Professional Documents
Culture Documents
Assessment
ITR-4 profession which is computed under sections 44AD, 44ADA or 44AE]
[Not for an individual who is either Director in a company Year
SUGAM or has invested in unlisted equity shares or if income-tax is 2021-22
deferred on ESOP or has agricultural income more than Rs.5000]
(Please refer instructions for eligibility)
27-Jan-1987 1326/43
(A7) Name of Premises/ Building/ Village (A8) Road/Street/Post Office (A9) Area/Locality
(A10) Town/City/District (A11) State (A12) Country (A13) PIN Code/ZIP Code
PSU - Pensioners Other Pensioners Others Not Applicable (e.g. Family Pension etc.)
(A20) (a) Filed u/s [Please see 139(1)-On or before due date 139(4)-After due date 142(1) 148 139(5)-Revised Return
instruction]- 139(9) 119(2)(b)- After Condonation of delay 139(8A)
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Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more 0
current account during the previous year? Yes No
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for 0
travel to a foreign country for yourself or for any other person? Yes No
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on 0
consumption of electricity during the previous year? Yes No
(A23) Whether this return is being filed by a representative assessee? (Tick) Yes No
If yes, please furnish following information -
(1) Name of the representative
(2) Capacity of the representative
(3) Address of the representative
(4) Permanent Account Number (PAN)/ Aadhaar No. of the representative
PART B GROSS TOTAL INCOME Whole- Rupee ( ) only
B1 Income from Business & Profession (Note- Enter value from E8 of Sch BP) B1 487523
ii Less allowances to the extent exempt u/s 10 [Ensure that it is included in salary ii 0
income u/s 17(1)/17(2)/17(3)]
SL.No. Nature of Exempt Allowance Description ( If Amount
v Income chargeable under the head ‘Salaries’ (iii – iv) ( NOTE- Ensure to Fill B2 0
“Sch TDS1”)
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B4 Income from Other Sources B4 2573
NOTE- Fill "Sch TDS2" if applicable.
S.No. Nature of Income Description ( If Any Other selected) Total Amount
by employer
house property
C13 80G - Donations to certain funds, charitable institutions, etc (Please fill 0 0
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D1 Tax payable on total income (C20) D1 11876
D6 Relief u/s 89(Please ensure to submit Form 10E to claim this relief) D6 0
D12 Total Tax, Fee and Interest (D7 + D8 + D9 + D10 + D11) D12 0
D15 Total TDS Claimed (total of column 4 of Schedule-TDS1 and column 6 of Schedule- D15 0
TDS2)
D20 Exempt income only for reporting purposes (If agricultural income is more than Rs.5,000/-, use ITR 3/5)
Sl. No. Nature of Income Description (If 'Any Other' is selected) Amount
Total 0
D21 Details of all Bank Accounts held in India at any time during the previous year
(excluding dormant accounts) (In case of non-residents, details of any one foreign
Bank Account may be furnished for the purpose of credit of refund)
SL.No. IFS Code of the bank Name of the Bank Account Number Select Account
for Refund Credit
a Through a/c payee cheque or a/c payee bank draft or bank electronic E1a 0
specified date
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b Any other mode E1b 0
higher
higher
c Total (a + b) E2c 0
NOTE : If Income is less than the above percentage of Gross Receipts, it is
mandatory to have a tax audit under 44AB and other ITR, as applicable, has
to be filed.
COMPUTATION OF PRESUMPTIVE INCOME FROM PROFESSIONS UNDER SECTION 44ADA
E4 Presumptive Income under section 44ADA (>=50% of E3)or the amount E4 487523
claimed to have been earned, whichever is higher
Note : If income is less than 50% of Gross Receipts, it is mandatory to have
a tax audit under 44AB and other ITR, as applicable, has to be filed.
