FORM NO.

3CA

[See rule 6G(1)(a)]

Audit report under section 44AB of the Income - tax Act, 1961,
in a case where the accounts of the business or profession of a person
have been audited under any other law

1. (1) We report that the statutory audit of M/s ____________, having its registered office at
______________________________ PAN No. ______________ was conducted by us, M/s.
_______________, Chartered Accountants, in pursuance of the provisions of the Companies Act, 2013,
and we annex hereto a copy of their audit report dated __________along with a copy each of –

(a) the audited Statement of Profit and Loss for the period beginning from April 1, 2017 to ending on
March 31, 2018.
(b) the audited balance sheet as at 31st March, 2018
(c) documents declared by the said Act to be part of, or annexed to, the Statement of profit and loss and
Balance Sheet.

2. The Statement of particulars required to be furnished under section 44AB is annexed here - with in
Form No. 3CD.

3. The report of audit under section 44AB in Form No. 3CA (together with Statement of Particulars in Form
No. 3CD) is required to be furnished electronically. However, in view of the constraints in the utility
provided for furnished such report electronically, it is not feasible to prepare and furnish Form No. 3CD
giving opinion as the auditor deems fit. Therefore, the Form No. 3CD has been given to the assessee in
physical form and also electronically. As such, the Form No. 3CD in the electronic form should be read
with the Form No. 3CD in physical form along with the note stated against the relevant clauses of Form
3CD.

4. In our opinion and to the best of our information and according to examination of books of account
including other relevant documents and explantions given to us, the particulars given in the said Form
No.3CD are true and correct.

For SARC& Associates

Chartered Accountants
Firm Reg. No. _______

___________
PARTNER
Membership No. _____________
Place: Mumbai
Date :
 FORM NO. 3CD
[See rule 6G(2)]
Statement of particulars required to be furnished under section 44AB of the Income-tax act, 1961

PART A

1 Name of the assessee : :

2 Address : :

3 Permanent Account Number : :

Whether the assessee is liable to pay indirect tax like excise duty, service tax, sales tax, goods &
4 services tax : As per Annexure "1"
customs duty,etc. if yes, please furnish the registration number or any other identification
number allotted for the same

5 Status :

6 Previous year ended : 31st March 2018

7 Assessment year : : 2018-2019

8 Indicate the relevant clause of section 44AB under which the audit has been conducted : A

PART B

9 (a) If firm or Association of Persons, indicate names of 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 the preceding year, the particulars of such change

10 (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.

11 (a) Whether books of account are prescribed under section 44AA, if yes, list of books so :
prescribed.

(b) List of books of account maintained and the address at which books of accounts are : As per Annexure "2"
kept.
(In case books of account are maintained in a computer system, mention the books of
account generated by such computer system. If the books of accounts are not kept at
one location, please furnish the addresses of locations along with the details of books of
accounts maintained at each location.)

(c) List of books of account and nature of relevant documents examined : As per Annexure "2"

12 Whether the profit and loss account includes any profits and gains assessable on :
presumptive basis, if yes, indicate the amount and the relevant sections (44AD, 44AE,
44AF, 44B, 44BB, 44BBA, 44BBB, Chapter XII-G, First Schedule or any other relevant
section.)

13 (a) Method of accounting employed in the previous year. : __________, Also refer Significant Accounting
Policies given in Note No. __ "Notes Forming Part
of the accounts" of Balance Sheet and Statement
of Profit & Loss.

(b) Whether there had been any change in the method of accounting employed vis-a-vis the :
method employed in the immediately preceding previous year.

(c) If answer to (b) above is in the affirmative, give details of such change, and the effect :
thereof on the profit or loss.
S. No. Particulars Increase in Profit (Rs.) Decrease in Profit (Rs.)

Whether any adjustment is required to be made to the profits or loss for complying with the
(d) provisions of income computation and disclosure standards notified under section 145(2) :

(e) If answer to (d) above is in affirmative, give details of such adjustments:

Increase in Profit (Rs.) Decrease in Profit (Rs.)

ICDS-I Accounting Policies
ICDS-II valuation of Inventories
ICDS-III Construction Contracts
ICDS-IV Revenue Recognition
ICDS-V Tangible Fixed Assets

ICDS-VI Changes in Foreign Exchange Rates

ICDS-VII Government Grants
ICDS-VIII Securities
ICDS-IX Borrowing Costs
ICDS-X Provisions, Contingent Liabilities &
Contingent Assets

Total

(f) Disclosures as per ICDS

i) ICDS-I Accounting Policies
ii) ICDS-II valuation of Inventories
iii) ICDS-III Construction Contracts
iv) ICDS-IV Revenue Recognition
v) ICDS-V Tangible Fixed Assets
vii) ICDS-VII Government Grants
viii) ICDS-IX Borrowing Costs
viii) ICDS-X Provisions, Contingent Liabilities &
Contingent Assets

14 (a) Method of valuation of closing stock employed in the previous year : At __________________ Also refer point
no___ of Note No. ____ "Notes Forming Part of the
accounts" of Balance Sheet and Statement of Profit
& Loss.

(b) Details of deviation, if any, from the method of valuation prescribed under section 145A, : As per Annexure "3(a) and 3(b)"
and the effect thereof on the profit or loss.

15 Give the following particulars of the capital asset converted into stock-in-trade: - : Not Applicable

(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

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

(a) the items falling within the scope of section 28; : NIL

(b) the proforma credits, drawbacks, refunds of duty of customs or excise or service tax, or : NIL
refunds of sales tax or value added tax, where such credits, drawbacks or refunds are
admitted as due by the authorities concerned

(c) escalation claims accepted during the previous year; : NIL

(d) any other item of income; : NIL

(e) capital receipt, if any. : NIL

17 Where any land or building or both is transferred during the previous year for a consideration : NIL
less than value adopted or assessed or assessable by any authority of a State Government
referred to in section 43CA or 50C, please furnish:

Details of property Consideration received or accrued Value adopted or assessed or

assessable

18 Particulars of depreciation allowable as per the Income-tax Act,1961 in respect of each asset or : As per Annexure "4"
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 addition of an asset, As per Annexure "5"
date put to use; including adjustments on account of—

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

(ii) change in rate of exchange of currency, and

(iii) subsidy or grant or reimbursement, by whatever name called

(e) Depreciation allowable.

