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E-mail ID : vnhari.ca@gmail.com
1 Acknowledgement 2 Computation of income 3 Page No. 1 4 Page No. 2 5 Page No. 3 6 Page No. 4 7 Page No. 5 8 Challan No. 280
SAHAJ [ ITR-1 ]
A.Y. 2011-12
For Individual having Income from Salary/Pension/ Income from One House Property (excluding loss brought froward from previous years) / Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)
D.No. 10-1-12, II Floor, Krishna Kamal Enclave, Asilmetta Juncton, Visakhapatnam - 530 003 , Ph. 08912755814 email : vnhari.ca@gmail.com
Middle Name
Last Name/Surname
Flat/Door No./Block No. Name of premises/Building/Village Road / Street / Post Office Town / City /Municipality State/UT Pin Code (Please affix { ' } befoe the Number)
Select State
Search for PIN Code
1 Ward/Range 3
e-mail ID skassociates.efiling@gmail.com
5. PAN 6. Assessment Year 7. Financial Year 6. Due date of filing 7. Month of filing 8. Financial Year Ending 2011-12 2010-11 31-Jul-11 30-Apr-11 31-Mar-11
Contact Numbers
STD CODE PHONE NO. MOBILE NO.
TAN
PAN
Govt FALSE
Others TRUE
PSU FALSE
Revised
Resident
TRUE
Non Resident
FALSE
HEDAS OF INCOME
1. Income from Salary
Less: Deduction U/s 54 a. Expenses i. ii. iii. b. c. iv. Depreciation Other Expenses -
16.
80GG
9 -
TAXABLE INCOME
16. Taxable Income 17. Divident Income / Agricultural Income not exceeding Rs. 5,000/-
Amount
-
Please prefix ' before entering BSR Code and Challan Number
Tax Deducted At Source (As per Form No. 16 issued by the employer)
Sl. No. TAN of the Employer Name and address of the Employer Income Chargeable under the head Total tax deducted Tax Payable/ refundable
-
TOTAL :
Tax Deducted At Source (As per Form No. 16A issued by the deductor)
Sl. No. TAN of the Deductor Name and address of the deductor Total tax deducted Amount claimed for this year
1 2 3 4 5 6 7 8 9 -
TOTAL :
Sl. Name of Bank & Branch BSR Code No. (Must be 7 Digits)
Date of Deposit
Amount
Please prefix ' before entering BSR Code and Challan Number
TOTAL :
FALSE
###
BANK DETAILS
-Select Bank & Brancha) Name of the Bank b) Name of the Branch c) Account Number -Select Branch-
FALSE
FALSE
(Not Applicable ) (Being a Women Assessee) PAN STATUS Due date of filing Month of filing
#VALUE! 30-Dec-1899 #VALUE! PIN CODE Asst. Year 1 INDIVIDUAL Prev. Year 31-Jul-11 Type of return 30-Apr-11 P.Y.ended on COMPUTATION OF TOTAL INCOME
Sex : MALE
(Being a senior citizen) (i) Professional Tax a) Standard Deduction b) Interest on borrowed Capital c) Pre-construction period interest
#VALUE!
AMOUNT -
AMOUNT -
III. A. a.
Dividends Less: Exemtion U/s 10(33) Interest Income #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
b.
i. ii. iii. iv. v. vi. vii.
c. d.
Other Income #VALUE! i. #VALUE! ii. #VALUE! iii. #VALUE! iv. #VALUE! v. #VALUE! vi. #VALUE! vii. #VALUE! viii. #VALUE! ix.
Less: Deduction u/s 54 a. Expenses #VALUE! i. #VALUE! ii. #VALUE! iii. #VALUE! iv.
Gross Total Income Gross Total Income Less: Deduction under chapter VIA : Gross Amount U/s 80 C : Life Insurance Premium Contribution to PF Purchase of NSC Investment in MF Investment in Pension Plan Children Tuition Fee Registration Fee of Res. House Other Savings
Qfy.Amount -
80CCF 80 D 80 G 80GG Taxable Income Rounded to Agriculture Income Tax on Income returned
40,050
Add: Education Cess Total Tax Payable Less: Relief Claimed (if any) a) U/s 89 b) U/s 90/91 Tax Payable after relief claimed Less: Pre-Paid Taxes a) Tax Deducted At Source b) Advance Tax
BSR Code #VALUE! #VALUE! #VALUE! #VALUE! Challan No. Date 15-Sep-2009 15-Dec-2009 15-Mar-2010 31-Mar-2010 Amount in Rs. -
Refund Receivable -
### ###
### ###
a return of income in
#VALUE!
Male
Female
3 0 1 2 1 8 9 9
#VALUE!
SELECT STATE
0 0 0 0 0 0
BACK TO INSTRUCTIONS
#VALUE!
Male
Female
3 0 1 2 1 8 9 9
#VALUE!
(Refer to instructions for PART C - DEDUCTIONS AND TAXABLE TOTAL INCOME Limits on Amount of Deductions as per "I
C 13 C 14 C 15
0 0
BANK ACCOUNT DETAILS (Mandatory in all cases irrespective of refund due or not) M I C R C O D E
VERIFICATION
I,
Son of solemnly declare that to the best of my knowledge and belief, the information given in the return is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the Assessment Year 2011-12
0 4 0 7 2 0 1 1
TRP Signature
Sch IT -
Sch TDS 1
0 0
DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY [As per Form 16 issued by Empoyer(s)]
0
#VALUE! #VALUE!
0 0 0
0 0
Sch TDS 2
0 0 0 0
DETAILS OF TAX DEDUCTED AT SOURCE FROM OTHER THAN SALARY [As per Form 16A issued by Deductor(s)
0 0 0 0
0 0 0 0
#VALUE!
(To be used only after exhausting itmes S1-S3 of Schedule TDS1 in main form etc)
#VALUE!
(To be used only after exhausting itmes T1-T4 of Schedule TDS2 in main form etc)
#VALUE!
SUPPLEMENTARY SCHEDULE IT
D1 to D3
(To be used only after exhausting itmes R1-R5 of Schedule IT in main form etc)
Parmenent Account Number 0 Full Name #VALUE! Complete Address with City & State #VALUE! #VALUE! Type of Payment (Tick One) Advance Tax (100) Self Assessment Tax (300) Tax on Regular Assessment (400) DETAILS OF PAYMENTS Income Tax Surcharge Education Cess Interest Penalty Others Total Total (in words) Crores Lacs Thousands Zero
Paid in Cash/Debit to A/c/Cheque
#VALUE!
Surtax (102) Tax on Distributed Profits of Domestic Companies(106) Tax on Distributed Income to Unit Holders (107) FOR USE IN RECEIVING BANK Debit to A/c / Cheque credited on DD MM SPACE FOR BANK SEAL YY
Hundreds Zero
Units Zero
0 #VALUE!
(Name)
Rs.
Assesment Year
2011-12
Back to instructions
House Property 0
Other Sources 0
0 Other Deductions 0
Total Deductions 0
Relief u/s 9 0
BSR CODE 0
TDS
Salaries
Income Chargeale under the head Salaries TDS Deducted -
0 TDS Deducted -
0 TDS Deducted -
Others
Amount of TDS Credit TDS Claimed -
TDS Claimed -
0 TDS Claimed -
TDS Claimed -
BANK DETIALS
Account Number MICR CODE Select MICR CODE MICR CODE ct t MICR CODE MICR CODE MICR CODE ICR CODE CR CODE R CODE CODE CODE ODE DE E
Revised Return detials Revised Return Number 0 Date of filing of Revised ROI 30/12/1899 30/12/1899 0/12/1899 /12/1899 12/1899 2/1899 /1899 1899 899 99 9
Date :
Date of birth 30/12/1899 30/12/1899 0/12/1899 /12/1899 12/1899 2/1899 /1899 1899 899 99 9 3 0 / 1 2 / 1 8 9 9
0 4 /
0 7 / 2 0 1 1
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
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
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
Amount of Tax -
09/2009 9/2009 /2009 2009 009 09 9 0 Amount of Tax 0 0 Date of challan 15/12/2009 15/12/2009 5/12/2009 /12/2009 12/2009 2/2009 /2009 2009 009 09 9 0 Amount of Tax 0 Date of challan 15/03/2010 15/03/2010 5/03/2010 /03/2010 03/2010 3/2010 /2010 2010 010 10 0 0 0
Amount of Tax -
Date of challan 30/12/1899 30/12/1899 0/12/1899 /12/1899 12/1899 2/1899 /1899 1899 899 99 9 0 0
Amount of Tax -
Date of challan 30/12/1899 30/12/1899 0/12/1899 /12/1899 12/1899 2/1899 /1899 1899 899 99 9 0 0
0 0 0
0 t M I C R C O D E
3 0 / 1 2 / 1 8 9 9
1 5 /
0 9 / 2 0 0 9
1 5 / 1 2 / 2 0 0 9
1 5 / 0 3 / 2 0 1 0
3 0 / 1 2 / 1 8 9 9
3 0 / 1 2 / 1 8 9 9