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
SANJIVANI SHIVLING KHOT AKZPK7423L
PERSONAL INFORMATION AND THE

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

DHAVALI DHAVALI
ACKNOWLEDGEMENT

Form Number ITR-1

Road/Street/Post Office Area/Locality
NUMBER

DHAVALI TASGAON
Status Individual

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

SANGALI MAHARASHTRA
416312 139(1)-On or before due date

Assessing Officer Details (Ward/Circle) WARD 3, SATARA

e-filing Acknowledgement Number 510420830170619

1 Gross total income 1 680330
2 Total Deductions under Chapter-VI-A 2 150000
3 Total Income 3 530330
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 19309

5 Interest and Fee Payable 5 0

6 Total tax, interest and Fee payable 6 19309
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 19309
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 19309
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture 0
10 Exempt Income 10 0
Others 0

Income Tax Return submitted electronically on 17-06-2019 13:34:50 from IP address 61.0.212.80 and verified by

SANJIVANI SHIVLING KHOT having PAN AKZPK7423L on 26-06-2019 11:20:27 from IP address

61.0.212.80 using Electronic Verification Code PW8TI54J2I generated through Aadhaar OTP

mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU