Escolar Documentos
Profissional Documentos
Cultura Documentos
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) 0 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 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 0
Child Education Allowance (sec10(14)) 0 0 0 0 0
Medical Reimbursement (sec17(2)) 0 Submit Medical Bills Yes
Transport Allowance (sec10(14)) 0 0 0 0 0
LTA (sec10(5)) 0
Food Coupons 0
Telephone Reimbursement 0
Car Expenses Reimbursement (sec10(14)) 0 0 0 0 0
Internet expense 0
Driver Salary 0 0 0 0 0
Other Reimbursement 0
Total of Exemption(Section 10&17)
Agricultural Income
Personal Details
Phone No Ward No
Address Flat/Door No./Block No.
Details of Tax Deducted at Source from Salary [As per Form 16 ] TDS Surcharge
Details of Tax Deducted at Source on Interest [As per Form 16 A ] Amt Paid/credit Date of Credit
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 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
Last Name
Mail ID
Name of premises/Building/Village
Area/ Locality
Ag Income Summary
Tax on Aggrigate Income 0
Rebate in respect of Agricultural Income 0
Tax on Total Income 0
FORM
INDIAN INCOME TAX RETURN
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)
0 0 0
Flat /Door/Block No. Name Of Premises/Building/Village
PERSONAL INFORMATION
0 0
0 0
0 Gujarat 0
c Total (2a+2b)
3 Gross Total Income (1+2)
4 Deductions under chapter VIA (Section
a 80C 0 e 80DD 0 I 80GG 0
b 80CCC 0 f 80DDB 0 j 80GGA
c 80CCD g 80E 0 k 80GGC
d 80D 0 h 80G 0 l 80U 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)
7 Aggregate Income' (5+6)
8 a Tax Payable on 'Aggregate Income'
b Rebate in respect of Net Agricultural income
TAX COMPUTATION
Date
15 Taxes Paid
a Advance Tax (from item 23) 15a 0
TAXES PAID
21 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 No Number(TAN) of the under
Employer under the head
TDS ON SALARY
0 0 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 Date of Payment
Sl No Number(TAN) of the Amount paid/ credited
Deductor /Credit
Deductor
EREST
Tax Deduction Account
Namee and address of the Date of Payment
Sl No Number(TAN) of the Amount paid/ credited
Deductor /Credit
Deductor
TDS ON INTEREST (1) (2) (3) (4) (5)
0 0 0 12/30/1899
(i) 0 30-Dec-99
(ii) 0 30-Dec-99
(iii)
(iv)
(v)
NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of TAXES PAID
24 Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl. Code Amount (Rs.) Sl. Code Amount (Rs.)
a 001 004
b 002 005
c 003 006
25 Tax-exempt interest income (for reporting purposes only)
26 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 amou
shown therein are truly stated and in accordance with the provisions of the Income Tax Act, 1961, in respect of income chargeable to Incom
the Assessment Year 2007-08
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) 2009 - 2010
PAN
0 0
Date of Birth (DD/MM/YYYY)
12/30/1899
Sex (Tick) √
0 √ Male Female
Number ( ) 0
d Under Section- 1 1
truction number-9(i)]
Revised 0
0
2c 0
3 0
0
4m 0
5 0
6 0
7 0
8a 0
8b 0
-
-
-
9d 0
-
-
12 0
yable U/s 234A 13a 0
yable U/s 234B 13b 0
yable U/s 234C 13c 0
st Payable 13d
0
nterest Payable 14
0
Seal and signature of receiving official
0
0
0
15d 0
16 0
17 0
√ 0 Savings 0 Current
0 0 0
12/30/1899 0 0
0 0
0 0
TAXES PAID
instruction number-9(ii) for code)
Sl. Code Amount (Rs.)
007
008
009
25
solemnly
correct and complete and that the amount of total income and other particulars
in respect of income chargeable to Income-tax for the previous year relevant to
ls as below :
unter Signature of TRP