INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-2A, ITR-3, ITR-4S (SUGAM), 2016-17
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
RAJEEV KUMAR DDDPK8244R
PERSONAL INFORMATION AND THE

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

S 26/6 has been
DATE OF ELECTRONIC

electronically ITR-1
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

NEAR ST. STEPHENS HOSPITAL S-BLOCK, DLF-PHASE -3
Status Individual
Town/City/District State Pin Aadhaar Number
GURGAON DELHI
122002

Designation of AO(Ward/Circle) ITO WARD 2(5), LAKHISARAI Original or Revised ORIGINAL

E-filing Acknowledgement Number 322981400280716 Date(DD/MM/YYYY) 28-07-2016

1 Gross total income 1 302904
2 Deductions under Chapter-VI-A 2 25005
3 Total Income 3 277900
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 814
AND TAX THEREON

4 Net tax payable

5 Interest payable 5 0
6 Total tax and interest payable 6 814
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 1618
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 1618
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 800
Agriculture 10
10 Exempt Income 0
Others

The return has been electronically uploaded on 28-07-2016 11:35:03 from IP address 52.70.105.77 and has been electronically

verified by RAJEEV KUMAR in the capacity of having PAN DDDPK8244R

on 19-07-2017 15:10:40 from IP address 164.100.37.37 at GURGAON using

Electronic Verification Code 5UPXXKPZNF generated through Net Banking mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU