Professional Documents
Culture Documents
V. N. HARI
Partner
E-mail ID : vnhari.ca@gmail.com
*
This form does not apply, if the assessee is having aggricultural Income
For Individual
having Income from
Salary/Pension/
Income from One
House Property
(excluding loss
brought froward
from previous
years) / Income
from Other Sources
(Excluding
Winning from
Lottery and Income
from Race Horses)
SUDHAKAR & KUMAR ASSOCIAT
Chartered Accountants
CLIENT DATA SHEET - SARAL - II { ITR-1 } - A.Y. 2010-11
GENERAL INFORMATION
4. Sex MALE
Pin Code (Please affix { ' } befoe the Number) 421301 Search for PIN Cod
e-mail ID
5. PAN ADXPT1734G
10b. Residential Status ✘ Resident Non Resident Resident but not ordinarily resident
HEDAS OF INCOME
Contribution to PF 500
Purchase of NSC -
Investment in MF -
Investment in Pension Plan -
Children Tuition Fee -
Registration Fee of Res. House -
Other Savings - 41,069
TAXABLE INCOME
16. Taxable Income
COMPUTATION OF TAX LIABILITY
19. Tax on Aggrigate Income (Item No.18)
TOTAL : -
Tax Deducted At Source (As per Form No. 16 issued by the employer)
Sl. TAN of the Name and Income Chargeable Deduction under Chapter Tax Payable Total tax deposited Tax Payable/
No. Employer address of the under the head VI-A (including refundable
Employer surchage)
BHUSHAN STEEL
PNED02630F 212,220 - - - -
LIMITED.
- -
TOTAL : -
Tax Deducted At Source (As per Form No. 16A issued by the deductor)
Sl. TAN of the Name and address of the deductor Amount Paid/ Credit Date of Payment/ Total tax deposited Amount
No. Deductor Credit claimed for
this year
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - -
-
-
-
TOTAL : -
32 Refund Receivable
BANK DETAILS
c) Account Number
OTHER INFORMATION
Payment made by you against bills raised in respect of a credit card aggregating to
002 tow lakh rupees or more in a year
Payment made by you of an amount of two lakh rupees or more for purchase of units
003 of Mutual Fund
Payment by you of an amount of five lakh rupees or more for acquiring bonds or
004 debentures issued by a company or institution.
Payment made by you of an amount of one lakh rupees or more for acquiring shares
005 issued by a compnay
Purchase by you of any immovable property valued at thirty lakh rupees or more
006
Sale by you of any immovable property valued at thirty lakh rupees or more
007
Payment made by you of an amount of five lakh rupees or more in a year for
008 investment in bonds issued by Reserve Bank of India
7
D.No. 10-1-12, II Floor,
Krishna Kamal Enclave,
Asilmetta Juncton,
Visakhapatnam - 530 003 ,
Ph. 0891-2755814
email :
vnhari.ca@gmail.com
TALIKOTI
NO
AAACB1247M PAN
AD, MAHARASHTRA
✘ Others PSU
0
1
INAL REVISED
212,220
47,250
164,970
164,970
4,949
169,919
2,030
2,030
Amount in Rs.
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
1
1
1
1
1
1
1
0
NAME OF THE ASSESSEE
FATHER'S NAME #VALUE!
DATE OF BIRTH 15-Jan-1971 Sex : MALE
ADDRESS #VALUE!
(Not A #VALUE!
(Being a Women Assessee) #VALUE!
PAN ADXPT1734G Asst. Year 2010-2011
STATUS 1 INDIVIDUAL Prev. Year 2009-2010
Due date of filing 31-Jul-10 Type of return SARAL-II
Month of filing 5-Jul-10 P.Y.ended on 31-Mar-10
-
-
- -
- -
- -
-
-
2
###
###
###
###
###
Government of India
INCOME-TAX DEPARTMENT
ACKNOWLEDGEMENT
Name PAN
#VALUE! ADXPT1734G
Flat/Door/Block No Name of Premises/Building/Village
PERSONAL INFORMATION
#VALUE!
Road/Street/Post Office Area/Locality
#VALUE!
Town/City/District State
Status (fill the
code)
#VALUE!
Designation of Assessing Officer (Ward/Circle) Original or Revised ORIGINAL
#VALUE! ADXPT1734G
Flat /Door/Block No. Name Of Premises/Building/Village Date of Birth (DD/MM/YYYY)
PERSONAL INFORMATION
Residential Status (Tick) √ 1 √ Resident 0 Non-Resident 0 Resident but not ordinarily Resident
2 Income chargeable under the Head 'House Property' (enter -ve sign in case of loss, if any) 2 -
3 Income chargeable under the Head 'Other Sources' (enter -ve sign in case of loss, if any) 3 -
INCOME & DEDUCTIONS
Receipt No.
Date
16 Taxes Paid
18 Tax payable(15-17) (enter if 15 is greater than 17, else leave blank) 18 164,970
19 Refund (17-15) (enter if 17 is greater than 15, also give Bank account details below) 19 -
REFUND
23 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 Tax payable (incl. Total tax Tax payable/
Sl No Number(TAN) of the under
Employer under the head surch. And edn. Cess) deposited refundable
Employer Chapter VI-A
salaries
TDS ON SALARY
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
NOTE ► Enter the total of column (7) of 24 in sl.no. 17b of TAXES PAID
25 Details of Advance Tax and Self Assessment Tax Payments
Date of Deposit
Sl No Name of Bank & Branch BSR Code Serial Number of Challan Amount (Rs.)
(DD/MM/YYYY)
(i) 0 15-Sep-09 0 -
TAX PAYMENTS
(ii) 0 15-Dec-09 0 -
(iii) 0 15-Mar-10 0 -
(iv) 0 31-Mar-10 0 -
(v) #VALUE!
NOTE ► Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of TAXES PAID
26 Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl. Code Amount (Rs.) Sl. Code Amount (Rs.) Sl. Code Amount (Rs.)
a 001 004 007
b 002 005 008
c 003 006
27 Exempt Income only for reporting purpose (from Dividend, Capital gains etc.) 27
VERIFICATION
28 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
29 If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP) ### 29
Single copy ( to be sent to the ZAO)
Drawn on
Name of the Bank and Branch)
Rs. -
Date 7-Dec-2021 Signature of person making payment
Taxpayers' Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
PAN ADXPT1734G
Received from #VALUE!
(Name)
DATA FORM'!A1