisites as per section 17(2) ib 0
c Profit in lieu of salary as per section 17(3) ic 0
d Income from retirement benefit account id 0
maintained in a notified country u/s 89A

e Income from retirement benefit account ie 0

maintained in a country other than notified
country u/s 89A
ii Less allowances to the extent exempt u/s 10 ii 0
[Ensure that it is included in salary income u/s 17(1)/17(2)/17(3)]
SL. Nature of Exempt Allowance Description ( If Any Other Amount
No selected)

iia Less : Income claimed for relief from taxation u iia 0

/s 89A
iii Net Salary (i - ii - iia) iii 0

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
iv Deductions u/s 16 (iva + ivb + ivc) iv 0
a Standard deduction u/s 16(ia) iva 0
b Entertainment allowance u/s 16(ii) ivb 0
c Professional tax u/s 16(iii) ivc 0
v Income chargeable under the head 'Salaries' (iii - iv) (NOTE- Ensure to Fill B2 0
"Sch TDS1" )
B3 Tick applicable option Self-Occupied Let Out Deemed Let Out
i Gross rent received/ receivable/ lettable value i 0
during the year
ii Tax paid to local authorities ii 0
iii Annual Value (i - ii) iii 0
iv 30% of Annual Value iv 0
v Interest payable on borrowed capital v 0
vi Arrears/Unrealized Rent received during the vi 0
year Less 30%
vii Income chargeable under the head 'House Property' (iii - iv - v) + vi (If loss, B3 0
put the figure in negative) Note:- Maximum loss from house property that
can be set-off in computing income of this year is INR 2, 00,000. To avail
the benefit of carry forward and set of loss, please use ITR -3/5.
B4 Income from Other Sources B4 145485
NOTE- Fill "Sch TDS2" if applicable.
S.No Nature of Income Description Total Amount
( If Any
Other
selected)

1 Interest from Income Tax Refund 168

2 Dividend Income 1448
3 Any Other Commissi 136217
on Income
4 Interest from Deposit (Bank/Post Office 7652
/Cooperative Society)
Quarterly breakup of Dividend Income Quarterly breakup of Income from retirement benefit
account maintained in a notified country u/s 89A (taxable
portion)

i Up to 15-Jun-2021 1448 i Up to 15-Jun-2021 0

ii From 16-Jun-2021 to 0 ii From 16-Jun-2021 to 0
15-Sep-2021 15-Sep-2021
iii From 16-Sep-2021 0 iii From 16-Sep-2021 0
to 15-Dec-2021 to 15-Dec-2021
iv From 16-Dec-2021 0 iv From 16-Dec-2021 0
to 15-Mar-2022 to 15-Mar-2022
v From 16-Mar-2022 to 0 v From 16-Mar-2022 to 0
31-Mar-2022 31-Mar-2022
Less: Deduction u/s 57(iia) (in case of family pension only) 0

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
Less: Income claimed for relief from taxation u/s 89A 0
B5 Gross Total Income (B1+B2+B3+B4) B5 447977
To avail the benefit of carry forward and set off of loss, please use ITR-3/5.
Part C - Deductions and Taxable Total Income

S. Section Amount System Calculated

No.

C1 80C - Life insurance premia, deferred annuity, 0 0

contributions to provident fund, subscription to
certain equity shares or debentures, etc.
C2 80CCC - Payment in respect Pension Fund 0 0
C3 80CCD(1) - Contribution to pension scheme of 0 0
Central Government
C4 80CCD(1B) -Contribution to pension scheme of 0 0
Central Government
C5 80CCD(2) - Contribution to pension scheme of 0 0
Central Government by employer
C6 80D - Deduction in respect of health insurance 0 0
premia
Note: 1. Total of 80D in system calculated value
should not exceed Rs 1,00,000. 2. Total
of 80D in system calculated value should not
exceed Rs 50,000 in case of HUF.
C7 80DD - Maintenance including medical 0 0
treatment of a dependent who is a person with
disability
C8 80DDB - Medical treatment of specified disease 0 0
C9 80E - Interest on loan taken for higher education 0 0
C10 80EE - Interest on loan taken for residential 0 0
house property
C11 80EEA - Deduction in respect of interest on loan 0 0
taken for certain house property
C12 80EEB - Deduction in respect of purchase of 0 0
electric vehicle
C13 80G - Donations to certain funds, charitable 0 0
institutions, etc (Please fill 80G schedule.This
field is auto-populated from schedule 80G.)
C14 80GG - Rent paid 0 0
C15 80GGC - Donation to Political party 0 0
C16 80TTA - Interest on deposits in saving bank 0 0
Accounts
C17 80TTB- Interest on deposits in case of senior 0 0
citizens.
C18 80U - In case of a person with disability. 0 0
C19 Total deductions (Add items C1 to C18) 0 0
C20 Taxable Total Income (B5 - C19) 447980

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
PART D - TAX COMPUTATIONS AND TAX STATUS

D1 Tax payable on total income D1 9899

D2 Rebate on 87A D2 9899
D3 Tax payable after Rebate (D1-D2) D3 0
D4 Health and Education Cess @ 4% on (D3) D4 0
D5 Total Tax, and Cess (D3 + D4) D5 0
D6 Relief u/s 89 (Please ensure to submit Form 10E to claim this D6 0
relief)
D7 Balance Tax after Relief (D5 – D6) D7 0
D8 Total Interest u/s 234A D8 0
D9 Total Interest u/s 234B D9 0
D10 Total Interest u/s 234C D10 0
D11 Fee u/s 234F D11 0
D12 Total Tax, Fee and Interest (D7 + D8 + D9 + D10 + D11) D12 0
D13 Total Advance Tax Paid D13 0
D14 Total Self-Assessment Tax Paid D14 0
D15 Total TDS Claimed ( total of column 4 of Schedule-TDS1 and D15 6773
column 6 of Schedule-TDS2 )
D16 Total TCS Collected ( total of column (5) of Schedule-TCS ) D16 0
D17 Total Taxes Paid (D13 + D14 + D15 +D16) D17 6773
D18 Amount payable (D12 - D17, If D12 > D17) D18 0
D19 Refund (D17 - D12, If D17 > D12) D19 6770
D20 Exempt income only for reporting purposes (If agricultural income is more than Rs.5,000/-, use ITR 3/5)
Sl. No. Nature of Income Description Amount
(If 'Any
Other' is
selected)

Total 0
D21 Details of all Bank Accounts held in India at any time during the
previous year (excluding dormant accounts)
Sl. IFS Code of the Bank Name Account Number Select Account for Refund
of the Credit
Bank

1 SBIN0020094 STAT 52128171545 ✔

E
BAN
K
OF
INDIA
1. Minimum one account should be selected for refund credit.
2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the
account decided by CPC after processing the return
SCHEDULE BP - DETAILS OF INCOME FROM BUSINESS OR PROFESSION

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
COMPUTATION OF PRESUMPTIVE BUSINESS INCOME UNDER SECTION 44AD
S. Name of Business Business code Description
No.

1 Balaji kirana& general stores 09028-Retail sale of other

products n.e.c
E1 Gross Turnover or Gross Receipts i
a Through a/c payee cheque or a/c payee bank draft or bank E1a 1251764
electronic clearing system received or prescribed electronic
modes received before specified date
b Any other mode E1b 0
E2 Presumptive Income under section 44AD
a 6% of E1a or the amount claimed to have been earned, E2a 302492
whichever is higher
b 8% of E1b or the amount claimed to have been earned, E2b 0
whichever is higher
c Total (a + b) E2c 302492
NOTE- If Income is less than the above percentage of Gross
Receipts, it is mandatory to have a tax audit under 44AB & other
ITR as applicable has to be filed

COMPUTATION OF PRESUMPTIVE INCOME FROM PROFESSIONS UNDER SECTION 44ADA

S. Name of Business Business code Description

No.

