ITR1_PHII_r6(with interest)

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    FORM INDIAN INCOME TAX RETURN Assessment Year

    ITR-1 [For Individuals having Income from Salary/ Pension/ family pension & Interest] 2 0 0 9 - 10(Please see Rule 12 of the Income Tax-Rules,1962) (Also see attached Instructions)

    PERSONALINFORMATION

    First Name Middle Name Last Name PAN

    Flat / Door / Block No Name of Premises / Building / Village Status

    I - Individual

    Road / Street / Post Office Area / Locality Date of birth (DD/MM/YYYY)

    00/00/0000

    Town/City/District State Pin Code Sex (Select)

    M-Male

    Email Address (Std code) Phone No Employer Category (if in

    employment) OTH

    Designation of Assessing Officer (Ward / Circle) Return filed under section

    [Pl see instruction 9(ii)] 11 - u/s 139(1)

    Whether original or revised return? O-Original

    If revised, enter Receipt no / Date Revised Date

    Residential Status RES - Resident

    INCOME&DEDUCTIONS

    1 Income chargeable under the Head Salaries(Salary/ Pension) 1

    2 Income chargeable under the Head Other Sources

    a Family Pension 2ab Interest 2b

    c Total (2a + 2b) 2c 0

    3 Gross Total Income (1+2c) 3 0

    4 Deductions under Chapter VI A (Section) System Calculated

    a 80 C 4a 0 0

    b 80 CCC 4b 0 0

    c 80 CCD 4c 0 0

    d 80 D 4d 0 0

    e 80 DD 4e 0 0

    f 80 DDB 4f 0 0

    g 80 E 4g 0 0

    h 80 G 4h 0 0i 80 GG 4i 0 0

    j 80 GGA 4j 0 0

    k 80 GGC 4k 0 0

    l 80 U 4l 0 0

    m Total Deductions Do not Leave Blank 4m 0 4m 0

    5 Total Income (3 - 4m) 5 0

    6 Net Agricultural Income (Enter only if greater than Rs. 5,000) 6 0

    7 Aggregate Income (5 + 6) 7 0

    TAXCOMPUTAT

    ION

    8 a Tax payable on Aggregate Income 8a

    b Rebate in respect of Net Agricultural Income 8b 0

    9 a Tax payable on Total Income (8a-8b) 9a 0

    b Surcharge on 9a 9b

    c 9c

    d Total Tax, Surcharge and Education Cess (Payable) (9a+9b+9c) 9d 0

    10 Relief under Section 89 10 0

    11 Relief under Section 90/91 11 0

    12 Balance Tax Payable (9d - 10 - 11) 12 0

    13 a Interest payable u/s 234 A 13a 0

    b Interest payable u/s 234 B 13b

    c Interest payable u/s 234 C 13c

    d Int payable(13a+13b+ 13c) 13d 0

    14 Total Tax and Int. Payable(12+13d) 14 0For Office Use Only

    Receipt No/ Date

    FILING

    STATUS

    Education Cess, including secondary andhigher secondary cess on (9a+9b)

    Seal and Signature of

    Receiving Official

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    TAXESPAID

    15 Taxes Paid

    a 15a 0

    b 15b0

    c Self Assessment Tax (item 23) 15c 0

    d Total Taxes Paid (15a+15b+15c) 15d 0

    16 Tax Payable (14-15d) (if 14 is greater than 15d,) 16 0

    REFUND

    17 Refund (15d-14) if 15d is greater than 14 17 0

    18 Enter your Bank Account number (Mandatory in case of refunds)

    19 No

    20 In case of direct deposit to your bank account give additional detailsMICR Code Type of Account(As applicable)

    24

    Sl Code Amount (Rs) Sl Code Amount (Rs)

    a 001 0 b 002 0

    c 003 0 d 004 0

    e 005 0 f 006 0

    g 007 0 h 008 0

    25 Tax-exempt interest income (for reporting purposes only) 0

    VERIFICATION

    I, (full name in block letters), son/daughter of

    Place Date Sign here ->

    PAN

    26 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:

    Identification No of TRP Name of TRP Counter Signature of TRP

    27

    Advance Tax (from item 23)

    TDS (column 7 of item 21 +column 7of item 22)

    Select Yes if you want your refund by direct deposit into your bank account,Select No if you want refund by Cheque

