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2011 ITR1 r2
2011 ITR1 r2
FORM
ITR-1
(Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions)
2011-12
PAN
Middle Name
I - Individual Area / Locallity Date of birth (DD/MM/YYYY) 00/00/0000 Pin Code Sex (Select) M-Male
Town/City/District
State
Mobile no
FILING STATUS
Employer Category (if in employment) OTH Return filed under section [Pl see Form Instruction] 11 - u/s 139(1) Date 1 2 3 4 System Calculated 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O-Original
If revised, enter Receipt no / Date Residential Status RES - Resident 1 Income from Salary / Pension (Ensure to fill Sch TDS1) Income from one House Property 2 3 Income from Other Sources (Ensure to fill Sch TDS2)
4 Gross Total Income (1+2c) 5 Deductions under Chapter VI A (Section) a 80 C 5a b 80 CCC 5b c 80 CCD 5c d 80 CCF 5d e 80 D 5e f 80 DD 5f g 80 DDB 5g h 80 E 5h i 80 G 5i j 80 GG 5j k 80 GGA 5k l 80 GGC 5l m 80 U 5m 6 Deductions (Total of 5a to 5m) 6 7 Total Income (4 - 6) 8 Tax payable on Total Income 9 Education Cess, including secondary and higher secondary cess on 8 10 Total Tax, Surcharge and Education Cess (Payable) (8 + 9) 11 Relief under Section 89 11 12 Relief under Section 90/91 12 13 Balance Tax Payable (10 - 11 - 12) 14 Total Interest Payable 15 Total Tax and Interest Payable (13 + 14) For Office Use Only Receipt No/ Date
0 0
TAX COMPUTATION
0 0 0
23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] SI.No (1) 1 2 3 Tax Deduction Account Number (TAN) of the Employer (2) Name of the Employer (3) Income charg eable under the head Salaries (4) Total tax Deducted (5)
(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 Tax Deduction Account Number (TAN) of the Deductor (2) Name of the Deductor (3) Total tax Deducted (4) Amount out of (6) claimed for this year (5)
SI.No
(1) 1 2 3 4
(Click + to add more rows ) TDS other than Salary above. Do not delete blank rows. )
25 Sl No 1 2 3 4 5 6
Details of Advance Tax and Self Assessment Tax Payments Date of Deposit (DD/MM/YYYY) Serial Number of Challan
BSR Code
Amount (Rs)
(Click '+' to add more rows ) Tax Payments. Do not delete blank rows. )
16 Taxes Paid 0 a Advance Tax (from item 25) 16a b TDS (column 7 of item 23 +column 7 16b 0 of item 24) 0 c Self Assessment Tax (item 25) 16c 0 17 Total Taxes Paid (16a+16b+16c) 17 0 18 Tax Payable (15-17) (if 15 is greater than 17) 18 0 19 Refund (17-15) if 17 is greater than 15 19 20 Enter your Bank Account number (Mandatory ) 21 Select Yes if you want your refund by direct deposit into your bank account, No Select No if you want refund by Cheque 22 In case of direct deposit to your bank account give additional details MICR 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 solemnly 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 Place REFUND TAXES PAID Date Sign here ->
PAN 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
28
If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)