gurmukh nihal singh 2011_itr1_r7

FO

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SAHAJ INDIAN INCOME TAX RETURN Assessment Year

ITR-1 Year

(Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions) 2 0 1 1 - 1 2

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RS

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IN

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First Name Middle Name Last Name PAN GURMUKH NIHAL SINGH AAJPG8673N

Flat / Door / Building Status7/95 I - Individual

Road / Street Area / Locallity Date of birth (DD/MM/YYYY)SUBHASH NAGAR 20/02/1955

Town/City/District State Pin Code Sex (Select)NEW DELHI 09-DELHI 110027 M-Male

Email Address Mobile no (Std code) Phone No Employer Category (if in [email protected] 9871714851 011 64702851 employment) PSUIncome Tax Ward / Circle Return filed under section

[Pl see Form Instruction] 11 - u/s 139(1)Whether original or revised return? O-Original

If revised, enter Receipt no / Date DateResidential Status RES - Resident

INC

OM

E &

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1 Income from Salary / Pension (Ensure to fill Sch TDS1) 1 587,433

2Income from one House Property

2

3 Income from Other Sources (Ensure to fill Sch TDS2) 3

4 Gross Total Income (1+2c) 4 587,4335 Deductions under Chapter VI A (Section) System Calculated

a 80 C 5a 52,685 52,685b 80 CCC 5b 0 0c 80 CCD 5c 0 0d 80 CCF 5d 0 0e 80 D 5e 0 0f 80 DD 5f 0 0g 80 DDB 5g 0 0h 80 E 5h 0 0i 80 G 5i 0 0j 80 GG 5j 0 0k 80 GGA 5k 0 0l 80 GGC 5l 0 0

m 80 U 5m 0 06 Deductions (Total of 5a to 5m) 6 52,685 6 52,6857 Total Income (4 - 6) 7 534,748

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N 8 Tax payable on Total Income 8 40,9509 Education Cess, including secondary and higher secondary cess on 8 9 1,22810 Total Tax, Surcharge and Education Cess (Payable) (8 + 9) 10 42,17811 Relief under Section 89 11 012 Relief under Section 90/91 12 013 Balance Tax Payable (10 - 11 - 12) 13 42,17814 Total Interest Payable 14 015 Total Tax and Interest Payable (13 + 14) 15 42,178

For Office Use OnlyReceipt No/ Date

[For Individuals having Income from Salary / Pension / Income from One House Property (excluding loss brought forward from previous years) /

Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)]

FIL

ING

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TA

TU

S

Seal and Signature of Receiving Official

C6

Enter first name

M6

Enter middle name, if any

U6

Last name / Surname should not be blank

AL6

PAN: First five alphabets, next four digits, then alphabet (exactly 10 chars)

AL14

Should be in DD/MM/YYYY format only. DoB should be before 01/04/2011

AD18

Enter six digit pin code (NRI can enter 999999)

C22

Enter valid Email Address to receive copy of ITR-V via email

U22

Mobile number : Must be 10 digits.

Y22

Do not prefix '0' before STD code.

AD22

Enter your Phone Number

AP22

Select from list provided. If not employed or for HUF use 'OTH'

C24

Enter the ward or circle where the return is filed

AN24

Select from list provided. Usually would be 11

V26

Select from list provided. If this is the only Return then select 'Original' if you have already filed your return for this year and would like to make changes then select 'Revised'

AM28

On or after 01/04/2010 Enter the Acknowledgement number and date of filing of Original return

U30

Select from list provided. Usually would be 'RES'

Z69

Calculate relief u/s 89 as per IT Act in case of receipt of arrears of salary.or advances of salary recieved during the year.

