i tax 2010
TRANSCRIPT
-
8/8/2019 I TAX 2010
1/22
-
8/8/2019 I TAX 2010
2/22
-
8/8/2019 I TAX 2010
3/22
INCOME - TAX STATEMENTFOR THE FINANCIAL YEAR 2009-2010
Name of the Employee DIVYESH SHAMBHUBHAI ANSODARIYA
Designation ASSISTANT TEACHER D.O.B 29.3.1979Office Name KHADKHAD PRIMARY SCHOOL
Office Address KHADKHAD Ta. VADIA Dist. AMRELIINCOME TAX PERMANENT A/C No. (PAN) AFSPA6876M
Rs. Rs. Rs.1. Estimated Gross Income for the financial
year 2008-2009 Basic Pay 105763Grade pay 28600
Transport 0Medical 1200
D.A. 39594H.R.A. 12360
Head Allow. 0OTHER 0
TOTAL 187517
2. i) Whether living in a rented house and actuallyincurring expenditure on rent.
ii) Deduction in respect of H.R.A. exemptiona) Actual H.R.A. receivedb) 10% of salaryc) Actual rent paidd) Excess rent paid above 10% of salarye) 40% of salary
f) Least of a,d,eiii) H.R.A. Deduction U/S 10 (13A) 0
3. Balance [ 1 - 2 (iii) ] 187517
4. LESS: Professional Tax U/S 16 (iii) 2600
5. Gross Total Income [ 3 - 4 ] 184917
6. Other income:- 1. a/c interest 02. other 0
184917
8. Deductions under chapter VI A0 0
( Rs. 15000/- if beneficiary is a senior citizenwith age 65 years & above ) U/S 80 D
b) Expenditure on a handicapped dependant, 0 0max. Rs. 50000/- at flat rate ( Rs. 75000/- incase of dependent with severe disability )U/S 80 DD
c) Actual expenditure on assessee / dependant 0 0patient for treatment of specified diseases
limited to Rs. 40000/- ( Rs. 60000/- in caseof senior citizen, 65 yrs & above) U/S 80 DDB
d) R li f t h i ll h di d / t ll 0 0
7. Net income [ 5 + 6 ]GROSS
AMOUNTQUALIFYAMOUNT
a) Medical insurance premium up to Rs. 10000/-
-
8/8/2019 I TAX 2010
4/22
severe disability, Rs. 75000/- ) U/S 80 U
-
8/8/2019 I TAX 2010
5/22
e) Repayment of Educational loan of assessee, 0 0
max. limited to Rs. 40000/- ( loan & interest )U/S 80 Ef) Interest on House Loans, max. Rs. 30000/- 0 0
for loans before 01-04-1999 & Rs. 150000/-for loans on or after 01-04-1999.
g) Contribution to specified funds U/S 80 G 0 0TOTAL 0 0
09. Total income [ 7 - 8 (h) ] 18491710. A) Specified savings qualifying for deduction U/S 80 C
a) G.P.F. 74181b) A.P.G.L.I. 0c) L.I.C. & P.L.I. (Salary deduction) 0d) G.I.S. 1200e) P.P.F. 0f) ULIP / LIC, Mutual Funds etc. 0g) N.S.C. 0
h) Interest on N.S.C. 0i) House loan repayment. 0j) Tuition fees paid on children's education 0k) L.I.C. Premiam paid 0l) P.L.I. Premiam paid 0
m) Tax Saving Infrastructural Bonds 00
TOTAL [ A + B ] 7538175381
11. a) Total Taxable Income [ 9 - 10 (n) ] 109536
10954012. a) Income Tax on income at S.No. 11 (b) 0Up to Rs 160000/- N I L
Rs. 160001/- to 300000/- 10% of amount exceeding 150000/-
Rs. 300000/- to 500000/- Rs. 15000+20% of amount exceeding 300000/-
Rs. 500000/- & above Rs. 55000+30% of amount exceeding 500000/-
b) Surcharge @ 10% of tax payable for income above Rs. 1000000/- 0c) Educational cess @ 3% of tax payable on (a+b) 0
013. a) LESS : Relief on arrears U/S 89 (i) 0
0
14. a) LESS: Tax already deducted up to Dec, 09 0b) Tax to be deducted from Jan, 09 onwards 0
In Jan,2009 In Feb,2009Rs. 0 Rs. 0TAX TO BE PAID THROUGH CHALLAN Rs. 0
CERTIFICATE BY EMPLOYEE
THIS IS TO CERTIFY THAT INFORMATION IN THIS STATEMENT IS CORRECT AND MISTAKLESS.
Date :-Place :- KHADKHAD Signature of Employee
CERTIFICATE BY OFFICE
h) TOTAL QUALIFYING AMOUNT (DEDUCTION)
B) Contributions to L.I.C. & other pension schemes U/S 80 CCC
n) TOTAL QUALIFYING AMOUNT
b) Total Taxable Income (rounded to nearest 10/-)
d) Gross income tax [ a + b + c ]
b) Tax Liability during 2008-09 [ 12 (d) - 13 (a) ]
THIS IS TO CERTIFY THAT INFORMATION IN THIS STATEMENT COMPAIRED WITH OFFICE RECORD
-
8/8/2019 I TAX 2010
6/22
Date :-Place :- KHADKHAD Signature of Head of Office
-
8/8/2019 I TAX 2010
7/22
-
8/8/2019 I TAX 2010
8/22
TOTAL [ A + B ] 75381n) TOTAL QUALIFYING AMOUNT 75381
-
8/8/2019 I TAX 2010
9/22
13. a) Total Taxable Income [ 11 - 12 (n) ]b) Total Taxable Income (rounded to nearest 10/-)
14. a) Income Tax on income at S.No. 13 (b)b) Surcharge @ 10% of tax payable for income
above Rs. 1000000/-c) Educational cess @ 3% of tax payable on (a+b)
d) Gross income tax [ a + b + c ]
15. a) LESS : Relief on arrears U/S 89 (i)b) Tax Liability during 2007-08 [ 14 (d) - 15 (a) ]
16. LESS : TAX DEDUCTED AT SOURCE
17. TAX PAYABLE
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT AC
NAME OF THE BANK BRANCH WHERE TAX
0 Sep-09 ----
0 Oct-09 ----
0 Nov-09 ----
0 Dec-09 ----
0 Jan-10 ----
0 Feb-10 ----
0 T.D.S. ON CAS & OTHER ARREARS
0 TOTAL TAX DEDUCTED AT SOURCE
Signature of the person responsible for deductionPlace : KHADKHAD Full name :Date : Designation :
Note : See sections 15 and 17 and rule 3. Furnish separate details of value of perquisites and profitsin lieu of or in addition to salary or wages
AMOUNT Rs. MONTH / DATE OFPAYMENT
Certified that a sum of Rs. ( in words ) onlyhas been deducted at source and paid to the credit of Central Government. Further certified tinformation is true and correct as per records
mailto:[email protected]:[email protected] -
8/8/2019 I TAX 2010
10/22
ARIYA
RELI
6876Ment Year
-2011
DRs.