(f) Written down value at the end of the year.

19 Amounts admissible under sections : NIL

Section Amount debited to profit and loss Amounts admissible as per the provisions of the Income Tax Act, 1961 and
account also fulfils the conditions, if any specified under the the conditions, if any
specified under the relevant 14provisions of Income Tax Act, 1961 or Income
Tax Rules,1962 or any other guidelines, circular, etc., issued in this behalf.

32AC
32AD
33AB
33ABA
35(1)(i)
35(1)(ii)
35(1)(iia)
35(1)(iii)
35(1)(iv)
35(2AA)
35(2AB)
35ABB
35AC
35AD
35CCA
35CCB
35CCC
35CCD
35D
35DD
35DDA
35E

20 (a) Any sum paid to an employee as bonus or commission for services rendered, where such :
sum was otherwise payable to him as profits or dividend. [Section 36(1)(ii)].

(b) Details of contributions received from employees for various funds as referred to in : As per Annexure "6(a) & 6(b)''
section 36(1)(va):
 S No Nature Sum received from employees Due date for payment The actual amount paid The actual date of
of fund payment to the
concerned authorities

21 Please furnish the details of amounts debited to the profit and loss account, being in the :
nature of capital, personal, advertisement expenditure etc

Nature Serial number Particulars Amount in Rs.

expenditure of capital nature;

expenditure of personal nature;
expenditure on advertisement in any souvenir,
brochure,tract, pamphlet or the like, published by a political
party;

expenditure incurred at clubs being entrance fees and

subscriptions
expenditure incurred at clubs being cost for club services
and facilities used.
expenditure by way of penalty or fine for violation of any
law for the time being force
Expenditure by way of any other penalty or fine not covered
above
Expenditure incurred for any purpose which is an offence or
which is prohibited by law

(b) amounts inadmissible under section 40(a) :

(i) as payment to non-resident referred to in sub-clause (i)

(A) Details of payment on which tax is not deducted: : NIL

(I) date of payment
(II) amount of payment
(III) nature of payment
(IV) name and address of the payee

(B) Details of payment on which tax has been deducted but has not been paid during the
previous year or in the subsequent year before the expiry of time prescribed under
section 200(1)

(I) date of payment

(II) amount of payment
(III) nature of payment
(IV) name and address of the payee
(V) amount of tax deducted

(ii) as payment referred to in sub-clause (ia)

(A) Details of payment on which tax is not deducted: : NIL

(I) date of payment
(II) amount of payment
(III) nature of payment
(IV) name and address of the payee

(B) Details of payment on which tax has been deducted but has not been paid on or : NIL
before the due date specified in sub- section (1) of section139

(I) date of payment

(II) amount of payment
(III) nature of payment
(IV) name and address of the payer
(V) amount of tax deducted
(VI) amount out of (V) deposited, if any

(iii) under sub-clause (ic) [Wherever applicable] : Not Applicable

(iv) under sub-clause (iia) : NIL

(v) under sub-clause (iib) : NIL

(vi) under sub-clause (iii) : NIL

(A) date of payment

(B) amount of payment
(C) name and address of the payee

(vii) under sub-clause (iv) : NIL

(viiii) under sub-clause (v) : NIL

(c) Amounts debited to profit and loss account being, interest, salary, bonus, commission or : Not Applicable
remuneration inadmissible under section 40(b)/40(ba) and computation thereof;

(d) Disallowance/deemed income under section 40A(3): : NIL

(A) On the basis of the examination of books of account and other relevant
documents/evidence, whether the expenditure covered under section 40A(3) read with
rule 6DD were made by account payee cheque drawn on a bank or account payee bank
draft. If not, please furnish the details:

Date of
payme Name and Permanent Account
S No nt Nature of payment Amount Number of the payee, if available

(B) On the basis of the examination of books of account and other relevant : NIL
documents/evidence,whether the payment referred to in section 40A(3A) read with rule
6DD were made by account payee cheque drawn on a bank or account payee bank draft
If not, please furnish the details of amount deemed to be the profits and gains of
business or profession under section 40A(3A);

Date of
payme Name and Permanent Account
S No nt Nature of payment Amount Number of the payee, if available

(e) provision for payment of gratuity not allowable under section 40A(7); : Provision for Gratuity disallowable Rs. __________/-

(f) any sum paid by the assessee as an employer not allowable under section 40A(9); : NIL

(g) particulars of any liability of a contingent nature; : NIL

(h) amount of deduction inadmissible in terms of section 14A in respect of the expenditure : NIL
incurred in relation to income which does not form part of the total income;

(i) amount inadmissible under the proviso to section 36(1)(iii). : NIL

22 Amount of interest inadmissible under section 23 of the Micro, Small and Medium Enterprises : Rs._____
Development Act, 2006.

23 Particulars of payments made to persons specified under section 40A(2)(b). : As Per Annexure "7"

24 Amounts deemed to be profits and gains under section 32AC or 32AD or 33AB or 33ABA or 33AC.

25 Any amount of profit chargeable to tax under section 41 and computation thereof. : NIL

26 (i) In respect of any sum referred to in clause (a), (b), (c), (d) (e) ,(f) or(g) of section 43B, the :
liability for which :—

(A) pre-existed on the first day of the previous year but was not allowed in the As Per Annexure "8(a)"
assessment of any preceding previous year and was

(a) paid during the previous year;

(b) not paid during the previous year.

