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FORM
SAHAJ
ITR-1
(For Individuals having Income from Salaries, One House Property, Other Sources (Interest etc.) Refer to
Instructions for eligibililty.)
First Name
Ganpat
PERSONAL INFORMATION
Assessment
Year
2 0 16 - 1 7
Middle Name
Last Name
Babu
PAN
Shelke
ETUPS0409E
Status
I - Individual
Yerwada
Road / Street
Area / Locality
Gurudwara Road
Date of birth
Pune
State
19-MAHARASHTRA
Email Address
ganpat120050@gmail.com
01/06/1974
Mobile No. 1
M-Male
Country
Pincode
91-INDIA
(STD Code)
411006
Mobile No. 2
Phone No
9011052035
FILING STATUS
No
Original
Employer Category
OTH
Sex
Tax Status
Tax Refundable
If filed in response to a
notice u/s
139(9)/142(1)/148/153A/1
53C enter date of such
notice
Residential Status
(Select)
Yes
333919174557
(Select)
305782
305782
System Calculated
80 C
5a
80 CCC
5b
80 CCD (1)
5c
5d
80 CCD(1B)
80 CCD (2)
5e
80 CCG
5f
80 D
5g
80 DD
5h
i
j
80 DDB
80 E
5i
5j
0
0
80 G
5l
80 GG
5m
80 GGA
5n
80 GGC
5o
80 QQB
5p
80 RRB
5q
80 TTA
5r
80 U
5s
##
0
305780
##
##
0
10
##
0
11
12
###
0
13
##
0
15
##
0
14
16a
##
0
16b
##
0
16c
###
0
17
###
0
18
##
0
16
19 TDS1 Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]
SI.No
Tax Deduction
Account Number
(TAN) of the Employer
Tax Deducted
(1)
(2)
(3)
(4)
1
2
3
4
Total
20
TDS2
Details of Tax Deducted at Source on Income OTHER THAN SALARY [As per FORM 16 A issued by Deductor(s)]
SI.No
Tax Deduction
Account Number
(TAN) of the Deductor
Unique TDS
Certificate No.
(1)
(2)
(3)
Deducted Year
Tax Deducted
(4)
(5)
(6)
(Select)
(Select)
(Select)
(Select)
Total
21 IT
BSR Code
Date of Deposit
(DD/MM/YYYY)
Challan No
Tax Paid
(1)
(2)
(3)
(4)
1
2
3
4
Total
ued by Deductor(s)]
If covered by
Portuguese Civil
Code, Amount
claimed in the hands
of spouse
(7)
22
DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS
SI.No
Tax Collected
(1)
(2)
(3)
1
2
3
4
5
TOTAL
LLECTOR(S)]
Amount out of (3) being
Amount out of (3) being claimed claimed in the hands of spouse,
if section 5A is applicable
(4)
(5)
TAXES PAID
Taxes Paid
23 PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid
figures below will get filled up when the Schedules linked to them are filled.
a
24
25
26
27
Exempt Income only for Reporting Purpose (If agricultural income is more than Rs. 5000/-, use ITR-2 or 2A)
28
Details of all Bank Accounts (excluding dormant accounts) held in India at any time during the previous year (Mandatory irrespective of refund due or not)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts).
Bank Account in which refund, if any, shall be credited
Sl.No
Account Number
Type of Account
1
Other Bank account details
Sl.No
Account Number
Type of Account
(Select)
(Select)
(Select)
son/daughter 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 2016-17
Place
PAN
Date
ETUPS0409E
29 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No of TRP
Name of TRP
30 If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)
Schedule AL
A
Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)
Particulars of Asset
3
B
Immovable Asset
a
Land
1a
Building
1b
Movable Asset
a
Cash in hand
2a
2b
2c
Total
Schedule 80G
A
Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
Address
City or Town or
District
State Code
Pincode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GA
Address
City or Town or
District
Pincode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GB :
State Code
Name of donee
Address
City Or Town Or
District
State Code
Pincode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GC :
Address
City Or Town Or
District
State Code
Pincode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GD
Donations (A + B + C + D)