E3 Gross Receipts E3 0
E4 Presumptive Income under section 44ADA (50% of E3) or the E4 0
amount claimed to have been earned, whichever is higher
NOTE- If Income is less than 50% of Gross Receipts, it is
mandatory to have a tax audit under 44AB & other ITR as
applicable has to be filed

COMPUTATION OF PRESUMPTIVE INCOME FROM GOODS CARRIAGES UNDER SECTION 44AE

S. Name of Business Business code Description

No.

Sl. Registration No. of Whether owned/ Tonnage capacity of Number of months Presumptive income
No goods carriage leased/hired goods carriage(in for which goods u/s 44AE for the
MT) carriage was owned goods carriage
/leased/hired by (Computed @ Rs.
assessee 1000 per ton per
month in case
tonnage exceeds
12MT, or else @ Rs.
7500 per month) or
the amount claimed
to have been
actually earned,
whichever is higher

(i) (1) (2) (3) (4) (5)

Add row options as necessary (At any time during the year the number of vehicles should not exceed 10

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
vehicles)
E5 Presumptive Income from Goods Carriage under section 44AE E5 0
[total of column (5)]
NOTE- If the profits are lower than prescribed under S.44AE or
the number of Vehicles owned at any time exceed 10 then other
ITR, as applicable, has to be filed
E6 Salary and interest paid to the partners E6 0
NOTE - This is to be filled up only by firms
E7 Presumptive Income u/s 44AE (E5-E6) E7 0
E8 Income chargeable under the head 'Business or Profession' E8 302492
(E2c+E4+E7)

E9 INFORMATION REGARDING TURNOVER/GROSS RECEIPT REPORTED FOR GST

Note – Please furnish the information below for each GSTIN No. separately
S. GSTIN No.(s) Annual Value of Outward Supplies as per the GST
No. Returns Filed

E10 Total of value of Outward Supplies as per the GST returns filed 0
FINANCIAL PARTICULARS OF THE BUSINESS
NOTE- For E11 to E25 furnish the information as on 31st day of March, 2022

E11 Partners/ Members own capital E11 0

E12 Secured loans E12 0
E13 Unsecured loans E13 0
E14 Advances E14 0
E15 Sundry creditors E15 24761
E16 Other liabilities E16 0
E17 Total capital and liabilities (E11+E12+E13+E14+E15+E16) E17 24761
E18 Fixed assets E18 0
E19 Inventories E19 157463
E20 Sundry debtors E20 46928
E21 Balance with banks E21 0
E22 Cash-in-hand E22 15211
E23 Loans and advances E23 0
E24 Other assets E24 0
E25 Total assets (E18+E19+E20+E21+E22+E23+E24) E25 219602
Note: Please refer to instructions for filling out this schedule (E15,
E19, E20, E22 are mandatory and others if available)
SCHEDULE IT - DETAILS OF ADVANCE TAX AND SELF ASSESSMENT TAX PAYMENTS

BSR Code Date of Deposit (DD/MM/YYYY) Challan No. Tax paid

Col (1) Col (2) Col (3) Col (4)

Total 0
Note: Enter the totals of Advance tax and Self-Assessment tax in D13 & D14

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
Schedule TCS - Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]

Sl Tax Name of the Details of Tax Collected Amount out of (4)

No Collection Collector amount being claimed
Account paid
Number as
of the mentioned
Collector in Form
26AS

Col (1) Col (2) Col (3) Col (4) Col (5)

Total 0
Note: Please enter total of column (5) of Schedule-TCS in D16
SCHEDULE TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY
[As per Form 16 issued by Employer(s)]

TAN Name of the Employer Income under Salary Tax deducted

Col (1) Col (2) Col (3) Col (4)

Total 0
Note: Enter the total of column 4 of Schedule-TDS1 and column 6 of Schedule-TDS2 in D15
SCHEDULE TDS2 - DETAILS OF TAX DEDUCTED AT SOURCE ON INCOME OTHER THAN SALARY
[As per Form 16 A issued or Form 16C or Form 16D furnished by Deductor(s)]