(B) was incurred in the previous year and was As Per Annexure "8(b)"

(a) paid on or before the due date for furnishing the return of income of the
previous year under section 139(1);

(b) not paid on or before the aforesaid date.

*State whether sales tax, customs duty, excise duty or any other indirect tax, levy, No
cess, impost, etc., is passed through the profit and loss account.

27 (a) Amount of Central Value Added Tax credits availed of or utilized during the previous : As Per Annexure "9"
year and its treatment in the profit and loss account and treatment of outstanding
Central Value Added Tax credits in the accounts.

(b) Particulars of income or expenditure of prior period credited or debited to the profit and : As Per Annexure "10"
loss account.

28 Whether during the previous year the assessee has received any property, being share of a : No
company not being a company in which the public are substantially interested, without
consideration or for inadequate consideration as referred to in section 56(2)(viia), if yes, please
furnish the details of the same.

29 Whether during the previous year the assessee received any consideration for issue of shares : Not Applicable
which exceeds the fair market value of the shares as referred to in section 56(2)(viib), if yes,
please furnish the details of the same.

29A (a) Whether any amount is to be included as income chargeable under the head 'income from other sources'
as referred to in clause (ix) of sub-section (2) of section 56? (Yes/No)
(b) If yes, please furnish the following details:
(i) Nature of income :
(ii) Amount thereof

29B (a) Whether any amount is to be included as income chargeable under the head 'income from other
sources' as referred to in clause (x) of sub-section (2) of section 56? (Yes/No)
(b) If yes, please furnish the following details:
(i) Nature of income :
(ii) Amount (in Rs.) thereof :

30 Details of any amount borrowed on hundi or any amount due thereon (including interest on the : NIL
amount borrowed) repaid, otherwise than through an account payee cheque [Section 69D].

30A (a) Whether primary adjustment to transfer price, as referred to in sub-section 1) of section 92Ce,
has been made during the previous year? (Yes/No)
(b) If yes, please furnish the following details:—
(i) Under which clause of sub-section (1) of section 92CE primary adjustment is made?
(ii) Amount (in Rs.) of primary adjustment:
(iii) Whether the excess money available with the associated enterprise is required to be repatriated
to India as per the provisions of sub-section (2) of section 92CE? (Yes/No)
(iv) If yes, whether the excess money has been repatriated within the prescribed time (Yes/No)
(v) If no, the amount (in Rs.) of imputed interest income on such excess money which has not been
repatriated within the prescribed time:

30B (a) Whether the assessee has incurred expenditure during the previos year by way of interest or of
similar nature exceeding one crore rupees as referred to in sub-section (1) of section 94B? (Yes/No.)
(b) If yes, please furnish the following details:—
(i) Amount (in Rs.) of expenditure by way of interest or of similar nature incurred:
(ii) Earnings before interest, tax, depreciation and amortization (EBITDA) during the previous year (in Rs.):
(iii) Amount (in Rs.) of expenditure by way interest or of similar nature as per (i) above
which exceeds 30% of EBITDA as per (ii) above :
(iv) Details of interest expenditure brought forward as per sub-section (4) of section 94B:
Assessment Year Amount (Rs)

(v) Details of interest expenditure carried forward as per sub-section (4) of section 94B:
Assessment Year Amount (Rs)

30C (a) Whether the assessee has entered into an impemissible avoidance arrangement, as referred to in section 96,
during the previuos year? (Yes/No.)
(b) If yes, please specify:—
(i) Nature of impermissible avoidance arrangement:
(ii) Amount (in Rs.) of tax benefit in the previous year arising, in aggregate, to all the parties to the arrangement:

31 (a) Particulars of each loan or deposit in an amount exceeding the limit specified in section 269SS taken or As Per Annexure "11 (a)"
accepted during the previous year : -
(i) name, address and Permanent Account Number (if available with the assessee) of the lender or depositor;
 (ii) amount of loan or deposit taken or accepted;
(iii) whether the loan or deposit was squared up during the previous year;
(iv) maximum amount outstanding in the account at any time during the previous year;
(v) whether the loan or deposit was taken or accepted by cheque or bank draft or use of electronic
clearing system through a bank account;
(vi) in case the loan or deposit was taken or accepted by cheque or bank draft, whether the same was
taken or accepted by an account payee cheque or an account payee bank draft.

(b) Particulars of each specified sum in an amount exceeding the limit specified in section 269SS taken or As Per Annexure "11 (b)"
accepted during the previous year: -
(i) name, address and Permanent Account Number (if available with the assessee) of the person
from whom specified sum is received;
(ii) amount of specified sum taken or accepted;
(iii) whether the specified sum was taken or accepted by cheque or bank draft or use of electronic
clearing system through a bank account;
(iv) in case the specified sum was taken or accepted by cheque or bank draft, whether the same was taken
or accepted by an account payee cheque or an account payee bank draft. (Particulars at (a) and (b) need not be given
in the case of a Government company, a banking company or a corporation established by the Central, State or Provincial Act.)
(ba) Particulars of each receipt in an amount exceeding the limit specified in section 269ST, in aggreate
from a person in a day or in respect of a single transaction or in respect of transactions relating to one
event or occasion from a person, during the previous year, where such receipt is othewise than by a
cheque or bank draft or use of electronic clearing system through a bank account :—
(i) Name, address and Permanent Account Number (if available with the assessee) of the payer;
(ii) Nature of transaction;
(iii) Amount of receipt (in Rs.);
(iv) Date of receipt;

(bb) Particulars of each receipt in an amount exceeding the limit specified in section 269ST, in aggregate from a person in
a day or in respect of a single transaction or in respect of transations relating to one event or occasions from a person, received by
a cheque or bank draft, not being an account payee cheque or an account payee bank draft, during the previous year;—
(i) Name, address and Permanent Account Number (if available with the assessee) of the payer;
(ii) Amount of receipt (in Rs.);

(bc) Particulars of each payment made in an amount exceeding the limit specified in section 269ST, in aggregate to a person in a day or
in respect of a single transaction or in respect of transations relating to one event or occasions to a person, otherwise than by a cheque
or bank draft, or use of electronic clearing system through a bank account, during the previous year:—
(i) Name, address and Permanent Account Number (if available with the assessee) of the payee;
(ii) Nature of transaction;
(iii) Amount of payment (in Rs.);
(iv) Date of payment;

(bd) Particulars of each payment made in an amount exceeding the limit specified in section 269ST, in aggregate to a person in a day or
in respect of a single transaction or in respect of transations relating to one event or occasions to a person, made by a cheque
or bank draft, not being an account payee cheque or an account payee bank draft, during the previous year:—
(i) Name, address and Permanent Account Number (if available with the assessee) of the payee;
(ii) Amount of payment (in Rs.);

(Particulars at (ba), (bb), (bc) and (bd) need not be given in the case of receipt by or payment to a Government company, a banking Company, a post office savings bank, a cooperative bank or in the case of transactions referred to in section 269SS or in the cse of persons referred to in Notification No. S.O. 2065(E) dated 3rd July, 2017)

(c) Particulars of each repayment of loan or deposit or any specified advance in an amount exceeding the As Per Annexure "11 (c)"
limit specified in section 269T made during the previous year:-
(i) name, address and Permanent Account Number (if available with the assessee) of the payee;
(ii) amount of the repayment;
(iii) maximum amount outstanding in the account at any time during the previous year;
(iv) whether the repayment was made by cheque or bank draft or use of electronic clearing system
through a bank account;
(v) in case the repayment was made by cheque or bank draft, whether the same was repaid by an
account payee cheque or an account payee bank draft.

(d) Particulars of repayment of loan or deposit or any specified advance in an amount exceeding the limit As Per Annexure "11 (d)"
specified in section 269T received otherwise than by a cheque or bank draft or use of electronic clearing system through
a bank account during the previous year:-
(i) name, address and Permanent Account Number (if available with the assessee) of the lender, or
depositor or person from whom specified advance is received;
(ii) repayment of loan or deposit or any specified advance received otherwise than by a cheque or bank
draft or use of electronic clearing system through a bank account during the previous year.

(e) Particulars of repayment of loan or deposit or any specified advance in an amount exceeding the As Per Annexure "11 (d)"
limit specified in section 269T received by a cheque or bank draft which is not an account payee cheque or
account payee bank draft during the previous year:
(i) name, address and Permanent Account Number (if available with the assessee) of the lender, or
depositor or person from whom specified advance is received;
(ii) repayment of loan or deposit or any specified advance received by a cheque or a bank draft which is
not an account payee cheque or account payee bank draft during the previous year. (Particulars at (c),
(d) and (e) need not be given in the case of a repayment of any loan or deposit or any specified advance
taken or accepted from the Government, Government company, banking company or a corporation established by
the Central, State or Provincial Act).

32 (a) Details of brought forward loss or depreciation allowance, in the following manner, to the : NIL
extent available:

Serial
Num Assestment Amount as assessed (give reference to
ber Year Nature of loss/allowance (In rupees) relevant order Remarks Date of order & Order Number

(b) whether a change in shareholding of the company has taken place in the previous year : Not Applicable
due to which the losses incurred prior to the previous year cannot be allowed to be
carried forward in terms of section 79

(c) Whether the assessee has incurred any speculation loss referred to in section 73 during : NIL
the previous year, If yes, please furnish the details of the same.

(d) whether the assessee has incurred any loss referred to in section 73A in respect of any : NIL
specified business during the previous year, if yes, please furnish details of the same.

(e) In case of a company, please state that whether the company is deemed to be carrying : No
on a speculation business as referred in explanation to section 73, if yes, please furnish
the details of speculation loss if any incurred during the previous year.

33 Section-wise details of deductions, if any, admissible under Chapter VIA. : NIL

Amounts admissible as per the provision of the Income Tax Act, 1961 and
fulfils the conditions, if any, specified under the relevant provisions of Income
Section under which Tax Act, 1961 or Income Tax Rules,1962 or any other guidelines, circular, etc,
deduction is claimed issued in this behalf.

34 (a) Whether the assessee is required to deduct or collect tax as per the provisions of : Yes, As per Annexure "12"
Chapter XVII-B or Chapter XVII-BB, if yes please furnish:

(b) whether the assessee is required to furnish the statement of tax deducted or tax collected. If yes, please
(b) furnish the details: : No, As per Annexure "13"
please furnish the details:

Whether the statement of tax deducted

Tax deduction and or collected contains information about
collection Account all transactions which are required to be
Number (TAN) Type of Form Due date for furnishing Date of furnishing, if furnished reported

(c) whether the assessee is liable to pay interest under section 201(1A) or section 206C(7). If : As per Annexure "14"
yes, please furnish:

Tax deduction and collection Account Number Amount of interest under section
(TAN) 201(1A)/206C(7) is payable Amount paid out of column (2) along with date of payment.

35 (a) In the case of a trading concern, give quantitative details of principal items of goods : NIL
traded:

(i) opening stock;

(ii) purchases during the previous year;
(iii) sales during the previous year;
(iv) closing stock;
(v) shortage/excess, if any.

(b) In the case of a manufacturing concern, give quantitative details of the principal items of
raw materials, finished products and by-products :

A. Raw materials : : As Per Annexure "15(a)"

(i) opening stock;

(ii) purchases during the previous year;
(iii) consumption during the previous year;
(iv) sales during the previous year;
(v) closing stock;
(vi) * yield of finished products;
(vii) * percentage of yield;
(viii) * shortage/excess, if any.

B Finished products/By-products : : As Per Annexure "15(b)"

(i) opening stock;

(ii) purchases during the previous year;
(iii) quantity manufactured during the previous year;
(iv) sales during the previous year;
(v) closing stock;
(vi) shortage/excess, if any.

*Information may be given to the extent available.

36 In the case of a domestic company, details of tax on distributed profits under section 115-O in : NIL
the following form:--

(a) total amount of distributed profits;

(b) amount of reduction as referred to in section 115-O(1A)(i);

(c) amount of reduction as referred to in section 115-O(1A)(ii);

(d) total tax paid thereon;

(e) dates of payment with amounts.

36A (a) Whether the assesee has received any amount in the nature of dividend as referred to in sub-clause(e) of clause (22) of section 2? (Yes/No.)
(b) If yes, please furnish the following details:—
(i) Amount received (in Rs.):
(ii) Date of receipt:

37 Whether any cost audit was carried out, if yes, give the details, if any, of disqualification or :
disagreement on any matter/item/ value/quantity as may be reported/identified by the cost
auditor.

38 Whether any audit was conducted under the Central Excise Act, 1944, if yes, give the details, if :
any, of disqualification or disagreement on any matter/item/value/quantity as may be
reported/identified by the auditor.

39 Whether any audit was conducted under section 72A of the Finance Act,1994 in relation to :
valuation of taxable services, Finance Act,1994 in relation to valuation of taxable services, if
yes, give the details, if any, of disqualification or disagreement on any
matter/item/value/quantity as may be reported/ identified by the auditor.

40 Details regarding turnover, gross profit, etc., for the previous year and : As Per Annexure "16"
preceding previous year:

Serial
number Particulars Previous year Preceding previous year
1 Total turnover of the assessee
2 Gross profit/turnover
3 Net profit/turnover
4 Stock-in-trade/turnover

5 Material consumed/finished goods produced

41 Please furnish the details of demand raised or refund issued during the previous year under :
any tax laws other than Income Tax Act, 1961 and Wealth tax Act, 1957 alongwith details of
relevant proceedings.

(a) Whether the assessee is required to furnish statement in Form No.61 or Form No.61A or Form
42 61B? (Yes/No)
(b) If yes, please furnish : : As Per Annexure "17"
 43 (a) Whether the assessee or its parent entity or alternate reporting entity is liable to furnish the report as referred to in sub-section (2) of section 286? (Yes/No)
(b) If yes, please furnish the following details :
(i) Whether report has been furnished by the assessee or its parent entity or an alternate reporting entity
(ii) Name of parent entity
(iii) Name of alternate reporting entity (if applicable)
(iv) Date of furnishing of report

44 Break-up of total expenditure of entities registered or not registered under the GST:

SL. No. Total amount of RelatingExpenditure

to entities in respect of entities registered under GST Expenditure relating to
Expenditure incurred Relating to goods or services exempt Relating to other entities not registered
falling under composition Total payment to registered entitites
from GST registered entities
1 2 3 scheme
4 5 6 7

For XYZ LTD. For SARC & Associates

Chartered Accountants
Firm Registration Number: ______

Director

Place: Mumbai _____

Date: (Partner)
Membership No. _____
XYZ LIMITED

Financial Year 2017-2018

Assessment Year 2018-2019

Details of Registration Numbers of Indirect Taxes, assessee liable to pay

[ Referred to Clause No.4 of Form No. 3CD]

Sr. Type of registration

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
 Annexure-1

State of registration Registration Number

XYZ LIMITED Annexure-2

Financial Year 2017-2018

Assessment Year 2018-2019

Details of Books of Accounts maintained and examined

[ Refer Clause No. 11 (b) & (c)of Form No. 3CD]

S.No. Particulars
1 CASH BOOK
2 BANK BOOK
3 GENERAL LEDGER
4 SUBSIDIARY LEDGERS FOR CREDITORS/DEBTORS/ADVANCES, ETC.
5 JOURNAL BOOK
6 FIXED ASSETS REGISTER
7 STOCK REGISTER
8 PURCHASE AND SALES REGISTER

All books of account are kept at:-

XYZ LIMITED Annexure-3(a)

Financial Year 2017-2018

Assessment Year 2018-2019

Details of deviation if any from the method of valuation prescribed u/s 145A and the effect thereof on the Statement of Profit & Loss for the Financial Year 2017-
2018

(Refer clause No. 14(b) of Form No. 3CD)

Amount excluding Amount including Increase in Decrease in

S.No. Particulars CENVAT as per CENVAT Profit Profit
books of accounts as prescribed
u/s 145A

1 Increase in cost of opening stock as on 31.03.2015 on inclusion of

Excise Duty on which cenvat credit is available/ availed

2 Increase in Purchases cost on inclusion of Modvat/Cenvat Credit

of excise duty availed during the year
Raw Material

3 Increase in the value of Sales on inclusion of Excise duty on sales of

goods

4 Excise duty paid on sale of goods as a result of its inclusion in sales

5 Increase in value of Closing Stock as on 31.03.2016 on inclusion of

Cenvat Credit of excise duty availed
Raw Material

6 Accounting of CENVAT credit availed and utilized on raw materials

consumed in payment of excise duty on finished goods accounted on
the basis of raw material consumed
Total 0 0

Note:
(i) Sale of manufacturing goods in Statement of Profit & Loss, opening stock and closing stock of finished goods is inclusive of excise duty and hence no
further adjustment is required u/s 145A.
(ii) Above figure excludes credit availed/utilised for inter-unit transfer of materials.
XYZ LIMITED Annexure-3(b)

Financial Year 2017-2018

Assessment Year 2018-2019

Details of deviation if any from the method of valuation prescribed u/s 145A and the effect thereof on the Statement of Profit & Loss for the
Finacial Year 2017-18

(Refer clause No. 14(b) of Form No. 3CD)

The amount of sales/service tax incurred/recovered and actually paid is not included in the valuation of sales of goods. The adjustment to be made u/s 145A
in Statement of Profit & Loss for the amount of sales tax incurred/recovered and/or paid during the year is as under :

Particulars Increase in Profit Decrease in Profit

(Rs.) (Rs.)

Increase in "sales & services" in Statement of Profit & Loss as a result of inclusion of Sales Tax

Increase in Sales Tax under Manufacturing & administrative expenses in Statement of Profit & Loss.

Increase in "sales & services" in Statement of Profit & Loss as a result of inclusion of Service Tax

Increase in Service Tax under Manufacturing & administrative expenses in Statement of Profit & Loss.

0 0
XYZ LIMITED Annexure-4

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of depreciation allowable as per the Income Tax Act, 1961 in respect of each Asset or Block of Asset

[Ref.part B of Clause No.18 of Form No.3CD]

Description of Assets/ Rate of Actual cost or Deduction Addition during the Year Depreciation allowable WDV as on
Block of Assets depre- written down during the 01.04.17 05.10.17 Total On WDV as On addition On addition Total 31.03.2018
ciation value as on Year to to on 31.03.17 01.04.17 to 05.10.17 to
% 31.03.17 04.10.17 31.03.18 less sold 04.10.17 31.03.18
(Full rate) (Full rate) (Half rate)
1 2 3 4 5=3+4 6 7 8 9=6+7+8 10=1-2+5-9
Block -I @10%

Furniture & Fixtures 10 - - - - - - - - - -

- - - - - - - - - -
Block -II @15%

Plant & Machinery 15 - - - - - - - - - -

Office Equipment 15 - - - - - - - - - -
Electrical & Installation Equipment 15 - - - - - - - - - -

- - - - - - - - - -
Block -III @40%

Computers 40 - - - - - - - - - -
Server 40 - - - - - - - - - -
Computer Software 40 - - - - - - - - - -

- - - - - - - - - -
Block -IV @15%

Vehicles 15 - - - - - - - - - -

- - - - - - - - - -
Block -V @50%

Vehicles 50 - - - - - - - - - -

- - - - - - - - - -
Block -VI @10%

Factory Building 10 - - - - - - - - - -
Building 10 - - - - - - - - - -

- - - - - - - - - -
Block -VIII @80%

Plant & Machinery 80 - - - - - - - - - -

- - - - - - - - - -

Block -IX @100%

Site Accommodation /
Office (Temporary 100 - - - - - - - - - -
Erection)
- - - - - - - - - -

TOTAL - - - - - - - - - -
XYZ LIMITED Annexure-5

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of Additions & Date Put to Use in respect of each Asset or Block of Asset
[Ref.part B of Clause No.18 of Form No.3CD]

Block - I (Furniture & Fixture)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -

Total :- - - -

Block - II (Plant & Machinery)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -

Total :- - - -

Block - IX (Electrical Equipments)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -

Total - - -
 Block - II (Office Equipments)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
26 -
27 -
28 -
29 -
30 -
31 -
32 -
33 -
34 -
35 -
36 -
37 -
38 -
39 -
40 -
41 -
42 -
43 -
44 -
45 -
46 -

Total - - -
 Block - III (Computers)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
26 -
27 -
28 -

Total - - -

Block - III ( Server)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 - - -
Total - - -
 Block - III ( Computer Software)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 - - -

Total - - -

Block - IV (Vehicles)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -

Total - - -

Block - VI (Building)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -

Total - - -

Block - IX (Temporary Building)

Sr Date Additions during the Year

No Put to Name of Item More Than Less Than Total
Use 180 - Days 180 - Days
( Rs ) ( Rs ) ( Rs )
1 -
2 -
3 -
4 -
5 -
6 -
7 -

Total - - -
XYZ LIMITED Annexure-6(a)

Financial Year 2017-2018

Assessment Year 2018-2019

Particular of any sum received from employees towards provident fund

[Ref. Clause No.20 (b) of Form No.3CD]
The actual date of
Due date for The actual amount payment to the
Month Sum received from concerned
payment paid
employees authorities

Apr-17 15-May-17
May-17 15-Jun-17
Jun-17 15-Jul-17
Jul-17 15-Aug-17
Aug-17 15-Sep-17
Sep-17 15-Oct-17
Oct-17 15-Nov-17
Nov-17 15-Dec-17
Dec-17 15-Jan-18
Jan-18 15-Feb-18
Feb-18 15-Mar-18
Mar-18 15-Apr-18

Total - 0

1. The due date in case of contribution to Provident Fund is 20th of the each succeeding month (Till
December 2015) including grace period of 5 days as per CPDC's circular no.E128(1)60-III dated 19.03.1964
as modified by circular no.E11/128 ( Section 14-B Amendment/73 dated 24.10.1973 which allows five days
grace period to the employers for payment of provident fund contribution, administration charges and
inspection charges. (Refer Hunsur Plywood Works Ltd., 54 ITD 394).

2. Employees Contribution to ESI/PF even if deposited after the due dates is allowable if the same is
deposited before the due date of filing of return u/s139(i), as held by the Hon'ble Delhi High Court in CIT
v/s AIMIL ltd. 321 ITR 508. Based on the said judgement the same has been claimed.
XYZ LIMITED Annexure-6(b)

Financial Year 2017-2018

Assessment Year 2018-2019

Particular of any sum received from employees towards ESI

[Ref. Clause No.20 (b) of Form No.3CD]

The actual date of

Due date for The actual amount payment to the
Month
Sum received from payment paid concerned
employees authorities

Apr-17 21-May-17
May-17 21-Jun-17
Jun-17 15-Jul-17
Jul-17 15-Aug-17
Aug-17 15-Sep-17
Sep-17 15-Oct-17
Oct-17 15-Nov-17
Nov-17 15-Dec-17
Dec-17 15-Jan-18
Jan-18 15-Feb-18
Feb-18 15-Mar-18
Mar-18 15-Apr-18

Total - 0

1. The due date in case of contribution to Provident Fund is 20th of the each succeeding month (Till
December 2015) including grace period of 5 days as per CPDC's circular no.E128(1)60-III dated 19.03.1964
as modified by circular no.E11/128 ( Section 14-B Amendment/73 dated 24.10.1973 which allows five days
grace period to the employers for payment of provident fund contribution, administration charges and
inspection charges. (Refer Hunsur Plywood Works Ltd., 54 ITD 394).

2. Employees Contribution to ESI/PF even if deposited after the due dates is allowable if the same is
deposited before the due date of filing of return u/s139(i), as held by the Hon'ble Delhi High Court in CIT
v/s AIMIL ltd. 321 ITR 508. Based on the said judgement the same has been claimed.
XYZ LIMITED Annexure-10

Financial Year 2017-2018

Assessment Year 2018-2019

Particular of capital expenditure debited to statement of profit & loss for the
financial year 2015-16

[Ref. Clause No.21(a) of Form No.3CD]

S.No. Particulars Amount

1
2

TOTAL -
XYZ LIMITED Annexure-11

Financial Year 2017-2018

Assessment Year 2018-2019

Particular of amount debited to Statement of profit & loss as expenditure

by way of penalty or fine for violation of any law for the time being in force.

[Ref.part B of Clause No.21(b) of Form No.3CD]

Penalty or fine for Violation of any law

S.No. Particulars Amount
1 Interest on TDS
2 Interest on TCS
3 Interest on Income Tax
TOTAL -
XYZ LIMITED Annexure-7

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of payments made to the persons specified under section 40A(2)(b) of the
Income Tax Act, 1961

[Ref.part B of Clause No.23 of Form No.3CD]

S.No. Name of the person Relationship Nature of payment Amounts

1
2
3
4
5
6
7
8
9
10
11
12

Total -

Note:

The list of persons specified in section 40A(2)(b) is taken as certified by the management
XYZ LIMITED Annexure-8(a)

Financial Year 2017-2018

Assessment Year 2018-2019

Detail of sums referred to in clause (a),(b),( c),(d) or (e) of sec 43B, the liability for which was pre existed on the first day of the
previous year and was paid during previous year

[Ref.part B of Clause No.26(I)(A)of Form No.3CD]

S.No. Nature of liability Amount of liability Actual amount Date of Amount not
as on 01.04.2016 paid during the payment paid during
previous year the previous year
(Rs.) (Rs.)
(a) (b)
1 -
2 - -
3 - -

Total - - -
XYZ LIMITED Annexure-8(b)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of Payment mention under Section 43B paid on or before the due date of filing the return

[Ref.part B of Clause No.26 (b) of Form No.3CD]

Payable as on Amount not

Particulars 31st March'2017 Paid Date Amount Paid paid

Total
XYZ LIMITED Annexure-9

Financial Year 2017-2018

Assessment Year 2018-2019

Amount of Central Value Added Tax credits availed of or utilised during the financial year 2016-2017 and its treatment in the Statement of
Profit & Loss and the treatment of outstanding Central Value Added Tax credits in the accounts.

(Refer clause No. 27(a) of Form No. 3CD)

The amount of CENVAT on capital goods is deducted from the cost of capital goods and accordingly the depreciation is not claimed on
the CENVAT credit availed on capital goods. The assessee follows "Exclusive Method" of accounting the excise duty paid on purchase of
raw material and other eligible inputs, and not as part of purchase cost. Excise duty payable on clearance of goods is adjusted against the
CENVAT receivable account. However, sales is inclusive of excise duty and it is passed through Statement of profit and loss.

The detail of CENVAT credit availed/utilised etc. as per books of account is as under :

On raw materials,
packing materials
& stores & spares

Central Value Added Tax credits On Capital Goods Total

Amount Rs. Amount Rs. Amount Rs.

Balance representing credit receivable as at the beginning of the year - - -

Add : CENVAT/CESS credit availed during the year on purchase - - -

Less : Amount of CENVAT/CESS credit utilised during the year - - -

Closing Balance as on 31.03.2017 - - -

* Balance represents CENVAT/CESS (unutilised) amount as at the end of year with the excise deptt. and shown as Balance with Central
excise authorities under the Note ___ (Other Current Assets) of the Balance Sheet.
XYZ LIMITED Annexure-10

Financial Year 2017-2018

Assessment Year 2018-2019

Expenses incurred by the assessee in any of the earlier year but debited to the Statement

[Ref.part B of Clause No.27 (b) of Form No.3CD]

Prior Period to
rahul:
which it relates
S No Type Particulars Amount AS PER COI
(Year in YYYY-YY
format)
1
2
3
4
5
6
7
8
9
10
11

Total -
XYZ LIMITED Annexure-11(a)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of each loan or deposit in an amount exceeding the limit specified in section 269SS taken or accepted during the previous year

[Ref.part B of Clause No.31(a) of Form No.3CD]

Name Address Permanent Account Amount of Loan or Whether the loan or Maximum amount Whether the loan or
Number Deposit taken or deposit was squared outstanding in the deposit was taken or
accepted up during the account at any time accepted otherwise
previous year during the previous than by an account
year payee bank draft or
use of electronic
clearing system
through a bank
account
XYZ LIMITED Annexure-11(b)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of each each specified sum in an amount exceeding the limit specified in section 269SS taken or accepted during the
previous year

[Ref.part B of Clause No. 31 (b) of Form No.3CD]

Name Address Permanent Account Amount of specified Whether the

Number sum taken or specified sum was
accepted taken or accepted
otherwise than by an
account payee bank
draft or use of
electronic clearing
system through a
bank account
XYZ LIMITED Annexure-11(c)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of each repayment of loan or deposit or any specified advance in an amount exceeding the limit specified in section 269T made during the
previous year
[Ref.part B of Clause No.31(c) of Form No.3CD]

Name Address Permanent Account Amount of Maximum amount Whether the

Number Repayment outstanding in the repayment was made
account at any time otherwise than by
during the previous cheque or bank draft
year or use of electronic
clearing system
through a bank
account
XYZ LIMITED Annexure-11(d)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of each repayment of loan or deposit or any specified advance in an amount exceeding the limit
specified in section 269T made during the previous year

[Ref.part B of Clause No.31(d) of Form No.3CD]

Name Address Permanent Account Amount of loan or

Number deposit or any
specified advance
received otherwise
than by cheque or
bank draft or use of
electronic clearing
system through a
bank account
XYZ LIMITED Annexure-11(e)

Financial Year 2017-2018

Assessment Year 2018-2019

Particulars of repayment of loan or deposit or any specified advance in an amount exceeding the limit specified in
section 269T received by a cheque or bank draft which is not an account payee cheque or account payee bank
draft during the previous year:
[Ref.part B of Clause No.31(e) of Form No.3CD]

Name Address Permanent Account Amount of loan or

Number deposit or any
specified advance
received by a
cheque or bank draft
which is not an
account payee
cheque or account
payee bank draft
durimg the previous
year
XYZ LIMITED Annexure-12

Financial Year 2017-2018

Assessment Year 2018-2019

Detail of TDS deduct or collect tax as per the provisions of Chapter XVII-B or Chapter XVII-BB on following payments:

[Ref.part B of Clause No.34(a) of Form No.3CD]

Total amount Total amount Total amount Total amount Amount of Amount of tax
of Payment or on which tax on which tax on which tax tax deducted or collected
Receipt of the was required was deducted was deducted or deducted not deposited to the
nature to be deducted or collected at Amount of tax collected at less or credit of the Central
specified in or collected specified rate ded. Or coll. than specified collected Governemnt out of
TAN Sec. Nature of Payment Col. 3 out of (4) out of (5) Out of (6) rate out of (7) on (8) (6) and (8).
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

1. We have verified the compliance with the provisions of Chapter XVII-B of the Income-tax Act, 1961 (the Act) relating to the deduction of tax at source and the
payment thereof to the credit of the Central Government in accordance with the prevalent Auditing Standards, which contemplate, inter alia, reliance on tests checks
and the concept of materiality.

2. Considering the volume of transactions and information involved, the verification of the particulars given under this clause 34 is based on the broad review of the
procedures followed for ensuring compliances, review of Internal checks, internal control, test check of transactions and facts thereof.

3. The particulars are furnished by the management on which we have relied for completeness or accuracy.
XYZ LIMITED
Annexure-13
Financial Year 2017-2018
Assessment Year 2018-2019

Details of statement of tax deducted or tax collected furnished the for the AY 2017-18.
Refer clause 34(b) of form 3CD

Whether the statement of tax

Tax deduction and collection Due date for Date of furnishing, deducted or collected contains Delay in furnishing
Sr. No. Type of Form
Account Number (TAN) furnishing if furnished information about all transactions (Yes/No)
which are required to be reported
1
2
3
4
5
6
7
8
9
10
11
12
13
14
XYZ LIMITED Annexure-14

Financial Year 2017-2018

Assessment Year 2018-2019

Details of cases where assessee is liable to pay interest under section 201(1A)

[Ref.part B of Clause No.34(c) of Form No.3CD]

Tax deduction and

collection Account Section Amount of interest under Amount paid out of column (2) along
Number (TAN) section 201(1A) is payable with date of payment.

Total -
XYZ LIMITED Annexure-15(a)

Financial Year 2017-2018

Assessment Year 2018-2019

Quantitative details of the principal items of raw materials

[Refer part A of Clause No. 35(b) of Form No. 3CD]

Item 1
Particulars

Opening Stock 0

Purchases during the previous year 0

Consumption during the previous year 0

Sales during the previous year -

Closing Stock 0

yield of * finished products

percentage * of yield

shortage\ * -
excess, if any
XYZ LIMITED Annexure-15 (b)

Financial Year 2017-2018

Assessment Year 2018-2019

Quantitative details of Principal items of finished goods

[Refer part B of Clause No. 35(b) of Form No. 3CD]

Sl. No. Particulars

(i) Opening Stock (WIP) -

(ii) Purchases during the previous

the year

(iii) Manufactured during -

previous year

(iv) Sales during the previous year

(v) Closing stock (WIP) 0 0 0 - 0

(vi) Shortage / excess, if any - - - - -

XYZ LIMITED Annexure-16

Financial Year 2017-2018

Assessment Year 2018-2019

Accounting Ratios with Calculations

[Ref.Part B of Clause No - 40 of Form No - 3 CD]

Preceding previous year Preceding previous year Preceding previous year

Sr Particulars Amount Ratio - Amount Ratio - Amount Ratio -
No ( Rs ) (%) ( Rs ) (%) ( Rs ) (%)

1 Gross Profit Ratio #DIV/0! #DIV/0! #DIV/0!

Income
Sale of Services - - -
Sale of Products - - -
Increase/ Decrease in stocks - - -
Total ( A ) :- - - -

Cost of Goods Sold - - -

Other Direct Cost - - -

Total ( B ) :- - - -

Gross Profit - - -

2 Net Profit Ratio :- #DIV/0! #DIV/0! #DIV/0!

Net Profit before Tax - - -

Total Turnover - - -

3 Stock in Trade / Turn Over #DIV/0! #DIV/0! #DIV/0!

Stock in Trade - - -
Sales - - -

4 Material Consumed / Finished Goods #DIV/0! #DIV/0! #DIV/0!

Material Consumed - - -
Finished Goods - - -
XYZ LIMITED Annexure-17

Financial Year 2017-2018

Assessment Year 2018-2019

Furnish statement in Form No.61 or Form No.61A or Form 61B

[Refer part B of Clause No. 42(b) of Form No. 3CD]

Income tax Department Reporting Entity Identification Number Type of Form

Type of Form Due date for furnishing Date of furnishing,
Date of furnishing, if Whether the Form contains information about all details/ furnished transactions which are req
details/transactions which are not reported
nished transactions which are required to be reported. If not, please furnish list of the
ansactions which are not reported.