Jignesh.N.Parmar www.jiguparmar.com jiguparmar@yahoo.com Enter Necessary Data For Income Tax Calculation 1.

Enter Perticular Year's Income Tax Exemption Limit. 2. Your Salary Details and Personal Details 3.IR1 form will be updated as per your Detail in INCOME sheet

:MONTHLY INCOME STATUS:

Exemption Man Female Sr.Citizan

160000 180000 225000

10.00% 500000 300000 300000

20.00% 800000 500000 500000

N.B: Enter Your Detail in White Background Cells Only

HRA Received in Salary Yes For Housing Loan House Self Occupied Accomaodation provided by Your company APR MAY JUN JUL

Salary Brakup Basic HRA Transport Allowance/Conveyance Child Education Grade/Special Allowance Arrears LTA Leave Encashment Performance Incentive Medical Reimbursement Food Coupons Telephone Reimbursements Car Reimbursement Internet Expense Driver Salary Others Others TOTAL SALARY (Gross Salary) Monthly Deduction TDS Other Deduction Income Tax Paid From Salary Professional Tax Employee's PF Contribution Net Salary Other Income House/Property income (Enter Loss as negative) Interest on Housing Loan (For Tax exemption) Other Income(interest,etc) Total of Other Inconme Capital Gain Tax(From Stocks) Less : Exemptions (Section 10&17) Actual Rent paid as per rent receipts HRA Exemption (sec10(13A)) Child Education Allowance (sec10(14)) Medical Reimbursement (sec17(2))

0 0

0 0 0

0 0 0 0 Submit Medical Bills

0 0 Yes

Transport Allowance (sec10(14)) LTA (sec10(5)) Food Coupons Telephone Reimbursement Car Expenses Reimbursement (sec10(14)) Internet expense Driver Salary Other Reimbursement Total of Exemption(Section 10&17) Deductions under chapter 80C LIC Premium Employee's contribution to PF PPF NSC Insurance premium ChildrenTution Fees paid Housing Loan Principal repayment Infrastructure Bonds(MF,ULIP,FD.etc) Fixed Deposit for 5 yrs. or more Others Total of Section 80C Pension Fund (80 CCC) Total Deduction under Section 80C & 80CCC Deductions under chapter VIA 80D (Medical insurance premium) 80E (Interest on Loan for Higher Education) 80U (Handicapped person)(Perment Disability) 80D (Medical insurance premium) for Parents 80DDB(Medical Treatment forSpecified Diseases) 80DD(Medical Handicapped Dep) 80G(Donation to Approved Charity/Fund) 80GG(Rent Deduction if HRA not Received) Other Deduction Total Deductions under chapter VIA Agricultural Income Personal Details Name of the Assessee Father's Name Date of The Birth Phone No Address

0 0 0 0 0 0 0 0

0 0

0 0

0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Did treatment on Sr.Citizen Handicapped <80% 0 0

Middle Name

Senior Citizen Ward No Flat/Door No./Block No. Road / Street / Post Office Town / City /Municipality

Your Pan No Type of Return Employer Detail Original

Residential Status If Revised Enter Receipt No

Name of the Your Employer Details of Tax Deducted at Source from Salary [As per Form 16 ] Details of Tax Deducted at Source on Interest [As per Form 16 A ] Advance Tax Payment & Self AsseTax Payments
Advance Tax &Self Assessment Tax Payments Advance Tax &Self Assessment Tax Payments

TDS Amt Paid/credit

Name of Bank Name of Bank

Adv.Tax
Self.Asse.Tax

Tax Consumption Gross Salary Income from other Heads Accomodation perquisites Professional Tax Exemption(Section 10&17) Gross Total Income Deduction under Section 80C & 80CCC Deductions under chapter VIA Taxable Income Net Taxable Income After Added Ag Income

0 0 0 0 0 0 0 0 0 0

Total Tax Liability Tax on Income Capital Gain Tax(From Stocks) Surcharge on Tax Eduaction Cess Total Tax Liability Income Tax Paid From The Salary Balance Tax Paybale

LY INCOME STATUS:

Year

2009

Date:

2-May-12

30.00%

No No AUG

Place of Residence NonMetro Male/Female/Sr.Citizen Male No of Children 0 Used Car to Travel Office Yes Driver for Car No Choise Allowance Travel Allowance Loan taken before 1st Apr 1999 No If living in Company Accomodation population of City >4 lacks? SEP OCT NOV DEC JAN

Balance Tax Payable Gross Income Net Taxable Income Engine Cap <1600cc

No FEB

0 MAR

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

No

Middle Name

Last Name

Senior Citizen Ward No Name of premises/Building/Village Area/ Locality State

Residence

Mail ID

Gujarat Asses.Year

PIN No 2009 2010 Finas.Year 2010

nter Receipt No

Date of Receipt

TIN No Surcharge Date of Credit Date Date 0

PAN No Education Cess Total Taxdeducted

Serial of Challan No Serial of Challan No

Type of Employer Total Tax Deposited

Amount out of Claim This year

Amount Amount

x Liability 0 0 0 0 0 0 0

Ag Income Summary Tax on Aggrigate Income Rebate in respect of Agricultural Income Tax on Total Income

0 0 0

0 0 0

12 MONTH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

2011

FORM

ITR-1

[For Individual having Income from Salary/Pension/family pension & Interest] (Please see Rule 12 of the Income-tax Rules, 1962) (Also see attached instructions) Middle name Last name