COMPUTATION OF PRESUMPTIVE INCOME FROM PROFESSIONS UNDER SECTION 44AE
Sl no Registration No. of goods carriage Whether owned/leased/hired Tonnage Number of months Presumptive income u/s 44AE for
Capacity of goods for which goods the goods carriage (Computed
carriage(in MT) carriage was @ Rs.1000 per ton per month in
owned/ leased / case tonnage exceeds 12MT, or
hired by assessee else @ Rs.7500 per month) or
the amount claimed to have been
actually earned, whichever is higher
Add row options as necessary (At any time during the year the number of vehicles should not exceed 10 vehicles)
E10 Annual value of outward supplies as per the GST returns filed 0
FINANCIAL PARTICULARS OF THE BUSINESS
Note : For E11 to E25 furnish the information as on 31st day of March,2021
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E12 Secured loans E12 0
SL.No. BSR Code Date of Deposit(DD/MM/YYYY) Serial Number of Challan Tax paid
TOTAL 0
Note:Enter the totals of Advance tax and Self-Assessment tax in D13 and D14
Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
SL.No. Tax Collection Account Name of Collector Details of amount paid as Tax Collected Amount out of
Number of the Collector mentioned in Form 26AS (4) being claimed
Col (1) Col (2) Col (3) Col (4) Col (5)
TOTAL 0
TOTAL 0
Note: Enter the total of column 4 of Schedule-TDS1 and column 6 of Schedule-TDS2 in D15
SCHEDULE TDS2 - DETAILS OF TAX DEDUCTED AT SOURCE ON INCOME OTHER THAN SALARY [As per Form
16 A issued or Form 16C or Form 16D furnished by Deductor(s)]
Sl.No. TAN of the Unclaimed TDS brought forward (b/f) TDS of the TDS credit being Corresponding receipt offered TDS credit
Deductor current Fin. Year claimed this being carried
Year (only if forward
corresponding
receipt is being
offered for
tax this year)
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Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
which deducted Income
1 2 3 4 5 6 7 8 9
Total 0
Note: Enter the total of column 6 of Schedule TDS2 and column 4 of Schedule-TDS1 in D15
Details of Tax Deducted at Source [TDS 2(ii)] [as per form 16C furnished by the payer(s)]
Sl.No. PAN/Aadhaar no. of Tenant Unclaimed TDS TDS of the TDS credit Corresponding TDS credit
brought forward (b/f) current Fin. Year being claimed receipt offered being carried
this Year forward
(only if
corresponding
receipt is being
offered for
tax this year)
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
which deducted Income
1 2 3 4 5 6 7 8 9
Total 0
Note: Enter the total of column 6 of Schedule TDS2 and column 4 of Schedule-TDS1 in D15
Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self/ Family
2 Whether any one of your parents is a senior citizen Not claiming for Parents
(a) Parents 0
SCHEDULE 80G - DETAILS OF DONATIONS ENTITLED FOR DEDUCTION UNDER SECTION 80G
A.Donations entitled for 100% deduction without qualifying limit
S No. Name of the Donee Address City or Town State code Pincode PAN of the Donee Amount of donation Eligible
or District Donation Donation in Total Donation Amount of
in cash other mode Donation
0 0 0 0
Total A
B. Donations entitled for 50% deduction without qualifying limit
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S No. Name of the Donee Address City or Town State code Pincode PAN of the Donee Amount of donation Eligible
or District Donation Donation in Total Donation Amount of
in cash other mode Donation
0 0 0 0
Total B
C. Donations entitled for 100% deduction subject to qualifying limit
S No. Name of the Donee Address City or Town State code Pincode PAN of the Donee Amount of donation Eligible
or District Donation Donation in Total Donation Amount of
in cash other mode Donation
0 0 0 0
Total C
D. Donations entitled for 50% deduction subject to qualifying limit
S No. Name of the Donee Address City or Town State Pincode PAN of the Donee Amount of donation Eligible
or District Donation Donation in Total Donation Amount of
in cash other mode Donation
0 0 0 0
Total D
0 0 0 0
E. Donations (A + B + C+ D)
xyz
xyz
xyz
VERIFICATION
I, SUHAIL AHMED son/ daughter of NOOR AHMED 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 BLAPA2544K
Place : 146.196.39.247
Date : 14-Aug-2021
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
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