Acknowledgement Number : Date of Filing :

INDIAN INCOME TAX RETURN

[For Individuals, HUFs and Firms (other than LLP) being a Resident having total income upto Rs.50 lakh and
FORM having income from business and profession which is computed under sections 44AD, 44ADA or 44AE, and Assessment
ITR4 having long-term capital gains under section 112A upto Rs. 1.25 lakh] [Not for an individual who is either Year
SUGAM Director in a company or has invested in unlisted equity shares or if income-tax is deferred on ESOP or has 2025-26
agricultural income more than Rs.5000 or has assets (including financial interest in any entity) located
outside India] (Please refer instructions for eligibility)]

PART A GENERAL INFORMATION

(A1) First Name (A3) Last Name (A4) Permanent Account Number
(A2) Middle Name
MOHAMMAD AFSAR ESGPK4673F
(A5) Date of Birth/Formation (DD/MM/YYYY) (A6) Flat/Door/Block No.
15/03/1978 224B AKBARPUR
(A7) Name of Premises/Building/Village (A8) Road/Street/Post Office (A9) Area/Locality
KARELI G T B Nagar S.O Allahabad
(A10) Town/City/District (A11) State (A12) Country/Region (A13) PIN Code/ZIP Code
ALLAHABAD 31-Uttar Pradesh 91- INDIA 211016
(A14) Aadhaar Number(12 digits) (A15) Status
4xxx xxxx 1599 Individual
(A16) Residential/Office Phone Number with STD Code /Mobile No.1 (A17) Mobile No.2
/ 91 8881448123 91
(A18) Email Address-1(Self)
Email Address-2 (A19) Nature of employment Others
[email protected]
(A20)(a) Filed u/s (Tick)[Please see instruction] (b) Or Filed in response to
139(1)-On or before due date
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)/148/153C or order u/s
119(2)(b)- enter Unique Number/ Document Identification Number (DIN) &
Date of such Notice or Order
(A23) Have you exercised the option u/s 115BAC(6) of Opting out of new tax regime in Form 10-IEA in AY 2024-25?
Yes No Not Applicable

(b) Please select ‘No’, even if Form 10IEA was filed after due date for AY 2024-25

Do you wish to opt out of New Tax Regime for current assessment year
Yes No
(If ‘Yes’, please furnish date of filing and Acknowledgement number of Form 10-IEA for AY
2025-26)

Note- Option under section 115BAC(6) should be exercised in Form 10IEA on or before the due date for filing return u/s 139(1).

(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 one or more current account
during the previous year? 0
Yes No
(ii) Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a
foreign country for yourself or for any other person? 0
Yes No
(iii) Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 1 lakh on consumption
of electricity during the previous year? 0
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
(A25) Whether this return is being filed by a representative assessee?
Yes No
If yes, please furnish following information -

(1) Name of the representative

(2) Capacity of the representative

(3) Address of the representative

Permanent Account Number (PAN)/ Aadhaar

(4)
No. of the representative

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

PART B GROSS TOTAL INCOME

B1 Income from Business & Profession B1 6,99,311

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

Income from retirement benefit account maintained in a notified country u/s

d id 0
89A

Income from retirement benefit account maintained in a country other than

e ie 0
notified country u/s 89A

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

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

iia Less : Income claimed for relief from taxation u/s 89A iia 0

iii Net Salary (i - ii - iia) iii 0

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) B2 0

B3 Type Of House Property B3

i Gross rent received/ receivable/ lettable value during the year i 0

ii Tax paid to local authorities ii 0

iii Annual Value (i - ii) iii 0

iv 30% of Annual Value (30% * iii) iv

0

v Interest payable on borrowed capital v 0

vi Arrears/Unrealized Rent received during the year Less 30% vi 0

Income chargeable under the head 'House Property' (iii - iv - v) + vi (If loss, put the figure in
negative) Note:- Maximum loss from house property that can be set-off in computing income
vii B3 0
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 0

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

Sl.
Nature of Income Description ( If Any Other selected) Amount
No.

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

Less: Deduction u/s 57(iia) (in case of family pension only) 0

Less: Income claimed for relief from taxation u/s 89A 0

Gross Total Income (B1+B2+B3+B4+B21(a)(iii))

B5 B5 6,99,311
Note: "To avail the benefit of carry forward and set off of loss, please use ITR-3 or ITR-5"

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

PART C - DEDUCTIONS AND TAXABLE TOTAL INCOME

Sl.No. Section Amount System Calculated

80C - Life insurance premium, deferred annuity, contributions to 0

C1 0
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 Central Government 0 0

C4 80CCD(1B) -Contribution to pension scheme of Central Government 0 0

80CCD(2) - Contribution to pension scheme of Central Government by 0

C5 0
employer

C6 80D - Deduction in respect of health insurance premia 0 0

80DD - Maintenance including medical treatment of a dependent who is a

C7 0 0
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 house property 0 0

80EEA - Deduction in respect of interest on loan taken for certain house 0

C11 0
property

C12 80EEB - Deduction in respect of purchase of electric vehicle 0 0

C13 80G - Donations to certain funds, charitable institutions, etc. 0 0

C14 80GG - Rent paid 0 0

C15 80GGC - Contribution to Political party 0 0

C16 80TTA - Interest on savings bank account 0 0

C17 80TTB- Interest on deposits 0 0

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

C18 80U - In case of a person with disability 0 0

C19 80CCH - Contribution to Agnipath Scheme 0 0

C20 Total deductions (Add items C1 to C19) 0 0

C21 Taxable Total Income (B5 - C20) 6,99,310

PART D - TAX COMPUTATIONS AND TAX STATUS

D1 Tax payable on total income D1 19,966

D2 Rebate u/s 87A (after Marginal Rebate, if any) D2 19,966

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 relief) D6 0

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 column 6 of Schedule- D15 0
TDS2(i) and TDS 2(ii) )

D16 Total TCS Collected ( total of column (5) of Schedule-TCS ) D16 0

D17 Total Taxes Paid (D13 + D14 + D15 +D16) D17 0

D18 Amount payable (D12 - D17, If D12 > D17) D18 0

D19 Refund (D17 - D12, If D17 > D12) D19 0

(D20) EXEMPT INCOME ONLY FOR REPORTING PURPOSE (IF AGRICULTURAL INCOME IS MORE THAN RS.5,000/-, USE ITR 3/5) AND
INCOME ON WHICH NO TAX IS PAYABLE
Sl.
Nature of Income Description (If 'Any Other' is selected) Amount
No.

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

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

Total Amount 0

(D20(A)) INCOME ON WHICH NO TAX IS PAYABLE:

LONG TERM CAPITAL GAINS U/S 112A NOT CHARGEABLE TO INCOME-TAX

i Total sale consideration 0

ii Total cost of acquisition 0

iii Long term capital gains as per sec 112A 0

(D21) DETAILS OF ALL BANK ACCOUNT DETAILS HELD IN INDIA AT ANY TIME DURING THE PREVIOUS YEAR (EXCLUDING DORMANT
ACCOUNTS)
Sl. Select Account for
IFS Code of the Bank Name of the Bank Account Number Type of account
No. Refund Credit

(1) (2) (3) (4) (5) (6)

1 CNRB0005576 CANARA BANK 110163155967 Savings Account

Note:
1. All bank accounts held at any time is to be reported, except dormant A/c.
2. Minimum one account should be selected for refund credit.
2. In case multiple accounts are selected, refund will be credited to one of the validated accounts decided by CPC after processing the return.

SCHEDULE BP - DETAILS OF INCOME FROM BUSINESS OR PROFESSION

COMPUTATION OF PRESUMPTIVE BUSINESS INCOME UNDER SECTION 44AD

Sl.
Name of Business Business code Description
No.

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

1 Rose Petal Boutique 04028-Manufacture of wearing apparel Boutique all in one

Gross Turnover or Gross Receipts (E1 limited to Rs.2 Crores, however if [E1b + E1C] is
E1 i 30,64,776
less than or equal to 5% of E1 then the limit under E1 is extended to Rs.3 Crores.)
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing
a E1a 9,58,206
system received or prescribed electronic modes received before specified date

b Receipts in Cash E1b 21,06,570

c Any mode other than a and b E1c 0

E2 Presumptive Income under section 44AD ii

a 6% of E1a or the amount claimed to have been earned, whichever is higher E2a 2,16,803

b 8% of (E1b+E1c) or the amount claimed to have been earned, whichever is higher E2b 4,82,508

c Total (a + b) E2c 6,99,311

COMPUTATION OF PRESUMPTIVE INCOME FROM PROFESSIONS UNDER SECTION 44ADA

Sl.
Name of Business Business code Description
No.

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

Gross Receipts (E3 limited to Rs.50 Lakhs, however if [E3b + E3c] is less than or equal
E3 E3 0
to 5% of E3 then limit under E3 is extended to Rs.75 Lakhs.)
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing
a E3a 0
system or prescribed electronic modes received before specified date

b Receipts in Cash E3b 0

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

c Any mode other than a and b E3c

0

Presumptive Income under section 44ADA (50% of E3) or the amount claimed to have
been earned, whichever is higher NOTE- If Income is less than 50% of Gross Receipts,
E4 E4 0
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
Sl.
Name of Business Business code Description
No.