Sl. TAN of Deductor Unclaimed TDS TDS of the TDS credit being Corresponding Receipt TDS credit
No. / PAN / Aadhaar brought current claimed this / withdrawals being
No.of Tenant forward (b/f) Fin. Year Year (only if offered carried
corresponding forward
receipt is being
offered for tax
this year , not
applicable if TDS
is deducted u/s
194N)

Fin. Year TDS b/f TDS TDS Claimed Gross Head of

in which Deducted Amount Income
deducted

(1) (2) (3) (4) (5) (6) (7) (8) (9)

1 HYDL00508E 0 6724 6724 134217 OS - 0

Income
from
Other
Source
2 MUMR19954E 0 49 49 1010 OS - 0
Income
from
Other
Source
Total 6773
Note: Enter the total of column 6 of Schedule TDS2 and column 4 of Schedule-TDS1 in D15
Details of Tax Deducted at Source [TDS 2(ii)] [as per form 16C furnished by the payer(s)]

Sl. PAN/Aadhaar no. Unclaimed TDS TDS of the TDS credit Corresponding Receipt TDS Credit
No of Tenant brought current being claimed offered being

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
forward (b/f) Financial this Year (only if carried
Year corresponding forward
receipt is being
offered for tax
this year)

Financial TDS b/f TDS TDS Claimed Gross Head of

Year Deducted Amount Income
in which
TDS is
deducted

1 2 3 4 5 6 7 8 9

Total 0
Note: Enter the total of column 6 of Schedule TDS2 and column 4 of Schedule-TDS1 in D15
Schedule 80D

1 Whether you or any of your family member (excluding parents) is a senior Not claiming for Self
citizen? /Family
(a) Self & Family 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Self & Family including Senior Citizen 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health 0
insurance is not claimed at (i) above)
2 Whether any one of your parents is a senior citizen Not claiming for parents
(a) Parents 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Parents including Senior Citizen 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health 0
insurance is not claimed at (i) above)
3 Eligible Amount of Deduction 0
SCHEDULE 80G - DETAILS OF DONATIONS ENTITLED FOR DEDUCTION UNDER SECTION 80G

A. Donations entitled for 100% deduction without qualifying limit

SL. Name of Address City or State Code Pin code PAN of Amount of donation Eligible Amount

No. Donee Town or Donee of Donation

Donation in Donation in Total Donation
District
cash other mode

- 0 0 0 0

Total A 0 0 0 0

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Acknowledgement Number:768656890080722 Date of filing:08-07-2022
B. Donations entitled for 50% deduction without qualifying limit

SL. Name of Address City or State Code Pin code PAN of Amount of donation Eligible Amount

No. Donee Town or Donee of Donation

Donation in Donation in Total Donation
District
cash other mode

- 0 0 0 0

Total B 0 0 0 0

C. Donations entitled for 100% deduction subject to qualifying limit

SL. Name of Address City or State Code Pin code PAN of Amount of donation Eligible Amount

No. Donee Town or Donee of Donation

Donation in Donation in Total Donation
District
cash other mode

- 0 0 0 0

Total C 0 0 0 0

D. Donations entitled for 50% deduction subject to qualifying limit

SL. Name of Address City or State Code Pin code PAN of Amount of donation Eligible Amount

No. Donee Town or Donee of Donation

Donation in Donation in Total Donation
District
cash other mode

- 0 0 0 0

Total D 0 0 0 0

E. Total Amount of Donations (A + B + C + D) 0 0 0 0

VERIFICATION
I, BALA LINGAM GUMDELLY son/ daughter of NARAYANA GUMDELLY solemnly declare that to the
best of my knowledge and belief, the information given in the return is correct and complete and is in
accordance with the provisions of the Income-tax Act, 1961. I further declare that I am making this return in
my capacity as Self and I am also competent to make this return and verify it. I am holding permanent
account number AEZPG5065L .

Place: 49.204.179.213
Date: 08-07-2022

If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:

TRP PIN (10 Digit) Name of TRP Counter Signature of TRP

Amount to be paid to TRP 0

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