Professional Documents
Culture Documents
[Not for an individual who is either Director in a company or has invested in unlisted equity shares]
Personal Information
YYYY)
Address
Road/Street/Post Office
Area/locality Namkhana
Country INDIA
Aadhaar Number (Please enter the Aadhaar Number which is linked with 304998467535
Status Individual
STD code
Email Address-2
In case of Revised/Defective
Receipt number
Unique number
Page 1
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
Name of representative
Capacity of representative
Address of representative
ii) Less : Allowances to the extent exempt u/s 10(Ensure that it is included in salary income u/s 0
17(1)/17(2)/17(3))
(i) Gross rent received/ receivable/ letable value during the year 0
House Property
(vii) Income chargeable under the head ‘House Property’ (iii – iv – v) +vi (If loss, put the figure in 0
negative)
(Note : "Maximum Loss from House property that can be set-off is INR 2,00,000")
Part C - Deductions and Taxable Total Income (Refer to instructions for limits on Amount of Deductions as per Income Tax Act)
C1. 80C - Life insurance premia, deferred annuity, contributions to provident fund, 0 0
C12. 80G - Donations to certain funds, charitable institutions, etc(Please fill 80G 0 0
Schedule)
C15. 80TTA - Interest on saving bank Accounts in case of other than Resident senior 731 731
citizens
Page 3
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
E1a. Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system 0
b. 8% of E1b or the amount claimed to have been earned, whichever is higher 247890
c. Total (a + b) 247890
Note : If Income is less than the above percentage of Gross Receipts, it is mandatory to have a tax audit under 44AB and regular ITR 3 or 5
E4. Presumptive Income under section 44ADA (>=50% of E3)or the amount claimed to have been 0
NOTE-If Income is less than 50% of Gross Receipts, it is mandatory to have a tax audit under
Sl no Registration No. of goods carriage Whether owned/leased/hired Tonnage Number of months Presumptive income u/s 44AE for
Page 4
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
NOTE-If the profits are lower than prescribed under S.44AE or the number of Vehicles owned
at any time exceed 10 then the regular ITR 3/5 form has to be filled and not this form
E10. Amount of total turnover/Gross receipt as per the GST return filed 0
Note : For E11 to E25 furnish the information as on 31st day of March,2019
E14. Advances
Note: Please refer to instructions for filling out this schedule (E15, E19, E20, E22 are mandatory and others if available)
SCHEDULE TDS1 DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY [As per Form 16 issued by Employer(s)]
S.No. TAN Name of the Employer Income under Salary Tax Deducted
Page 5
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
TOTAL 0
Sch TDS 2(i) Details of Tax Deducted at Source on Income Other than Salary [As per Form 16 A issued by Deductor(s)]
Sl.No. TAN of the Unclaimed TDS TDS of the TDS credit being Corresponding TDS credit
Deductor brought forward (b/f) current Fin. Year claimed this Receipt offered being carried
corresponding
Receipt is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Head of
Col (2) Col (3) Col (4) Col (5) Col (6) Col (7) Col (8)
1 0
Total 0
Sch TDS 2(ii) Details of Tax Deducted at Source [As per Form 16C furnished by Deductor(s)]
Sl.No. PAN of the Tenant Unclaimed TDS TDS of the TDS credit being Corresponding TDS credit
brought forward (b/f) current Fin. Year claimed this Receipt offered being carried
corresponding
Receipt is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Head of
Col (2) Col (3) Col (4) Col (5) Col (6) Col (7) Col (8)
1 0
Total 0
Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
S.No. Tax Collection Account Name of Collector Details of amount paid as Tax Collected Amount out of
Col (1) Col (2) Col (3) Col (4) Col (5)
TOTAL 0
S.No. BSR Code Date of Deposit(DD/MM/YYYY) Serial Number of Challan Tax paid
Page 6
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
TOTAL 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode Donation
1 0 0 0 0
Total A 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode Donation
1 0 0 0 0
Total B 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode Donation
1 0 0 0 0
Total C 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode Donation
1 0 0 0 0
Total D 0 0 0 0
E. Donations (A + B + C+ D) 0 0 0 0
Taxes Paid
D15. Total TDS Claimed (total of column 4 of Schedule-TDS1 and column 6 of Schedule-TDS2) 0
Page 7
Acknowledgement Number : 323740890170320 Assessment Year : 2019-20
Sl. No. Nature of Income Description (If 'Any Other' is selected) Amount
Total 0
Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
S.No. IFS Code of the bank Name of the Bank Account Number Select Account
VERIFICATION
I SUBHASIS BARMAN son/daughter of BIDYUT BARAN BARMAN 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
returns in my capacity as Self and I am also competent to make this return and verify it. I am holding permanent account number BUSPB5259H
Place NAMKHANA
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Name of TRP
Income Tax Return submitted electronically on 17-Mar-2020 from IP Address 202.142.99.32 and verified by SUBHASIS BARMAN having PAN
BUSPB5259H using duly signed ITR-V form received at “Centralized Processing Centre, Income Tax Department, Bengaluru - 560500” on 2020-07-02
Page 8