FORM NO.

2D SARAL ITS-2D [*Income –tax return form for non corporate assesses other thanpersonsclaiming exemption under section II] [See proviso to rule 12(1)(b)(iii)] 1. Name : 2.Father’s Name : 3.Address : PIN Telephone 4. Permanent Account Number : 8. Ward/Circles/Special Ran: 1 5.Date of Birth 9. Sex: Male/Female: 6.Individual/Hindu Undivided family/firm/ 10. Income for the previous yr . i.e.1.4.05 to 31.3.06. Association of Persons/Local Authority : 11. Assessment yr : 2006-2007 7.Resident/Non-Resident/Not Ordinarily Resident 12. Return Original or Revised : ORIGINAL 13.Details of *Bank accounts. Name of the Bank Address of the Branch Account Number * Please tick [ / ] the bank account, where you would like the amount of refund to be credited. 14. Details of credit card Credit card Number Issued by 15. INCOME FROM SALARY (attached Form No. 16)……………… Rs. 16. INCOME FROM HOUSE PROPERTY ………………………… Rs. 17.INCOME FROM BUSINESS OR PROFESSION………………… Rs. 18. CAPITAL GAINS 15/9 15/12 15/3 31/3 TOTAL a) Short Term …………….. b) Long Term …………….. ……………… ……… Rs. 19. INCOME FROM OTHER SOURCES …………………………… Rs. 20.INCOME OF ANY OTHER PERSON TO BE ADDED ………….. Rs. 21.GROSS TOTAL INCOME(15+16+17+18+19+20)………………… Rs. 22.LESS.DEDUCTIONS UNDER CHAPTER VI-A:SECTION AMOUNT Rs. 23. TOTAL INCOME (21-22)………………………………………………… Rs. 24. ADD : AGRICULTURAL INCOME ( For rate purpose)……………….. Rs. 25. INCOME CLAIMED TO BE EXEMPT FROM INCOME TAX………… Rs. 26. TAX ON TOTAL INCOME INCOME INCOME TAX a) At Normal rates ………….. ………………… ……………………….. Rs. b) At special rates…………… …………………. …………………………. Rs. 27. LESS :REBATE ………………………………………………………….. Rs. 28.TAX PAYABLE ……………………………………………………………. Rs. 29. ADD: SURCHAGE …………………………………………………………..Rs. 30. TOTAL TAX PAYABLE ( 28+29) ………………………………………….Rs. 31. LESS : REBATE …………………………………………………………….Rs. 32. NET TAX PAYABLE ………………………………………………………..Rs. 33. LESS : RELIEF ………………………………………………………………Rs. 34. LESS: ADVANCE TAX PAID Date Date Date Amount Amount Amount ………… Rs. (Under Sections) 234A 234B 234C TOTAL 35. ADD:INTEREST PAYABLE …………. …………………. Rs. 36. LESS:SELF ASSESSMENT TAX PAID ……………………………….. Rs. 37. BALANCE TAX: PAYABLE / REFUNDABLE ……………………………Rs.
DOCUMENTS ATTACHED WITH THE RETURN 1. Form-16 issued by Postmaster , Kakinada H.O. 3. ……………………………………. ……… 5. …………………………………….. ……… 2. …………………………………………………… 4. …………………………………………………… 6. …………………………………………………… VERIFICATION I, ……………………………………………………………………………………( name in full and in block letters), son/ daughter of ………………………………………………………solemnly declare that to the best of my knowledge and belief, the information given in this return and the annexure and statements accompanying it are correct, complete and truly stated and in accordance with the provisions of Income Tax Act, 1961, in respect of income chargeable to income tax for the previous year relevant to the assessment year 2005-2006.
Receipt No. _______Date_________ Seal Signature of the receiving official

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