INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2019-20
ITR-4 , ITR-5, ITR-6,ITR-7 filed and verified electronically]

Name PAN
DIPAK RANJAN RATH BAGPR6610E
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village

Basantapur
ACKNOWLEDGEMENT

Form Number ITR-1

Road/Street/Post Office Area/Locality
NUMBER

Motari Delang
Status Individual

Town/City/District State Pin/ZipCode Filed u/s

PURI ORISSA
752015 139(1)-On or before due date

Assessing Officer Details (Ward/Circle) ITO, WARD KHURDA

e-filing Acknowledgement Number 522169510220619

1 Gross total income 1 533989
2 Total Deductions under Chapter-VI-A 2 230000
3 Total Income 3 303990
COMPUTATION OF INCOME

3a Deemed Total Income under AMT/MAT 3a 0

3b 0
AND TAX THEREON

3b Current Year loss, if any

4 Net tax payable 4 208

5 Interest and Fee Payable 5 0

6 Total tax, interest and Fee payable 6 208
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 9940
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 9940
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 9730
Agriculture 0
10 Exempt Income 10 127211
Others 127211

Income Tax Return submitted electronically on 22-06-2019 12:25:36 from IP address 47.8.180.119 and verified by

DIPAK RANJAN RATH having PAN BAGPR6610E on 22-06-2019 12:26:34 from IP address

47.8.180.119 using Electronic Verification Code PWXTIIBZCI generated through Aadhaar OTP

mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU