of 15
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Enter Necessary Data For Income Tax Calculation Exemption 10.00% 20.00%
1. Enter Perticular Year's Income Tax Exemption Limit. Man 160000 500000 800000
2. Your Salary Details and Personal DetailsFemale 180000 300000 500000Sr.Citizan 225000 300000 500000
Yes
N.B: Enter Your Detail in White Background Cells Only
Salary Brakup APR MAY JUN JUL
Basic
HRA
Transport Allowance/Conveyance
Child Education
Grade/Special AllowanceArrears
LTA
Leave Encashment
Performance Incentive
Medical Reimbursement
Food Coupons
Telephone Reimbursements
Car Reimbursement
Internet Expense
Driver Salary
Others
OthersTOTAL SALARY (Gross Salary) 0 0 0 0
Monthly Deduction
TDS
Other Deduction
Income Tax Paid From Salary
Professional Tax
Employee's PF Contribution
Net Salary 0 0 0 0
Other Income
House/Property income (Enter Loss as negative) 0
Interest on Housing Loan (For Tax exemption) 0
Other Income(interest,etc)
Total of Other Inconme
Capital Gain Tax(From Stocks) 0
Less : Exemptions (Section 10&17)
Actual Rent paid as per rent receipts
HRA Exemption (sec10(13A)) 0 0 0 0
Child Education Allowance (sec10(14)) 0 0 0 0
Medical Reimbursement (sec17(2)) 0 Yes
Accomaodation provided by Your company
:MONTHLY INCOME
HRA Received in Salary
For Housing Loan House Self Occupied
Submit Medical Bills
3.IR1 form will be updated as per your Detail in INCOME
sheet
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Transport Allowance (sec10(14)) 0 0 0 0
LTA (sec10(5)) 0
Food Coupons 0
Telephone Reimbursement 0
Car Expenses Reimbursement (sec10(14)) 0 0 0 0
Internet expense 0
Driver Salary 0 0 0 0Other Reimbursement 0
Total of Exemption(Section 10&17)
Deductions under chapter 80C
LIC Premium
Employee's contribution to PF 0
PPF
NSC 0
Insurance premium 0
ChildrenTution Fees paid 0
Housing Loan Principal repayment 0
Infrastructure Bonds(MF,ULIP,FD.etc) 0
Fixed Deposit for 5 yrs. or more 0
Others 0Total of Section 80C 0
Pension Fund (80 CCC)
Total Deduction under Section 80C & 80CCC 0
Deductions under chapter VIA
80D (Medical insurance premium) 0
80E (Interest on Loan for Higher Education) 0
80U (Handicapped person)(Perment Disability) 0
80D (Medical insurance premium) for Parents 0
80DDB(Medical Treatment forSpecified Diseases) 0
80DD(Medical Handicapped Dep) 0
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Name of the Your Employer
TDS
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 Adv.Tax Name of Bank
Advance Tax &Self Assessment Tax Payments Self.Asse.Tax Name of Bank
Gross Salary 0
Income from other Heads 0
Accomodation perquisites 0
Professional Tax 0
Exemption(Section 10&17) 0
Gross Total Income 0
Deduction under Section 80C & 80CCC 0
Deductions under chapter VIA 0
Taxable Income 0
Net Taxable Income After Added Ag Income 0
Details of Tax Deducted at Source from Salary [As per Form 16 ]
Tax Consumption
Tax on Income
Capital Gain Tax(From Stocks)
Surcharge on Tax
Total Tax Liability
Eduaction Cess
Income Tax Paid From The Salary
Balance Tax Paybale
Total Tax Liability
Amt Paid/credit
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Year 2009 Date: 5-Dec-13
30.00%
Engine Cap 4 lacks?
Place of Residence
Male/Female/Sr.Citizen
TATUS:
Loan taken before 1st Apr 1999
Male
Used Car to Travel Office
Driver for Car
No
Net Taxable IncomeNo of Children 0Yes
No
Choise Allowance
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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
Name of premises/Building/Village
Area/ Locality
State PIN No
Asses.Year 2009 2010 Finas.Year 2010
o
Name
Date of Receipt
Last Name
d No
Mail ID
Gujarat
Citizen
Residence
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TIN No PAN No
Surcharge 0
Date Serial of Challan No Amount
Date Serial of Challan No Amount
0 Tax on Aggrigate Income 0
0 Rebate in respect of Agricultural Income 0
0 Tax on Total Income 0
0
0
0
0
Ag Income Summary
Date of Credit Total Taxdeducted Amount out of Claim This year
Education Cess Total Tax Deposited
Type of Employer
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0
0
0
12 MONTH
0
0
0
0
00
0
0
0
0
0
0
0
0
0
0
00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
00
0
2011
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First name Middle name Last name
Flat /Door/Block No. Name Of Premises/Building/Village
Road/Street/Post Office Area/Locality
Town/City/District State Pin code
Email Address (STD Code) - Phone Number (
Designation of Assessing Officer (Ward/Circle) Return Filed Under Se
[Please see instruction numb
Whether original or Revised return? (Tick) Original
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 2ab Interest 2b
c Total (2a+2b)
3 Gross Total Income (1+2)
4 Deductions under chapter VIA (Section
a e I
b f j
c g k
d h l
m Deductions (Total of a to i)
5 Total Income (3-4m)
6 Net Agricultural Income (Enter only if greater than Rs.5,000)
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)
[For Individual having Income from Salary/Pension/family pension & I
FORM
ITR-1
INDIAN INCOME TAX RETURN
0 0
(Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instructions)
0 0 0
0 0
0
FILINGSTATUS
0
If revised, enter Receipt No and Date of filing original
return (DD/MM/YYYY) 0
PERSONALINFORMATION
0 Gujarat
INCOME&DEDUCTIONS
0
80C 0 80DD 0 80GG
80CCC
80G
0 80DDB 0
80U0
80GGA
80CCD 80E 0 80GGC
80D 0
COMPUTATION
0
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10 Relief under Section 89 10
11 Relief under Section 90/91 11
12 Balance Tax Payable (9d-10-11)
Do not write or stamp in this ares (Space for bar code) 13 a Interest Payable U/s 23
b Interest Payable U/s 23
c Interest Payable U/s 23
Total Interest Payable(13a+13b+13c)
14 Total Tax and Interest Paya
(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 Cheque, or deposited directly into your bank acc
20 In case of direct deposit to your bank account give additional detailsMICR Code Type of Account (tick as applicable)
21 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
(1)
0
22 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]
(1)
TAXESPAID
0
0
0
TAX
d
Deduction
under
Chapter VI-A
0 0 0
REFUND
TDSONSALARY
Sl
No
Tax Deduction Account
Number(TAN) of the
Employer
Namee and address of the
Employer
Income
chargeable
under the head
salaries(2) (3) (4) (5)
Sl
No
Tax Deduction Account
Number(TAN) of the
Deductor
Namee and address of the
Deductor
(2) (3) (4)
Amount paid/ credited
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23 Details of Advance Tax and Self Assessment Tax Payments
(i)
(ii)
(iii)
(iv)
(v)
24 Other Information (Transactions reported through Annual Information Return) (Please see instruction nu
Sl. Sl.
a
b
c
25 Tax-exempt interest income (for reporting purposes only)
26 E-filing Acknowledgement Number
I,
Place Date 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 Signa
If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)
0
TDSONINTERES 0 0
0-Jan-00
T
AXPAYMENTS
Sl No Name of Bank & Branch BSR CodeDate of Deposit
(DD/MM/YYYY)
0
0 0-Jan-00
NOTE Enter the total of column (7) of 22 in Sl.No.15b of TAXES PAID
NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of TAXES PAI
001 004
Code Amount (Rs.) Code Amount (Rs.)
003 006
VERIFICATION
002 005
declare that to the best of my knwledge and belief, the information given in the return thereto is correct and c
shown therein are truly stated and in accordance with the provisions of the Income Tax Act, 1961, in respect of in
Assessment Year 2007-08
12/5/2013
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PAN
Date of Birth (DD/MM/YYYY)
Employer Category (Tick)
Govt. PSU Others
Sex (Tick)
Male Female
)
tion- 1 1
r-9(i)]
Revised ####
FALSE Resident but not ordinarily Resident
4m
8a
8b
9d
Assessment Year
nterest]
2009 - 2010
0
1/0/1900
0
0
1 0
2c 0
3 0
0
0
0
5 0
6 0
7 0
0
0
-
-
-
0
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4A 13a
4B 13b
4C 13c
13d
le 14
Seal and signature of receiving official
15d
ount?(tick as applicable )
## Savings ### Current
-
-
12 0
0
0
0
0
0
0
0
16 0
17
Tax payable (incl.
surch. And edn. Cess)
Total tax
deposited
Tax payable/
refundable
(6) (7) (8)
0 0 0
Total tax depositedAmount out of (6)
claim for this year
(5) (6) (7)
Date of Payment
/Credit
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ber-9(ii) for code)
Sl.
25
solemnly
ture of TRP
28
1/0/1900 0 0
Serial Number of Challan
0 0
Amount (Rs.)
0 0
Amount (Rs.)
009
008
007
Code
omplete and that the amount of total income and other particulars
come chargeable to Income-tax for the previous year relevant to the