Acknowledgement Number: 221193260290722 Date of filing: 29-Jul-2022

INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, ITR- 4(SUGAM), ITR-5, ITR-6, ITR-7 filed
and verified] 2022-23
(Please see Rule 12 of the Income-tax Rules, 1962)

PAN AGJPT0340D

Name SEEMA DURGASHANKAR TRIVEDI

501 , DWARKA PALACE , VIMAL DAIRY LANE GODDEV , BHAYANDER EAST , THANE , 19-Maharashtra , 91-INDIA , 401105
Address

Status Individual Form Number ITR-1

Filed u/s 139(1)-On or before due date e-Filing Acknowledgement Number 221193260290722

Current Year business loss, if any 1 0

Total Income 4,97,750

Taxable Income and Tax details

Book Profit under MAT, where applicable 2 0

Adjusted Total Income under AMT, where applicable 3 0

Net tax payable 4 0

Interest and Fee Payable 5 0

Total tax, interest and Fee payable 6 0

Taxes Paid 7 0

(+) Tax Payable / (-) Refundable (6-7) 8 0

Accreted Income as per section 115TD 9 0

Accreted Income & Tax Details

Additional Tax payable u/s 115TD 10 0

Interest payable u/s 115TE 11 0

Additional Tax and interest payable 12 0

Tax and interest paid 13 0

(+) Tax Payable / (-) Refundable (12-13) 14 0

Income Tax Return submitted electronically on 29-Jul-2022 11:23:27 from IP address 110.227.206.167 and verified
by SEEMA DURGASHANKAR TRIVEDI having PAN AGJPT0340D on 02-Aug-2022 using Electronic
Verification Code XG3TJ3ZFPI generated through Aadhaar OTP mode.

System Generated

Barcode/QR code
AGJPT0340D01221193260290722be73fd4f3678a6c6c3f14b4666c8c52ec207eb27

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU