Particulars to be furnished in respect of units established under Special Economic Zone for claiming deduction under section 144 of the Act

Part-A

Basic Information

1.

Details of the assessee

(i)

Name

refer Note 1

(ii)

Address

refer Note 2

(iii)

Permanent Account Number

2.

Details of the undertaking /Unit

(i)

Name

refer Note 1

(ii)

Address

refer Note 2

(iii)

Nature of business

(iv)

Name of the Special Economic Zone in which unit is located

3.

Tax Year

Part -B

Details of Special Economic Zone Reinvestment Allowance Reserve Account

4.

Amounts of eligible profits debited to the profit and loss account and credited to the Special Economic Zone

Reinvestment Allowance Reserve Account:

Tax year

Amount

(i)

During the current tax year

(ii)

During the tax year, immediately preceding the tax year mentioned at (i)

(iii)

During the tax year, immediately preceding the tax year mentioned at (ii)

(iv)

During the tax year immediately preceding the tax year mentioned at (iii)

(v)

Total [(i)+(ii)+(iii)+(iv)]

5.

Amounts withdrawn from the Special Economic Zone Reinvestment Allowance Reserve Account:

Tax year

Used for

eligible

purposes

Not used for eligible purposes

(i)

During the current tax year

(ii)

During the tax year, immediately preceding the tax year mentioned at (i)

(iii)

During the tax year, immediately preceding the tax year mentioned at (ii)

(iv)

During the tax year, immediately preceding the tax year mentioned at (iii)

(v)

Total amounts withdrawn (i)+(ii)+(iii)+(iv)]

6.

Net amount outstanding the Special Economic Zone Reinvestment

Allowance Reserve Account on the last day of the current tax year [4(v)– 5(v)]

Part-C

Details of new plant or machinery purchased

7.

Details of new plant/machinery purchased out of amounts withdrawn from Special Economic Zone Reinvestment Allowance Reserve Account

Sl.N o.

Details of

new plant or

Make

and

Name of

the

Address of

the

Date of

acquisition

Date on

which it

machinery

model

numb

er

supplier

supplier

was first

put to

use

refer Note 1

refer Note 2

dd/mm/yyyy

dd/mm/yy yy

refer Note 1

refer Note 2

dd/mm/yyyy

dd/mm/yyyy

refer Note 1

refer Note 2

dd/mm/yyyy

dd/mm/yyyy

Verification

I (name) holding Permanent Account Number , being proprietor/partner/director verify that the

undertaking mentioned above during the tax year, acquired the new plant/ machinery, as mentioned above for which the purchase price has been paid by making withdrawal from the Special Economic Zone Reinvestment Allowance Reserve Account maintained by the assessee.

Date: … … … … … … . Signature

Place:

Name:

Designation: … … … … … … .