INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2017-18
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
YASHVANTBHAI DAJIBHAI PATEL ADWPP2144D
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village Form No. which

196/2 VISHAL ENGG. WORKS has been
DATE OF ELECTRONIC

electronically ITR-4
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

OPP VAPI PAPER MILL GIDC
Status Individual
Town/City/District State Pin/ZipCode Aadhaar Number/Enrollment ID
VAPI GUJARAT
396191 XXXX XXXX 4765

Designation of AO(Ward/Circle) VAPI WD-9 Original or Revised ORIGINAL

E-filing Acknowledgement Number 423321120050318 Date(DD/MM/YYYY) 05-03-2018

1 Gross total income 1 310881
2 Deductions under Chapter-VI-A 2 7250
3 Total Income 3 303630
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 0
AND TAX THEREON

4 Net tax payable

5 Interest payable 5 0
6 Total tax and interest payable 6 0
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 1117
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 1117
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 1120
Agriculture 10
10 Exempt Income
Others

The return has been electronically uploaded on 05-03-2018 from IP address 103.196.225.163 and has been electronically

verified by YASHVANTBHAI DAJIBHAI PATEL in the capacity of having PAN ADWPP2144D

on 05-03-2018 12:00:57 from IP address 103.196.225.163 at VAPI using

Electronic Verification Code QIY73ZSLDI generated through Aadhaar OTP mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU