II\DIAN INCOME TAX RETURN VERIFICATION FORM \ssesslrrcrr{ 1 rur

ITR-V l\\'here (hc dat:r ol tho llcturn ol'lncoDrt in l;0rnr I I'lt_t {!i tll.\.1). I i i{..1. I l.l,N._.}.
20I7-18
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RASMITA BALAKRTISHNA PADTIY
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DNYPPOI6IH
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Town/City/District State n/Zip( lotlc 1,lrtlhlrirr \ rrrnbo l Ii.rrr-olIrlrrrI II)
STIRA'T
a GI.IJARAT 39t220 XXXX XXXX I4It5
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Designation of AO (Ward / Circle) wAr{t) t( I)( I ). st rr{A ()r'igirrrl or llrr irerl
I ot(I(iII'iAt
E-fi ling Acknowledgement Number I0l I8
5ii76()9-.1201
llrt{c(l)l)-\ltl-\ \\ \) il-03-2()18
I Gross Total Income
I 29 I lq()
2 Deductions under Chapter-VI-A 1
0
J Total Income .t
a r lrtss, an)
-]l ()
-Z l \ct'l a\ ble
.= 5 Interest Payable
"{ 0
5 ()
6 Total Tax and lnterest Pavah 6 l)
7 Taxes Paid
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=t
<.-
;^ a Advance Tax 7it 0
:7 b T'DS 7l't 0
c 'I'CS 7c
v {)
d Self Assessment Tax 7d {)
e 'l otal'farcs l'aid (7a+7h+7r +7rJ)
/( {}
8 Tax Pava
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9
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l0 Ercnrpt Incornc Asricultu re

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VERIFICA'I'I0N

R,\S\'IITA BALI\ SHNA son/ Iding Perrr anen t A cco un1

are to tlie nrv kno
N r:nr ber _,]]\fll!9L! 1!
I
tlrc retum and thc schedules thercto r.vhicli havc been transrrittcti
clcetronically bl nrt: ., ide acknol,lcclqerncnt above is corcct anci conrplete and thal thc amount ol't.tal incomc and othcr pitlticu lars
slt,rrrn thcrcin arc trulv statcd ancl arc in accorrlarrcrj uith rirc provision s of the Income-tax Act. I96 I . in respect of inconre chargeal.rlc to inconrc-tar lirr
the pre:rious veitrrelc\.allt to the assessntcnt vcar 201 7-llJ lirrlh er declarc that I
I ant making this return in my capacity irs
itttcl I lrnr llso to rnake this retum and vorily it.
Sign here
Q-c.acJrt-, p l):rlc ., t -0J-:() I s p12(r SI rlir[l'
Ifthe return has been prepared b1 a'l ar l{clrrrn l)rtparcr ( l l{lr) qir c lirrlhcr tlc{ail: iis lrrlou :
Identification No. of TRP \arrrr of' I lll' (lountcr Signature ot''l l{1,

l.'or OIIlcc Iisr C)nlt'

Rece ipt ,j\-o Filed from IP addrcss 182.77 86.12t

Date IlllHf;rftift*ffiffiHffillllI
Sedl und signuture of-
DNYPp0l 6l H045876993203.1 031 83B900600C38DFBEE84B 6521D2E32t 1t tE'2164204
receit ing oLl/icicrl

scnd the dulv signcd Ironl ITR- to "(lrn tlal izt'tl ['rnt $ssl ng ('en tre. lrtCtilltC 'I'
a\ l)(l):l rtnr c n t, lk'rrgaI lt rtt 56{f5(Xr"' [rv o It I) ,.\ It \
OR SPE,E D PO ST ONI,Y \tr thi 20 dar,s fl ont date of 1ransnl ittinrl the tiatu elcctronioal ly Fomr lilr shal llo be rcccived il ilil\ olhcr-
of the Income-ta\ I )epartnr cn t or in iu) othcr- lltiUlncr I irc con Iirnr atl(]n o1' reo0rpt ,I,
of th Jl a)rln iit If[)-c P(' r.r'i I hc sallt [0 tlr c e -nr lr ri
njsh:thl0 I ail cr--rr
 OF ASSESSEE RASMITA BALAKRUSHNA PADHY
DNYPPOl6lH
r'HER'S NAIVIE RADHESHYAIVI PALA
iSIDENTIAL ADDRESS 104, RADHASHYATU NAGAR, VIP ROAD, SURAT, SURAT,
GUJARAT-394220
STATUS INDIVIDUAL ASSESSTVIENT YEAR . 2017 - 2018
WARD NO WARD 1(1X1), SURAT FTNANCIAL YEAR . 2016 - 2017
SEX TUALE DATE OF BIRTH . 2A10511995
HAAR NO 9851 95391 485
TVIOBILE NO. 9377116122
RESIDENTIAL STATUS RESIDENT
NAME OF BANK
I
PANJAB NATIONAL BANK
IUICR CODE 395024023
IFS CODE PUN80929800
ADDRESS SACHIN GIDC
ACCOUNT NO. 92980001 0002091 1
RETURN ORIGINAL FILING DATE :3110312018 & NO : 587699320310318

COMPUTATION TOTAL INCOME

g PROFITS AND GAINS FROM BUSINESS AND 291 490

PROFESSION

PROFIT U/S 44AD - NET PROFIT

PROFTT DEEMED U/S 44AD @ 8yo OF RS. 753322 60266
PROFIT DECLARED UIS 44AD 2U4gA
PROFTT (HTGHER OF THE ABOVE) 291490

GROSS TOTAL INGOME 291490

TOTAL INCOME 291 490
TOTAL INCOIVE ROUNDED OFF U/S 288A 2v494
cnn PUTATION OF TAX c)N TOTAI IN(ic)Mtr
TAX ON RS. 25OOOO NIL
TAX ON RS. 41490 (291490-250000) @ 10yo 4149
TAX ON RS. 291490 4149
4149
LESS : REBATE U/S 87A 4149
TAX PAYABLE NIL

Previous Year Return Filing Details :

Acknowledgement No. 8123254801 9061 7
Date of Filing 19106t2017
Ward WARD 1(1)(1), SURAI

Profit & Loss Account (Regular books of account of business or profession are not maintained)
From Business
Receipts
Gross Rs. 753322.00 Gross Profit Rs. 7s3322.00
Expenses Rs. 461832.00 Net Profit Rs. 291490.00

Balance Sheet (Regular books of account of business or profession are not maintained)
Debtors
Sundry Rs. Nil
Sundry Creditors Rs. Nit
Stock-intrade Rs. Nil
Cash Balance Rs. 136920.00