INDIAN INCOME TAX RETURN

First name

0
PERSONAL INFORMATION

0
0 Area/Locality 0 State
Gujarat

0
Name Of Premises/Building/Village

Flat /Door/Block No. 0 Road/Street/Post Office 0 Town/City/District 0 Email Address 0 Designation of Assessing Officer (Ward/Circle)

Pin code 0 (STD Code) - Phone Number ( Return Filed Under Section[Please see instruction number-9(i)]

FILING STATUS

Whether original or Revised return? (Tick)

0 0 ###

Original

If revised, enter Receipt No and Date of filing original return (DD/MM/YYYY) Residential Status (Tick)

##

Resident

Non-Resident

1 Income chargeable under the Head 'Salaries' 2 Income chargeable under the Head 'Other Sources' (Interest) a Family pension b Interest c Total (2a+2b) 3 Gross Total Income (1+2) 4 Deductions under chapter VIA (Section a 80C 0 e 80DD 0 b 80CCC 0 f 80DDB 0 c 80CCD g 80E 0 d 80D 0 h 80G 0 m Deductions (Total of a to i) 5 Total Income (3-4m) 6 Net Agricultural Income (Enter only if greater than Rs.5,000)

2a 2b

INCOME & DEDUCTIONS

I j k l

80GG 80GGA 80GGC 80U

TAX COMPUTATION

7 Aggregate Income' (5+6) 8 a Tax Payable on 'Aggregate Income' b Rebate in respect of Net Agricultural income 9 a Tax Payable on total Income (8a - 8b) 9a b Surcharge on 9a 9b c Education Cess on (9a + 9B) 9c d Total Tax, Surcharge and Education cess payable (9a + 9b + 9c)

10 Relief under Section 89 11 Relief under Section 90/91 12 Balance Tax Payable (9d-10-11) Do not write or stamp in this ares (Space for bar code)

TAX COMPUTATI

10 11 13 a b c d Interest Payable U/s 234A Interest Payable U/s 234B Interest Payable U/s 234C Total Interest Payable (13a+13b+13c) 14 Total Tax and Interest Payable (12+13d) For office Use only Receipt No. Date

15 Taxes Paid a Advance Tax (from item 23) 15a b TDS (column 7 of item21+column 7 of item 22) 15b c Self Assessment Tax (from item 23) 15c d Total Taxes paid (15a+15b+15c) 16 Tax payable(14-15d)(enter if 14 is greater than 15d, else leave blank) 17 Refund (15d-14) (enter if 15d is greater than 14, also give Bank account details below) 18 Enter your bank account number (mandatory in case of refund) 19 Do you want your refund by MICR Code

REFUND

TAXES PAID

0 0 0

Cheque, or

deposited directly into your bank account? (tick as applicable Type of Account (tick as applicable)

20 In case of direct deposit to your bank account give additional details

21

TDS ON SALARY

Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] Income Tax Deduction Account Deduction Namee and address of the chargeable Sl Number(TAN) of the under No Employer under the head Employer Chapter VI-A salaries (1) (2) (3) (4) (5) 0
0

22

Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)] Tax Deduction Account Namee and address of the Sl Amount paid/ credited Number(TAN) of the No Deductor Deductor (1) (2) (3) (4)

Date of Payment /Credit (5)

ON INTEREST

TDS ON INTEREST

1/0/1900

NOTE 23

Enter the total of column (7) of 22 in Sl.No.15b of TAXES PAID Date of Deposit (DD/MM/YYYY) 0-Jan-00 0-Jan-00

Details of Advance Tax and Self Assessment Tax Payments

Sl No

Name of Bank & Branch

BSR Code

TAX PAYMENTS

(i) 0 (ii) 0 (iii) (iv) (v) NOTE Code 001 002 003

Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of TAXES PAID Amount (Rs.) Sl. Code 004 005 006 Amount (Rs.)

24 Sl. a b c 25 26

Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)

Tax-exempt interest income (for reporting purposes only) E-filing Acknowledgement Number VERIFICATION I,

declare that to the best of my knwledge and belief, the information given in the return thereto is correct and complete and that the am shown therein are truly stated and in accordance with the provisions of the Income Tax Act, 1961, in respect of income chargeable to Incom Assessment Year 2007-08

Place

Date

5/2/2012

Sign here

27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below : Identification No. of TRP Name of TRP Counter Signature of TRP If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

RN

Assessment Year

pension & Interest] 962) PAN

2009
0

2010

Date of Birth (DD/MM/YYYY)

1/0/1900
Employer Category (Tick) Others

Govt. Sex (Tick) 0 Number ( )

PSU

Male 0 1 1

Female

d Under Section-

truction number-9(i)]

Revised

####

FALSE

Resident but not ordinarily Resident

0 2c 3 0 0 0

0
4m

5 6 7 8a 8b 9d

0 0 0 0 0 0

12
13a 13b 13c 13d

yable U/s 234A yable U/s 234B yable U/s 234C st Payable

0 0 0 0 0

nterest Payable

14 0 Seal and signature of receiving official

0 0 0 15d 16 17

0 0 0 ) Current

our bank account? (tick as applicable

##

Savings

###

Tax payable (incl. surch. And edn. Cess) (6) 0

Total tax deposited (7) 0

Tax payable/ refundable (8) 0

Date of Payment /Credit (5)

Total tax deposited (6)

Amount out of (6) claim for this year (7)

1/0/1900

Serial Number of Challan 0 0

Amount (Rs.) 0 0

TAXES PAID Sl. Code 007 008 009 25 Amount (Rs.)

nstruction number-9(ii) for code)

solemnly correct and complete and that the amount of total income and other particulars n respect of income chargeable to Income-tax for the previous year relevant to the

unter Signature of TRP 28

lled by TRP)