Z70

Calculate relief u/s 90 or 91 as per IT Act in case of tax paid outside India

23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

SI.No

(1) (2) (3) (4) (5)1 DELP09615E 587,433 42,178 ###2 ###3 ###

(Click + to add more rows to 23) TDS on Salary above. Do not delete blank rows. ) ###24 Details of Tax Deducted at Source Other than Salary ###

SI.No

###(1) (2) (3) (4) (5) ###1 ###2 ###3 ###4 ###

(Click + to add more rows ) TDS other than Salary above. Do not delete blank rows. ) #########

25 Details of Advance Tax and Self Assessment Tax Payments ###

Sl No

###

BSR Code Amount (Rs)

1 ###2 ###3 ###4 ###5 ###6 ###

(Click '+' to add more rows ) Tax Payments. Do not delete blank rows. )

Tax DeductionAccount Number

(TAN) of the Employer

Name of the Employer

Income chargeable under thehead Salaries

Total taxDeducted

PUNJAB AND SIND BANK

Tax DeductionAccount Number

(TAN) of the Deductor

Name of the Deductor

Total taxDeducted

Amount out of

(4) claimed for

this year

Date of Deposit(DD/MM/YYYY)

Serial Number ofChallan

C4

First four alphabets, next five digits, then alphabet(exactly 10 chars). Quote valid TAN to ensure credit for TDS

D4

Enter name of employer

E4

Enter details from Form 16

C5


D5


E5

Enter details from Form 16

C11


D11


E11

Enter details from Form 16A. Round off to nearest Rupee.

C12


D12


E12

Enter details from Form 16A. Round off to nearest Rupee.

C21

Enter date of deposit of tax payment in DD/MM/YYYY format. Date will be used to distinguish between Advance Tax Payments and Self Assessment Tax Payments

C22


B23

Enter seven digit code as per bank seal on counterfoil

C23


D23

Enter challan serial number as per bank seal

E23

Enter tax payment. Round off nearest Rupee

B24


C24


D24


E24


B25


C25


D25


E25


B26


C26


D26


E26


TA

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AID

16

a 16a 0

b TDS (Total from item 23 + item 24) 16b 42,178

c Self Assessment Tax (item 25) 16c 0

17 Total Taxes Paid (16a+16b+16c) 17 42,178

18 Tax Payable (15-17) (if 15 is greater than 17) 18 0

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19 Refund (17-15) if 17 is greater than 15 19 0

20 Enter your Bank Account number (Mandatory )21 No

22 In case of direct deposit to your bank account give additional detailsMICR Code Type of Account(As applicable)

26 Exempt income for reporting purposes only (from Dividends, Agri. income < 5000)VERIFICATION

I, (full name in block letters), son/daughter of RAJA SINGH

Place NEW DELHI Date 29/07/2011 Sign here ->

PAN AAJPG8673N27 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

28

Taxes Paid 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.

Advance Tax (from item 25)

00191300084138Select Yes if you want your refund by direct deposit into your bank account,

Select No if you want refund by Cheque

GURMUKH NIHAL SINGHsolemnly declare that to the best of my knowledge and belief, the information given in the return thereto 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

If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

F28

Enter name. In case of HUF, Karta's name should be entered here.

J28

Enter fathers name

C31

Enter city

H31

Enter date in DD/MM/YYYY. Date should be on after 01/04/2010. Do not enter future date.

A35

Enter ID of TRP

F35

Enter name of TRP

J37

Enter TRP reimbursement amount

Validate data before generating XML No of entries100

TDS on SalaryTDS on InterestTax Payments

1. Validate against each schedule the count of no of entries.

3. In case this count does not match to the entered number of entries, you may recheck the schedules, refer to instructions for filling up tables, and ensure that all entries are valid and completely entered.

2. This is required to confirm that the total no of entries entered per schedule is valid and being generated in the final XML

4. Once this sheet is validated, you may click on Save XML to generate the XML file

If the no of entries are 0In a schedule, there are mandatory fieldsFor a row to be valid, these must befilled in.Also, do not skip blank rows

gurmukh nihal singh 2011_itr1_r7

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