FORM NO. 3AD 
                   [See rule 5AD]   
 
Audit Report under section 33ABA(2) 

  
 
 PART I   
Audit report under section 33ABA(2 ) of the Income -tax Act, 1961, in a case where the accounts of 
the business of a person have been audited under any other law  
  
I/We  have  to  report  that  statutory  audit  of   
....................................................................................................................................................................... 
 [ name  and  address  of  the  assessee  with  ...…….................................……....  was conducted by me / us / M/s 
..........................…...... in   pursuance  of  the  Permanent  Account  No.]   provisions  of  the  ..............…….....  Act,  
and  I / we   annex  hereto  a  copy  of  the  audit  report  dated  ......................  along  with  a  copy  of  each  of  the  
audited  profit  and  loss  account / income  and  expenditure  statement  for  the  year  ended  on  ....................  and  
a  copy  of  the  audited  balance  sheet  as  at  ……….…..................  along  with  the  documents  declared  by  the  
relevant  Act  to  be  part  of , or  annexed  to, the  profit  and  loss  account / income  and  expenditure  statement 
and  the  balance  sheet. 
A  further  report  as  required  under  the  proviso  to  section  33ABA(2)  is  furnished  in  Part III  of  this  Form.  
In my/our  opinion and to the best of my / our information and according to the explanations given to me/us, the  
particulars given in Part  III of this Form  are true and correct. 

  

  
Place.....................................   
 .............................................................. 
      Signature  
Accountant 
Date.....................................   

  

 

  

 

 
 Part II   
Audit report under section 33ABA(2) of the Income -tax Act, 1961 in a case where the 
accounts of the business of a person have not been audited under any other law 

  
I/We have examined the balance sheet of 
...................................................................................................................... [name and address of the assessee with 
................................................ as at .............……............... and the profit and loss account/income and Permanent 
Account No.]  expenditure statement for  the year ended  on  that date which are in agreement with  the  books of 
account maintained at the head office at .................................. and branches at .............………..  
I / We  have  obtained  all  the  information  and  explanations  which  to  the  best  of  my / our  knowledge  and 
belief were  necessary for  the purposes of t he audit. In my/our opinion ,  proper  books  of  account  have  been 
kept  by  the  head  office  and  the branches  of  the assessee  so far as appears  from  my / our  examination  of 
books,  subject  to  the  comments  given  below :  
In  my/our  opinion and to the best of  my/our information and according  to  the  explanations  given  to me / us, 
the  said  accounts  give  a  true  and  fair  view-  
       (i) in  the  case of  the  balance sheet, of  the  state of  the  above  named  assessee's  affairs  as  at ....................             
……………………..........; and 
 
     (ii) in  the  case  of  the  profit and  loss  account / income  and  expenditure  statement,  of  the  profit  or  the 
income or loss of   the above  named  assessee  for  the  year  ended  on  ...................……...............  
The  particulars  required  for  verification  of  the  claim  for  deduction  under  section  33ABA(2)  are  given  in 
Part  III  of  this  Form.  In my / our   opinion   and   to  the  best  of  my / o ur  information  and  according  to  the 
explanations  given  to me/us,  the  particulars  given  in Part III  hereof  are  true  and  correct. 

  

  
Place................................   
 ......................................................................... 
Date ...............................   
 Signature Accountant 

  

  

 

 

  

Part III 
                             Statement of particulars relating to the claim for deduction under section33ABA 

  
1. Books of account examined.  
2. Method of accounting employed (please indicate whether there is any change from the method of accounting 
employed in the immediately preceding previous year). 
3. Whether separate accounts are maintained in respect of business consisting of the prospecting for, or extraction 
or production of , petroleum or natural gas or both in India. 
4. If the answer to item 3 above is in the affirmative please indicate the profits of such business, computed under the 
head  "Profits  and  gains  of  business  or  profession"  before  making  any  deduction  under  section  33ABA.  
5. In case separate accounts are not maintained or are not available, please indicate- 
   (i) total sales or turnover of business consisting of the prospecting for, or extraction or production of, petroleum or 
natural gas or both   in India;  
   (ii) total sales or turnover of assessee's business; 
   (iii) total profits of the assessee's business computed under the head "Profits and gains of business or profession" 
before making any  ded uction under section 33ABA; and 
 
  (iv) the proportionate profit of the business consisting of the prospecting for, or extraction or production of, 
petroleum or  natural gas or both in India. 
6. The amount deposited before the end of the previo us year with the State Bank of India in accordance with the 
Scheme.  (Please indicate  the account number of the branch of the concerned State Bank of India and the dates and 
the amount of deposits). 
7. Amount of interest credited to the account under the scheme during the previous year. 
8. Withdrawals made from the account referred to in item 6 with the dates and amounts of withdrawals. 
9. Purposes for which withdrawals referred to in item 8 were made. [Please indicate whether it is for the purposes 
specified in the scheme.] 
10. The amounts utilised out of the withdrawals referred to in item 8 above with details regarding the purpose for 
which and the dates on  which the amounts were utilised. 
11. Please indicate whether any amount has been utilis ed for  the purchase of any item referred to in section 
33ABA(4) or has been  claimed as an allowance in computing the income chargeable to tax under the head "Profits 
and gains of business or profession". 
12. The amounts withdrawn from the State Bank of India but not utilised during the previous year for the purposes 
specified in the  Scheme. 

13. Whether any assets acquired in accordance with the provisions of the Scheme are sold or otherwise transferred 
during the previous  year.  If the answer is in the affirmative, please indicate separately in respect of each asset, the 
date of acq uisition, cost of acquisition, date of sale or transfer, consideration for sale or transfer and the name(s) of 
the person(s) to whom the asset was sold or transferred. 
14. The amount of deduction permissible in accordance with the provisions of section 33ABA. 

 ......................................................................... 

 Signature