    Other Information (transactions reported through Annual Information Return) (Please see instructionnumber-9(ii) for code)

    solemnly declare that to the best of my knowledge and belief, the information given in the return thereto iscorrect and complete and that the amount of total income and other particulars shown therein are trulystated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeableto Income-tax for the previous year relevant to the Assessment Year 2009-10

    If TRP is entitled for any reimbursement from the Government, amount thereof (to be

    filled by TRP)

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    21 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

    SI.No Address City State PinCode

    (1) (2) (9) (3) (4) (5) (6) (7)

    1

    2

    3

    (Click + to add more rows to 22) TDS on Interest above. Do not delete blank rows. Blank rows will not be included In the ITR)

    22 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]

    SI.No Address City State PinCode

    (1) (2) (8) (3) (4) (5) (6) (7)

    1

    2

    3

    4

    (Click + to add more rows to 22) TDS on Interest above. Do not delete blank rows. Blank rows will not be included In the ITR)

    23 Details of Advance Tax and Self Assessment Tax Payments

    Sl No

    Bank Detals & Branch

    BSR Code Amount (Rs)Branch

    1

    2

    3

    4

    5

    6

    (Click '+' to add more rows to 23) Tax Payments. Do not delete blank rows. Blank rows will not be included In the ITR)

    Tax DeductionAccountNumber

    (TAN) of theEmployer

    UTN (UniqueTransaction Number)

    Name of theEmployer

    Incomechargeable

    under thehead

    Salaries

    Deductionunder

    ChapterVI-A

    Taxpayable

    (incl.surch.and

    edn.cess)

    Total taxDeducted

    Tax DeductionAccountNumber

    (TAN) of theDeductor

    UTN (UniqueTransaction Number)

    Name of theDeductor

    Amountpaid/

    credited

    Date ofPayment/ Credit

    Total taxDeducted

    Amountout of

    (6) claimefor

    this year

    Date of Deposit(DD/MM/YYYY)

    SerialNumber of

    ChallanName of the

    Bank

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    Tax and interest Calculator 2009-10Beta Version 1.0

    A)

    B)

    C)

    D)

    E)

    S No Calculator for Tax, Surcharge As entered As Calculated

    1 Total income after set off of losses and deductions 0 0

    2 0

    3 Add : Net Agricultural Income for Rate 0 0

    4 0 0

    5 Tax at Normal Rates 0 0

    6 Rebate on Agricultural Income 0 0

    7 Special Income as per Sch SI 0

    8 Tax at Special Rate 0

    9 Tax payable on Total Income 0 0

    10 Surcharge 0

    11 Marginal Relief 0

    12 Net Surcharge 0 0

    13 Education Cess 0 0

    14 Gross Tax Liability 0 0

    S No Calculator for Interest As entered As Calculated

    14 Date of filing 31/07/2009 (dd/mm/yyyy)

    15 Enter date upto which interest is to be calculated 31/07/2009 (dd/mm/yyyy)

    16 Enter due date for filing of returns 31/07/2009 (dd/mm/yyyy)17 Interest u/s 234A 0 0

    18 Interest u/s 234B 0 0

    19 Interest u/s 234C 0 0

    This calculator takes inputs from this filled up utility. This calculator requires taxpayer to complete all schedules

    The Green cells below are as per the value entered in Part B TI/ TTI and the yellow cells adjacent are as per the

    Click on Recalculate in case any of the input values in the return are being changed, to view the recomputated tax

    After verifying and validating all input values, and generating the final computation, the sytem calculated values

    Please note that to calculate interest , you need to complete acceptance of final computation of tax, surcharge and

    Deduct : Special Rate incomes from above for arriving atAggregate Income to be used in computation of Tax atNormal Rate

    Aggregate Income to be used for computation of Tax atNormal Rate

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    Validate data before generating XML No of entries

    0

    0

    0

    TDS on Salary

    TDS on Interest

    Tax Payments

    1. Validate against each schedule thecount of no of entries.

    3. In case this count does not match tothe entered number of entries, you mayrecheck the schedules, refer toinstructions for filling up tables, andensure that all entries are valid andcompletely entered.

    2. This is required to confirm that thetotal no of entries entered per schedule isvalid and being generated in the finalXML

    4. Once this sheet is validated, you mayclick on Save XML to generate the XMLfile

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    If the no of entries are 0

    In a schedule, there are mandatory fields

    For a row to be valid, these must be

    filled in.

    Also, do not skip blank rows