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illing this form, please use 'Tab' or 'Forward Cursor Key ( )' to move from one unprotected cell to another a

F O R M

ITR-1INDIAN INCOME TAX RETURN

Assessment Year

[For Individuals having Income from Salary/ Pension/ family pension & Interest]

2007 -08

(Please see Rule 12 of Income-tax Rules, 1962)

(Also see attached instructions)

P E R S O N A L I N F O R M A T I O N

First Name Middle name Last name PANFlat/Door/Block No. Name of Premises/Building/VillageRoad/Street/Post Office Area/LocalityTown/City/District State Pin codeEmail Address (STD code) Phone No.()

F I L I N G S T A T U S I N C O M E & D E D U C T I O N S

1 Income chargeable under the Head 'Salaries' (Salary/Pension)12 Income chargeable under the head 'Other Sources'a Family pension2ab Interest2bc Total ( 2a + 2b)2c

NIL

3 Gross Total Income ( 1 + 2c )3

NIL

4 Deductions under chapter VI A (Section)a 80Ce 80DDi 80GGb 80CCCf 80DDBj 80GGAc 80CCDg 80Ek 80GGCc 80Dh 80Gl 80Um Deductions (Total of a to l)4m

NIL

5 Total Income ( 3-4m )5

NIL

667 'Aggregate Income' (5+6)7

NIL

T A X C O M P U T A T I O N

8a Tax Payable on 'Aggregate income'8a

NIL

b Rebate in respect of Net Agricultural Income8b9aTax on Total Income ( 8a - 8b )9a

NIL

b Surcharge on 9a 9b

NIL

c Education Cess on ( 9a +9b )9c

NIL

d Total Tax, Surcharge and Education Cess Payable ( 9a + 9b + 9c )9d

NIL

10 Relief under Section 891011 Relief under Section 90/911112 Balance Tax Payable ( 9d - 10 - 11 )12

NIL

Do not write or stamp in this area (space for bar code)13a Interest payable U/s 234A13ab Interest payable U/s 234B13bc Interest payable U/s 234C13cd13d

NIL

1414

NIL

For Office Use only

Seal and Signature of receiving official

Receipt No.

Date of Birth

(DD/MM/YYYY)

Employer Category

(Tick)

Sex

(Tick)

Designation of Assessing Officer

(Ward/Circle)

Return filed under Section -

[Please seeinstruction number 9(i)]

Whether original or revised return?

(Tick)

If revised, enter Receipt No. and date of filing original return

(DD/MM/YYYY)

Residential Status

(Tick)

Net Agricultural Income

(Enter only if greater than Rs. 5000/-)

Total Interest Payable(13+13b+13c )Total Tax and Interest Payable(12+13d)

Govt.PSUOtherOriginalRevisedResidentNon-ResidentResident but Not Ordinarily ResidentMaleFemale

Date

T A X E S P A I D

15 Taxes Paida15a

NIL

b15b

NIL

c15c

NIL

d Total Taxes Paid (15a + 15b +15c)15d

NIL

1616

NIL

R E F U N D

1717

NIL

18 Enter your bank account number (mandatory in case of refund)19 Do you want refund bycheque, or20 In case of direct deposit to your bank account give additional detailsMICR Code

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

T D S O N S A L A R Y

(1)(2)(3)(4)(5)(6)(7)(8)

NIL

22Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]

T D S O N I N T E R E S T

Total Tax deposited(1)(2)(3)(4)(5)(6)(7)

iiiiii

NOTE ►23Details of Advance Tax and Self Assessment Tax Payments

T A X P A Y M E N T S

Name of Bank & BranchBSR CodeAmount (Rs.)

iiiiiiivv

NOTE ►24Sl No.CodeAmount (Rs.)Sl No.CodeAmount (Rs.)Sl No.CodeAmount (Rs.)

a001d004g007 b002e005h008c003f006

252526E-filing Acknowledgement NumberDate (DD/MM/YYYY)

VERIFICATION

I, son/daughter ofsolemnly

PlaceDateSign here27If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:Identification No. of TRP Name of TRPCounter Signature of TRPAdvance Tax

(from Item 23)

TDS

(column 7 of item 21 + column 7 of item 22)

Self Assessment

(from item 23)

Tax payable (14 - 15d)

(Enter if 14 is greater than 15d, else leave blank)

Refund (15d - 14)

(Enter if 15d is greater than 14, also give bank account details below)

deposited directly into your bank account?

(tick as applicable)

Type of Account (

Tick as applicable

)SlNo.Tax Deduction AccountNumber (TAN) of theEmployerName and Address of theEmployerIncomechargeable underthe head SalariesDeduction underChapter VI-ATax Payable (incl.surch. And edu.Cess)Total TaxdepositedTax Payable/RefundableSlNo.Tax Deduction AccountNumber (TAN) of theEmployerName and Address of theDeductorAmount Paid/CreditedDate of Payment/CreditAmount out of (6)claimed for this year

Enter the total of column (7) of 21 and column (7) of 22 in Sl. No. 15b of TAXES PAID

Sl.No.Date of Deposit(DD/MM/YYYY)Serial Number of Challan

Enter the total of Advance Tax and Self Assessment tax in Sl. No. 15 a and 15 c of TAXES PAID

Other Information (transactions reported through Annual Information Return)

(Please see instructions under 9(ii) for code)

Tax Exempted Interest Income

(for reporting purposes only)

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 totalincome and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of incomechargeable to Income-tax for the previous year relevant to the Assessment Year 2007-08.

Savings

Current