184917
184917
-
8/8/2019 I TAX 2010
11/22
-
8/8/2019 I TAX 2010
12/22
109536109540
00
0
0
00
0
0
OUNT
EPOSITED
of tax
hat the above
om
mailto:[email protected]:[email protected] -
8/8/2019 I TAX 2010
13/22
FORM
ITR - 1
INDIAN INCOME TAX RETURN Assessment Year
[For Individuals having Income from Salary / Pension / Family Pension & Interest]
2 0 1 0 -(Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instructions)
PERSONALINFORMATION
First name Middle name Last name PAN
DIVYESH SHAMBHUBHAI ANSODARIYA AFSPA6876MFlat / Door / Block No. Name of Premises / Building / Village Date of Birth (DD/MM/YYYY)
KHADKHAD 29.3.1979Road / Street / Post Office Area / Locality Employer Category (Tick) a
Govt PSU Ot
Town / City / District State Pin code Sex ( Tick) a
AMRELI GUJARAT 3 6 5 4 8 0 Male Female
Email address (STD code) - Phone number
-
FILINGSTATUS
Return Filed Under Section -
[Please see instruction number 9(i)]
Whether original or Revised Return ? (Tick) a Original Revised
/ /
Residential Status (Tick) a Resident Non-Resident Resident but Not Ordinarily Resident
INCOME&DEDUC
TIONS
1 Income Chargeable under the Head 'Salaries' (Salary / Pension) 1 18492 Income Chargeable under the Head 'Other Sources' 2
3 Gross Total Income (1+ 2c) 3 18494 Deduction under Chapter VI A (Section)
a 80C 75381 e 80DD i 80GGb 80CCC f 80DDB j 80GGA
c 80CCD g 80E k 80GGC
d 80D 0 h 80G 0 l 80U 0m Deductions ( Total of a to l) 4m 753
5 Total Income (3 - 4m) 5 10956 6
7 'Aggregate Income' (5 + 6 ) 7 1095
TAXCOMPU
TATION
8 a Tax Payable on 'Aggregate Income' 8a
b Rebate in respect of Net Agricultural Income 8b
9 a Tax Payable on Total Income (8a - 8b) 9a 0b Surcharge on 9a 9b 0c Education Cess on (9a + 9b) 9c 0d Total Tax, Surcharge and Educational Cess Payable (9a + 9b + 9c) 9d
10 Relief under section 89 10 0
11 Relief under section 90 / 91 11
12 Balance Tax Payable (9d - 10 - 11) 12
Do not write or stamp in this area (Space for bar code) For Office Use only Seal and signature of the receiving official
Receipt No.
Date
Designation of the Assessing Officer(Ward / Circle)
If revised enter Receipt No. and date of filing originalreturn (DD/MM/YYYY)
Net Agricultural Income (Enter only if greater than Rs. 5,000)
-
8/8/2019 I TAX 2010
14/22
-
8/8/2019 I TAX 2010
15/22
13 a Interest Payable U/S 234 A 13a
b Interest Payable U/S 234 B 13b
c Interest Payable U/S 234 C 13c
d Total Interest Payable (13a +13b + 13c) 13d
14Total Tax and Interest Payable
14(12 + 13d)
TAX
ESPAID
15 Taxes Paid
a 15a 0b 15b 0
c 15c 0d Total Taxes Paid (15a + 15b + 15c) 15d16 16
REFUND
17 17
18
19 Do you want your refund by Cheque, or Deposited directly into your bank account? (tick as applicable) a
20 In case of direct deposit in your bank account give additional details
MICR CODE Type of account (tick as applicable) a Savings Current
21 Details of Tax Deducted at Source from Salary [as per Form 16 issued by Employer(s)]
TDSONSALAR
YName and address of the Employer
(1) (2) (3) (4) (5) (6) (7) (8)
i HEAD MASTER184917 75381 0 0 0R K T T 0 0 6 8 9 D KHADKHAD PRIMARY SCHOOL
ii
22 Details of Tax Deducted at Source on Interest [as per Form 16A issued by Deductor(s)]
TDSO
NINTEREST
Name and address of the Deductor Amount paid / credited Date of payment / credit
(1) (2) (3) (4) (5) (6) (7)
i
ii
iii
Note Enter the total of column (7) of 21 and column (7) of 22 in Sl. No. 15b of TAXES PAID
23 Details of Advance Tax and Self Assessment Tax Payments
TAXPAYMENTS
Name of Bank & Branch BSR Code Amount (Rs.)
i
ii
iii
iv
v
Note Enter the totals of Advance tax and Self Assessment tax in Sl. 15a and 15c of TAXES PAID
24Sl code Amount (Rs) Sl code Amount (Rs) Sl code
a 001 d 004 g 007
b 002 e 005 h 008
c 003 f 006
25 25
26 E-filing Acknowledgement Number Date (DD/MM/YYYY) / /
VERIFICATION
I. DAFDA KANTIBHAI KHODABHAI son / daughter of solemnly
Place KHADKHAD Date Sign Here
Advance Tax (from item 23)
TDS (column 7 of item 21 + column 7 of item 22)
Self Assessment Tax (from item 23)
Tax Payable (14 - 15d) (Enter if 14 is greater than 15d , else leave blank)
Refund (15d -14) (Enter if 15d is greater than 14, also give Bank Account details below)
Enter your bank account number(mandatory in case of refund)
SlNo.
Tax deduction Account Number (TAN) ofthe Employer
Incomechargeable
under the head
Deduction underChapter VI-A
Tax payable (incl.surch. and edn.
cess)
Total taxdeposited
Tax payable /refundable
SlNo
Tax deduction Account Number (TAN) ofthe Deductor
Total taxdeposited
Amount out of(6) claimed forthis year
SlNo
Date of Deposit(DD/MM/YYYY)
Serial No. ofChallan
Other Information (transactions reported Through Annual Information Return) (Please see instruction number -9(ii) for code)
Tax - exempt interest income (for reporting purposes only)
declare that to the best of my knowledge and belief, the information given in the return thereto is correct and complete and that the amount of total income another particulars shown therein are truly stated and are in accordance with the provisions of the Income Tax Act, 1961, in respect of income chargeable to Incom
tax for the previous year relevant to the Assessment Year 2009-10
-
8/8/2019 I TAX 2010
16/22
28If TRP is entitled for any reimbursement from the Government, amount thereof(to be filled by TRP)
-
8/8/2019 I TAX 2010
17/22
SARAL ITS-2D[*INCOME-TAX RETURN FORM FOR NON CORPORATE ASSESSEES OTHER THAN
PERSONS CLAIMING EXEMPTION UNDER SECTION 11 ][ See proviso to rule 12( I )( b ) ( III )]
1. NAME : DIVYESH SHAMBHUBHAI ANSODARIYA2. OFFICE NAME KHADKHAD PRIMARY SCHOOL3. ADDRESS : KHADKHAD Ta. VADIA Dist. AMRELI
PIN : TELEPHONE :
4. Permanent Account Number : AFSPA6876M 8. Ward/Circle/Special Range :5. Date of Birth 29.3.1979 9. SEX : Male / Female MALE6.
INDIVIDUAL10. Income for the year i.e. 2009-201011. 2010-2011
7. 12. Return Original or Revised : ORIGINAL13. Details of Bank Acconts :
Name of the Bank Address of the Bank Account Number
*Please tick[ ] the bank account,where you would like the amount of refund to be credited14. Details of Credit Card :
15. INCOME FROM SALARY ( ATTACH FORM NO.16 ) 701 Rs. 184917.0016. INCOME FROM HOUSE PROPERTY 702 Rs.17. INCOME FROM BUSINESS OR PROFESSION 703 Rs.18. CAPITAL GAINS 15/9 15/12 15/3 31/3 TOTAL
( a ) Short term 645 646 647 648 704( b ) Long term 695 696 697 698 705 776 Rs.
19. INCOME FROM OTHER SOURCES 706 Rs. 0.0020. INCOME OF ANY OTHER PERSON TO BE ADDED 775 Rs.21. GROSS TOTAL INCOME (15+16+17+18+19+20) 746 Rs. 184917.0022. LESS : DEDUCTION UNDER CHAPTER VI-A : SECTION Rs.
Code (For Office Use) Section Amount(Rs.)( a ) 80 C 75381( b ) 80 D 0( c ) 81 U 0 747 Rs. 75381.00
23. TOTAL INCOME : (21 - 22 ) 760 Rs. 109536.0024. ADD : AGRICULTRAL INCOME ( For rate purpose ) 762 Rs.25. INCOME CLAIMED TO BE EXEMPT FROM INCOME TAX 125 Rs.
26. TAX ON TOTAL INCOME INCOME INCOME TAX( a )At normal rates 772 109540.00 802 0.00( b ) At special rates 768 801 810 Rs. 0.00
27. LESS : REBATE 820 Rs.28. TAX PAYABLE 826 Rs. 0.0029. ADD SURCHARGE 828 Rs. 0.0030. TOTAL TAX PAYABLE (28+29) 832 Rs. 0.0031. LESS : RELIEF 837 Rs. 0.0032. NET TAX PAYABLE 840 Rs. 0.0033. LESS : TAX DEDUCTED AT SOURCE 840 Rs. 0.0034. LESS : ADVANCE TAX PAID 873 Rs.
Date Date Date
Amount Amount Amount 862 Rs.
35. ADD : INTEREST PAYABLE U/s 234 234B 234C Total 851 Rs.36. LESS : SELF ASSESSMENT TAX PAID 875 Rs.37. BALANCE TAX : PAYABLE / REFUNDABLE 891 Rs. 0.00
DOCUMENTS ATTACHED WITH THE RETURN1. Form No. 16 (Original) 2. TDS Certificate3. 4.
VERIFICATIONI, DIVYESH SHAMBHUBHAI ANSODARIYA ( name in full and in block letters),
son / daughter of solemniy declare that to the best of my knowledgeand belief, the information given in this return and the annexures and statements accompanying it are correct.,completeand truly stated and in accordance with the provisions of Income Tax Act. 1961, in respect of income chargeble toincome tax for the previous year relevant to the assessment year 2010-2011
Receipt No. Date
Signature
Assessment YearResident :- INDIAN
-
8/8/2019 I TAX 2010
18/22
Signature of the receiving official Place : AMARNAGAR
-
8/8/2019 I TAX 2010
19/22
-
8/8/2019 I TAX 2010
20/22
-
8/8/2019 I TAX 2010
21/22
GOVERNMENT OF INDIAINCOM TAX DEPARTMENT
ACKNOWLEDGEMENT
Received with thanks form: DIVYESH SHAMBHUBHAI ANSODARIYA a return of income and/orreturn of fringe benefits in Form No ITR - 1 for assessment year 2010-2011,having the following particulars:
RSONALINFORMATI Name PAN NO.
DIVYESH SHAMBHUBHAI ANSODARIYA AFSPA6876MFlat/Door/Block No: Name of Premises/Building/Village:
KHADKHADRoad/Street/Post Office: Area/Locality:
Town/City/District: State:AMRELI GUJARAT
1 Gross total income 1 1849172 Deduction under Chapter-VI-A 2 753813 Total Income 3 1095364 Net tax payable 4 05 Interest payable 5 06 Total tax and interest payable 6 07 Taxes paid
a Advance Tax 7a 0b TDS 7b 0c TCS 7c 0d Self Assessment Tax 7d 0e Total Taxes paid (7a+7b+7c+7d) 7e 0
8 Tax payable (6-7e) 8 09 Refund (7e-6) 9 0
10 Value of Fringe Benefits 10 011 Total fringe benefit tax liability 11 012 Total interest payable 12 013 Total tax and interest payable 13 014 Taxes paid
a Advance Tax 14a 0b Self Assessment Tax 14b 0c Total Taxes paid (14a+14b) 14c 0
15 Tax payable (13-14c) 15 016 Refund (14c-13) 16 0
Receipt No. Seal and Signature of receiving official:
Date:
COMPUTATIO
N
OFINCOME&TAXTHEREON
Compu
tationo
fIncome
&
Fringe
Benefi
ts&Tax
Thereon
-
8/8/2019 I TAX 2010
22/22