SAHAJ

FORM

ITR-1

INDIAN INCOME TAX RETURN

[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)]

2014-15

PERSONAL INFORMATION

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

First Name

Middle Name

Flat / Door / Building

Name of premises / building / village

Last Name

PAN
Status
I - Individual
Date of birth Sex
00/00/0000
(Select)

Road / Street

Area / Locality

Town/City/District

State
(Select)

Email Address

Mobile no 1 (Std code) Phone No

Country (Select)
(Select)

Income Tax Ward / Circle

FILING STATUS

Are you Governed by Portugese Civil Code under Section 5A?

Whether original or
revised return?

Date of Filing
Original Return

Notice No (Where the original return filed

was defective and a notice is issued to the
assessee to file a fresh return Sec 139(9)

If filed, in response
to a notice u/s
139(9)/142(1)/148/1
53A/153C enter
date of such notice

INCOME & DEDUCTIONS

Mobile no 2 EmployerCategor
(Select)
Return filed under section
(Select)
Enter PAN of
Spouse if
applicable

(Select)

(Select)

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

Income from one House Property
2

TAX COMPUTATION

(Select)

Pin Code

If revised, defective, Modified then Enter

Receipt No

Residential Status

(Select)

Income from Other Sources (Ensure to fill Sch TDS2)

4 Gross Total Income (1+2+3)

5 Deductions under Chapter VI A (Section)
5a
a 80 C
5b
b 80 CCC
5c
c 80 CCD (Employees / Self Employed Contribution)
80 CCD (Employers Contribution)
5d
d

6
7
8
9
10
11
12
13
14
15

17
18

Assessment
Year

5e
e 80 CCG
5f
f 80 D
5g
g 80 DD
5h
h 80 DDB
5i
i 80 E
5j
j 80 EE
5k
k 80 G
5l
l 80 GG
5m
m 80 GGA
5n
n 80 GGC
5o
o 80 QQB
5p
p 80 RRB
5q
q 80 TTA
5r
r 80 U
6
Deductions (Total of 5a to 5r)
Taxable Total Income (4 - 6)
Tax payable on Total Income
Rebate u/s 87A
Tax payable after Rebate (8-9)
Surcharge if Taxable Total Income (7) exceeds 1 crore
Education Cess, including secondary and higher secondary cess on 10+11
Total Tax,Surcharge and Education Cess (Payable) (10+11+12)
Relief under Section 89
14
Balance Tax Payable (13 - 14 )
16
a Interest payable u/s 234 A
b Interest payable u/s 234 B
c Interest payable u/s 234 C
Total Interest u/s 234A 234B 234C
Total Tax and Interest Payable (15 + 17)

0
System Calculated

0
0
0
0

0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 6
7
8
9
10
11
12
13
0
15
16a
16b
16c
17
18

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