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[For individuals being a resident (other than not ordinarily resident) having total income upto Rs.50 lakh, having Income from Salaries, one house property, Assessment
FORM
ITR-1
SAHAJ
other sources (Interest etc.), and agricultural income upto Rs.5 thousand] Year
[Not for an individual who is either Director in a company or has invested in unlisted equity shares]
(Refer instructions for eligibility) 2 0 20 - 21
Aadhaar Enrolment Id
[Note: If Aadhaar Number is not yet allotted, then Aadhaar Enrolment Id is required. All the digits in enrolment ID & Date and time of enrolment to be entered
continuously. For example Enrolment ID: 1234/12345/12345 & Date/Time of enrolment: 01/12/2016 11:50:22 to be entered as 1234123451234501122016115022]
Flat / Door / Block No. Name of Premises / Building / Village Date of Birth (DD/MM/YYYY)
9 17/07/1990
PART A GENERAL INFORMATION
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income?
If yes, please furnish following information
No
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling one or more
conditions mentioned in the seventh proviso to section 139(1)]
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current account during the previous year?
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a foreign country for yourself or
for any other person?
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on consumption of electricity during the
previous year?
Mobile Number Filed u/s Filed in response to notice u/s
Email Address
If revised/defective
Gross Total Income (1+2+3) (If loss, put the figure in negative)
4 447500
Note: To avail the benefit of carry forward and set off of loss, please use ITR-2
5 Part C – Deductions and Taxable Total Income (Refer instructions for Deduction limit as per Income-tax Act) Amount System Calculated
Whether, you have made any investment/ deposit/ payments between 01.04.2020 to 31.07.2020 for the purpose of claiming any deduction under Part B of Chapter VIA?
(If yes, please fill Schedule DI) No
f 80D-Deduction in respect of Health Insurance premia. (Please fill 80D Schedule. This field is auto-populated
5f from schedule 80D.) 0 0
80DD - Maintenance
including medical treatment
g 1-Dependent Person with Disability 5g 45000 45000
of a dependent who is a
DEDUCTIONS
m 80G - Donations to certain funds, charitable institutions, etc. (Please fill 80G Schedule. This field 5m
is auto-populated from schedule 80G.) 0 0
Tax Deduction
Income chargeable
SI.No. Account Number Name of Deductor Total Tax Deducted
under Salaries
(TAN) of the Deductor
19
Details of Tax Deducted at Source from Income OTHER THAN Salary [As per FORM 16 A issued by Deductor(s)]
TDS2
Tax Deduction
Gross receipt which is Year of tax TDS Credit out of (5)
SI.No. Account Number Name of the Deductor Tax Deducted
subject to tax deduction deduction claimed this Year
(TAN) of the Deductor
(7)
0
22
DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS
Gross payment
Tax Collection Account Year of tax TCS Credit out of (5) being
SI.No. Name of the Collector which is subject to Tax Collected
Number of the Collector Collection claimed this Year
tax collection
The taxes paid figures below will get filled up when the Schedules linked to them are filled.
a Total Advance Tax Paid (from item 21) 0
b Total TDS Claimed (Total from item 18 + item 19 + item 20) 0
c Total TCS Claimed (Total from item 22) 0
d Total Self Assessment Tax Paid (from item 21) 0
24 Total Taxes Paid (23a+23b+23c+23d) 0
25 Amount Payable (17-24) (if 17 is greater than 24) 0
26 Refund (24-17) (if 24 is greater than 17) 0
(i) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Sl.No. IFS Code of the Bank Name of the Bank Account Number Select Account for Refund Credit
1 MAHB0000001 BANK OF MAHARASHTRA 123456789 ✘
NOTE:
VERIFICATION
I, KRISHNA RAJPUT son/daughter of BIRJU JI
solemnly declare that to the best of my knowledge and belief, the information given in the return is correct and complete and is in accordance with the provisions
of the Income-tax Act, 1961. I further declare that I am making this return in my capacity as Self and I am also competent to make
this return and verify it. I am holding Permanent Account Number BDUPP2510R
Date (System Date) 26/11/2020 Place KRISHNA NAGAR
28 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP 123456 Name of TRP DELHI
If TRP is entitled for any reimbursement from the Government, amount thereof
NOTE :
1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated after submission of
return.
2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The same will be available in
View Returns/Forms option of e-Filing portal. In case of e-Verification, it is available in Acknowledgement
Investment/ Deposit/ Payments for the purpose of
Details of Investments claiming deduction under Part B of Chapter VIA
Eligible amount of
Deduction attributable to
deduction during FY
investment/expenditure
2019-20
Section made between 01.04.2020
(As per Part C-
(Col 1) to 31.07.2020
Deductions and taxable
(Out of Col 2)
total income)
(Col 3)
(Col 2)
Total 0 0
80D
1 Whether you or any of your family member (excluding parents) is a senior citizen?
a Self & Family
(i) Health Insurance
(ii) Preventive Health Checkup
b Self & Family (Senior Citizen)
(i) Health Insurance
(ii) Preventive Health Checkup
(iii) Medical Expenditure (This deduction can be claimed on which health insurance is not
claimed at (i) above)
2 Whether any one of your parents is a senior citizen
a Parents
(i) Health Insurance
(ii) Preventive Health Checkup
b Parents (Senior Citizen)
(i) Health Insurance
(ii) Preventive Health Checkup
(iii) Medical Expenditure
3 Eligible Amount of Deduction
No
0
No
0
0
Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
Schedule 80G
(Instructions for correct calculation of 80G)
Donations entitled for 100% deduction without qualifying limit
A
If no entry is made in Name of Donee, then for such rows, any value entered in other columns will be ignored from 80GA to 80GD
Amount of donation
City or Town or Eligible Amount
Sl.No. Name of donee Address State Code Pin Code PAN of Donee Donation in other
District Donation in cash Total Donation of Donation
mode
1 (Select) 0 0
2 (Select) 0 0
3 (Select) 0 0
4 (Select) 0 0
Total A 0 0 0 0
Amount of donation
City or Town or
Sl.No. Name of donee Address State Code Pin code PAN of Donee Donation in other Eligible Amount
District Donation in cash Total Donation
mode of Donation
1 (Select) 0 0
2 (Select) 0 0
3 (Select) 0 0
4 (Select) 0 0
Total B 0 0 0 0
Total C 0 0 0 0
Total D 0 0 0 0
E Donations (A + B + C + D) 0 0 0 0
Note : In case of Donee is Government and PAN is not available then use "GGGGG0000G" as PAN.
Schedule 80GGA Details of donations for scientific research or rural development
Amount of donation
Relevant Clause under which City or Town Eligible Amount
Sl.No. Name of Donee Address State Code Pin code PAN of donee Donation in
deduction is claimed or District Donation in cash Total Donation of Donation
other mode
1 (Select) 0 0
2 (Select) 0 0
3 (Select) 0 0
4 (Select) 0 0
Total Donation 0 0 0 0