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

Presumptive income
u/s 44AE for the goods
carriage “Computed
at a minimum of Rs
Number of months for
1000 per ton per
which goods carriage
Sl. Registration No. of Whether owned/ Tonnage capacity of month in case
was owned
No. goods carriage leased/hired goods carriage(in MT) tonnage exceeds
/leased/hired by
12MT, or at a
assessee
minimum of Rs 7500
per month if the
tonnage is less than
or equal to 12MT”

(1) (2) (3) (4) (5) (6)

Presumptive Income from Goods Carriage under section 44AE [total of column (5)]
E5 NOTE- If the profits are lower than prescribed under Section 44AE or the number of E5 0
Vehicles owned at any time exceed 10 then other ITR, as applicable, has to be filed

E6 Salary and interest paid to the partners NOTE - This is to be filled up only by firms E6 0

E7 Presumptive Income u/s 44AE (E5-E6) E7 0

E8 Income chargeable under the head 'Business or Profession (E2c+E4+E7) E8 6,99,311

E9 Information regarding turnover/gross receipt reported for GST

Sl. Annual Value of Outward Supplies as per the GST Return

GSTIN No.(s) Filed
No.

(1) (2) (3)

E10 Total of value of Outward Supplies as per the GST return filed E10 0

FINANCIAL PARTICULARS OF THE BUSINESS NOTE- FOR E11 TO E25 FURNISH THE INFORMATION AS ON 31ST DAY OF MARCH, 2025

E11 Partners/ Members own capital E11 18,05,782

E12 Secured loans E12 0

E13 Unsecured loans E13 0

E14 Advances E14 14,065

E15 Sundry creditors E15 2,804

E16 Other liabilities E16 1,580

E17 Total capital and liabilities (E11+E12+E13+E14+E15+E16) E17 18,24,231

E18 Fixed assets E18 2,96,827

E19 Inventories E19 11,05,684

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

E20 Sundry debtors E20 1,96,050

E21 Balance with banks E21 15,216

E22 Cash-in-hand E22 96,280

E23 Loans and advances E23 85,096

E24 Other assets E24 29,078

E25 Total assets (E18+E19+E20+E21+E22+E23+E24) E25 18,24,231

SCHEDULE IT - DETAILS OF ADVANCE TAX AND SELF ASSESSMENT TAX PAYMENTS

Sl.
BSR Code Date of Deposit (DD/MM/YYYY) Challan No. Tax paid
No.
Col
Col (2) Col (3) Col (4) Col (5)
(1)

Total 0

SCHEDULE TCS - DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
Details of amount paid
Sl. Tax Collection Account Amount out of (5) being
Name of the Collector as mentioned in Form Tax Collected
No. Number of the Collector claimed
26AS
Col
Col (2) Col (3) Col (4) Col (5) Col (6)
(1)

Total 0

SCHEDULE TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY

[AS PER FORM 16 ISSUED BY EMPLOYER(S)]
Sl.
TAN Name of the Employer Income under Salary Tax deducted
No.
Col
Col (2) Col (3) Col (4) Col (5)
(1)

Total 0

SCHEDULE TDS2(I) - DETAILS OF TAX DEDUCTED AT SOURCE ON INCOME OTHER THAN SALARY [AS PER FORM 16 A ISSUED BY
DEDUCTOR(S)]
TDS credit
being
claimed this
Unclaimed TDS brought TDS of the Year (only if Corresponding Receipt /
forward (b/f) current Fin. correspondin withdrawals offered
Year (TDS g receipt is
Tax
deducted being
Deduction Section TDS credit
during the offered for
Account under which being
Sl. No. FY 2024-25) tax this year
Number TDS carried
(TAN) of the deducted not forward
Deductor Fin. Year in applicable if
TDS is
which TDS is TDS b/f Gross Head of
deducted u/s
deducted Amount Income
TDS 194N)
Deducted
TDS Claimed

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

Total 0

SCH TDS 2(II) DETAILS OF TAX DEDUCTED AT SOURCE [AS PER FORM 16C / 16D FURNISHED BY PAYER(S)]

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : Date of Filing :

TDS credit
being
claimed
Unclaimed TDS brought this Year
TDS of the Corresponding Receipt
forward (b/f) (only if
current Fin. offered
Year correspondi
ng receipt
Aadhaar No Section is being TDS Credit
PAN of the
of the under offered for being
Sl. No. Tenant /
tenant / which TDS tax this carried
Deductor
Deductor deducted year, not forward
applicable
Fin. Year in if TDS is
which TDS b/f deducted Gross Head of
TDS
deducted u/s 194N) Amount Income
Deducted

TDS
Claimed

(1) (2) (2a) (3) (4) (5) (6) (7) (8) (9) (10)

Total 0

VERIFICATION

I, MOHAMMAD AFSAR son/ daughter of SAHMAT ULLAH URF SHAH MOHAMMAD 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 returns in my capacity as Self and I am also competent to make this return and verify it. I am holding permanent account number
ESGPK4673F

Place: Prayagraj

Date: 05-Jun-2025

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

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”