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
KISHORE KUMAR AMJPK1575F
PERSONAL INFORMATION AND THE

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

1-46F, Someshwara
ACKNOWLEDGEMENT

Form Number ITR-4

Road/Street/Post Office Area/Locality
NUMBER

H. No. 1-46F, Pilar, Kuchigudde, Mangalore

Kotekar Post Status Individual

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

DAKSHINA KANNADA KARNATAKA
575022 139(5)-Revised

Assessing Officer Details (Ward/Circle) WARD 1(3), MANGALORE

e-filing Acknowledgement Number 809021840150819

1 Gross total income 1 660254
2 Total Deductions under Chapter-VI-A 2 76083
3 Total Income 3 584170
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 30507

5 Interest and Fee Payable 5 0

6 Total tax, interest and Fee payable 6 30507
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 30507
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 30507
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture 0
10 Exempt Income 10 4200
Others 4200

Income Tax Return submitted electronically on 15-08-2019 15:41:06 from IP address 43.247.157.202 and verified by

KISHORE KUMAR having PAN AMJPK1575F on 15-08-2019 15:41:06 from IP address

43.247.157.202 using Electronic Verification Code PG2T5WFJVF generated through Net Banking

mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU