FORM NO. 10CCAC
[See rule 18BBA(3)]
Report under section 80HHC(4)/80HHC(4A) of the Income-tax Act, 1961

1. I/We have examined the accounts and records of__________________[name
and address of the assessee with permanent account number] relating to the business of export out of India/sale to a recognised Export House/Trading House or sale to an undertaking in the Special Economic Zone in India, of goods and merchandise carried on by the assessee during the year ended on the 31st March.
2. (a) I/We certify that the deduction to be claimed by the assessee under sub-section (1) of section 80HHC of the Income-tax Act, 1961, in respect of the assessment year_________is Rs._____________ which has been determined on the basis of the sale proceeds received by the assessee in convertible foreign exchange. The said amount has been worked out on the basis of the details in Annexure A to this Form.
(b) I/We certify that the deduction to be claimed by the assessee, as supporting manufacturer, under sub-section (1A) of section 80HHC of the Income-tax Act, 1961, in respect of the assessment year______________is Rs._______________, which has been determined on the basis of sales to Export House/Trading House made during the year, in respect of which a certificate has been issued by the Export House/Trading House under the proviso to sub-section (1) of section 80HHC of the Income-tax Act, 1961. The said amount has been worked out on the basis of the details in Annexure B to this Form.
3 I/We, therefore, certify that the total deduction to be claimed by the assessee under section 80HHC in respect of the assessment year____________is Rs._______________
Date :_______________
Signed
Accountant
Notes :
1. Delete whichever is not applicable.
2. This report is to be given by-
(i) a chartered accountant within the meaning of the Chartered Accountants Act, 1949 (38 of 1949); or
(ii) any person, who in relation to any State, is, by virtue of the provisions in sub-section (2) of section 226 of the Companies Act, 1956 (1 of 1956), entitled to be appointed to act as an auditor of companies registered in that State.
3. Where any of the matters stated in this report is answered in the negative or with a qualification, the report shall state the reasons therefor.
Annexure A
[See paragraph 2(a) of Form No.10CCAC]
Details relating to the claim by the exporter for deduction under section 80HHC of the Income-tax Act, 1961
1. Name of the assessee
2. Assessment year
3. Total turnover of the business
4. Total export turnover
5. Total profits of the business
6. Export turnover in respect of trading goods
7. Direct cost of trading goods exported
8. Indirect cost attributable to trading goods exported
9. Total of 7 ± 8
10. Profits from export of trading goods [6 minus 9]
11. Adjusted total turnover (3 minus 6)
12. Adjusted export turnover (4 minus 6)
13. Adjusted profits of the business (5 minus 10)
14. Profits derived by assessee from export of goods or merchandise to
which section 80HHC applies, computed under sub-section (3) of
section 80HHC
15. Export turnover, deduction in respect of which will be claimed by a supporting manufacturer in accordance with proviso to sub-section (1) of section 80HHC
16. Profit from the export turnover mentioned in item 15 above, calculated in accordance with proviso to sub-section (1) of section 80HHC
17. Deduction under section 80HHC to which the assessee is entitled
(Item 14 minus Item 16)
18. Remarks, if any.
Annexure B
[See paragraph 2(b) of Form No.10CCAC]
Details relating to the claim of the supporting manufacturer for deduction under section 80HHC of the Income-tax Act, 1961
SECTION A
1. Name of the assessee
2. Assessment year
3. Total turnover of the business
4. The amount of profit under the head "Profits and gains of business or
profession"
5. Total turnover in respect of sale of Export House/Trading House for
which certificate is received from Export House/Trading House
6. Profit from the turnover mentioned in item 5 above, computed under
sub-section (3A) of section 80HHC
7. Remarks, if any
SECTION B
DETAILS OF SALE TO EXPORT HOUSE/TRADING HOUSE
Sl.
No.
Name and address of
the Export
House/Trading House
to whom goods or
merchandise were sold
Sale Invoice
No. and date
Sale price Invoice No. and
date by which
Export
House/Trading
House has
exported
Date of certificate
issued by the
Export
House/Trading
House under clause
(b) of sub-section
(4A) of section
80HHC
Amount of
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