FORM NO. 2D IV

fioo*No.2D
ITS-2D
SARAL
lorm lor
non corporate assesses
[' lncome-lax return
ether than persons claiming exemption under section ll)
[see provso to rule 12(t) (b) (iii)]
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e t i r\tc 3' 3
e?
A:sessm .rr Year :.lC CZ' C-].(
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the 6ranch
tne Bank
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ihe bank accoun: wnere
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INCOI]:
FFO|\4 HOUSE PFCPTATY.
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GiCSS TOTAL INCOI!4E (ri+16+17i i3* :3-;C)
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TAX FAYA:'*:
TAX D:DUCTED AT SCUFC:
LAS: ADVANC: TAX FA.D
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LlSS:
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Date
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ADD : INTEFEST PAYA3LE
LESS : SEI-F AS3=SSMENT TAX PA;0..
SALANC. TAX : PA',ABLE / FEF'''i'\lD43LE
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rnd brl'if. lhc rnlo,n:alidh g,uen ln lhr-, rcirjrn and thc:r'i'::i'.;rcs ar''l
lo rncorn€ tax lor the previous year relevant to the assessrrent
yclr ? C-(ll-: t':(
Sronalurr
Dale
.
.
please go throuqh the inslructlons. These wrll heio you in lr:ltn:: ,r
:'
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: R T, PRATAP STNGH
ir,219, Radha Krishna Wing l, Nr. Akota Garden, Akota. Baroda-3g0020.
Assessee Name
Address
Assessrnent Year
Previous Year
P.A.No.
Status
: 'p002{3
Restlentiatstatus :
: (t.1104f2001 to 31/03X2002 Dr.re Dt of Retum :
: FjEYPT 2589 G
Ward/Circte/Range :
: C1 >> lndMdual
Date of Birth
:
ResirJent
31/07fZC{Jlz
Ward 1(3)Baroda
1 April 1960
COMPUTATION OF INCOME
INCOf,tE FROiI SHARE IN PROF]T OF FIRM
50% share of profil from ihe firm 18lh Alfa Detective & Security Agerry
as computed in firm's cas6
Remuneration
lnterest
Less: Share of profit exempted
r.r/s
76696
94,881
2y48
10(2A)
201025
76696
124329
SUMMARY OF TOTAL INCOME
Profits & Gains of Business or Profiession
Share in ProfiUloss of Firms
124329
GROSS TOTAL INCOME
ROUNDED OFF
124329
124330
CALCULATION Otr TAX
Tax on Total lncome
Less
:
13866
i
Rebate u/s 88
Life lnsurance Premium
Tax Rebate ur/s BB . ...@2A%
30960
6192
Net Tax
Surcharge on
Tax
.@2%
Add : lnterest ulsZVl
7674
153
7827
E
425
lnterest r./s 234 C
391
.NE-re*lgr"H.
---E816€'
7
/
Particulers
Cash
Cash
't2tosto1 Cash
15/0c/01 Cas\
23tffit01 Cash
Cash
Cash
Cash
Cash
A/c
A/c
A/c
A/c
Alc
A/c
A/c
A/c
A/c
Casl'r A-rc
1?,11rc1 Cash A/c
1U1ZA1 Cash A/c
12lO1t02 Cash A/c
16tOZ02 Cash fuc
12JOA02 Cash A/c
31to3tAz Closing Balance
15,000
40,mo
10,000
5,000
5,200
10,000
10,000
10,000
3,620
32,000
1lO3lO2
llOUO2
1l0YO2
Openlng Baiance.
lnterest on Capital
Ranruneration
Profit Share
s,250
6,530
10,000
10,000
15,000
Balanca
289,948
$
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'(7
NAVRANG
RAOPURA
BARODA
fifc Jnruronre Corporolion o/ Jndio
VADODARA DIVISION
FIRST PREMIUM RECEIPT
/
(
E.QCtSe)vicing BranchAddross
COI'IPLEX ?ND FLOCJR
POST
BO)<. NO.
PIN; 390001
Branch Otfice
Policy Numbor
Dale ol Risk
ver.
63
Policy No.
lt;me
Plan
Short
RG
873Cr41952
Sum
Assured
TAHKOR
14?-(tS
?8/Ct3/?CrQi
Due Date
Mode
o
?a
o
25i)C,C
Particulars oI
Premium
?38CrO o(
Instalmanl '
o(
Annual
Acc. Promium
SNG
cl
terms of
Acceptance il not
as proposed.
How Accepted
Clause Nos.
URI,IILABEN
o
1
4c}75
Nominee &
Proposal Date
3C)/Q3/?Ct<
RAMPRATAPSINGH GAJENL1RAS INGH THAKO
07/04/19t )
2IA, RADHA TiRISHNA
VING_A, NEAR AKOTA
?_8/t)3/71)C
D'lte of Birth
Date of Maturity
PARK
GARDEN
rurly
VADODARA
390()?o
4?-
t-al 6
YES
Date ot Last
Pe vmonl
AgeilVhottrer
Admitted
ffl,l?lHJffi?rtfis.;o,,
po, po,ri",rn,, n&sFrttQX,"#oBH*"i.i,F+6fiflnb.,i,p.foHn
?,6rf,,*jJite1ilffiffiiwit. na 8. Drr
We
wc nave
have also
alSO rccerved
rcceived lhe amount
amorrnt notcd
note(i in the
thn schedtrle
e.|D,.1,,tn being
hoi^n the
*ra Frrst
trircr premium
n,n-i.,-. on the policy assurance lor
the plan ar)d anrount indicatod lhere in.
The Acceptance of the paynreni placcs thc Corporaiaon on risk witll etfeci lronr
date ol this Acceptance-c.rm-First prernrunr Rcceapt or rl ltrc proposal
is under the Chilt.:ren f)eferred Assurltnce [>lan, lrorn lhe dc,erred dale
on lerms & condriions of the policy ol assurancc whictr will bc sent shorlly.
The issue of this recoipt is
als<t
sub,ecl k) the,ealls.ltion of tire.lmount in Cash and the terms and condilions ol acceptance printed
overlcal
A,Jdrirorral Prenriunt ol Rs
d,;c_=-_.--
Nexi Prenriunt falls Drro
isL) adJUStcd
-*=-a
NIL
Saiancc held rn Deposit Rs
(rC,
Prepared by
/ (){r ()C)
!
Date
&
TENMS & CONDITIONS OF ACCEPTANCE
3C,
/ (t3/ ?{tit"
or an applcation for
rewal of a polcy on yo'r irle made to any oflice ot he corporation has since the date of this proposal
baen witMrdwn or dropped, defene<J
dedined or acc€pted at an incteasej pre' .rn or subpcl to al'teratron of terms
otherwise than as proposed or if you trave bc.on selected lor servicos in any
of the Brarches of Millary. Navalor Alr'lcrce . ,, , beiween tfre date ol this proposal
and the date of issue of this rocoipt this assurance wil; be lnvald and a[
morrys which shall have bc'en pard in respc'ct ttlcrcof Hll be forle(ed unlcss intrmaton
of such event be made h writing lo ttre Co'oration and this acreptance
ol proprcs.el be reitpprovLrC by the Corfx)rallor]
q-'or
lF You Do Nor REclvf Po
, Nf XT PREtllUr",t !^/t tLN De
.
'*rrt,,i-rwo r,roNTris. t'LfASf
i- '-.-l_--...-_..--
wnrTE To rlrE
coNcEfrN[c
1Ncr1
or:FrcE MEANW]ri E ptEASE pAy
l
PT.O-