itr1_phii_r6

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RM 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)

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IN

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First Name Middle Name Last Name PAN Ajay Dev Malik AZHPM0802G

Flat / Door / Block No Name of Premises / Building / Village StatusHouse No.- 67 Vidyut Nagar I - Individual

Road / Street / Post Office Area / Locality Date of birth (DD/MM/YYYY)Type 5 Old MITC Colony, Near U.E. - 2 10/12/1986

Town/City/District State Pin Code Sex (Select)Hisar 12-HARYANA 125005 M-Male

Email Address (Std code) Phone No Employer Category (if in [email protected] 91 9310865911 employment) OTHDesignation 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

INC

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E &

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1 Income chargeable under the Head ‘Salaries’(Salary/ Pension) 1 196,9862 Income chargeable under the Head ‘Other Sources’

a Family Pension 2ab Interest 2bc Total (2a + 2b) 2c 0

3 Gross Total Income (1+2c) 3 196,9864 Deductions under Chapter VI A (Section) System Calculated

a 80 C 4a 684,950 100000b 80 CCC 4b 0 0c 80 CCD 4c 0 0d 80 D 4d 0 0e 80 DD 4e 0 0f 80 DDB 4f 0 0g 80 E 4g 0 0h 80 G 4h 0 0i 80 GG 4i 0 0j 80 GGA 4j 0 0k 80 GGC 4k 0 0l 80 U 4l 0 0

m Total Deductions Do not Leave Blank 4m 68,495 4m 68,4955 Total Income (3 - 4m) 5 128,4916 Net Agricultural Income (Enter only if greater than Rs. 5,000) 6 07 Aggregate Income (5 + 6) 7 128,491

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8 a Tax payable on Aggregate Income 8a 0b Rebate in respect of Net Agricultural Income 8b 0

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

c 9c 0

d Total Tax, Surcharge and Education Cess (Payable) (9a+9b+9c) 9d 010 Relief under Section 89 10 011 Relief under Section 90/91 11 012 Balance Tax Payable (9d - 10 - 11) 12 0

13 a Interest payable u/s 234 A 13a 0b Interest payable u/s 234 B 13b 0c Interest payable u/s 234 C 13c 0d Int payable(13a+13b+ 13c) 13d 0

14 Total Tax and Int. Payable(12+13d) 14 0

For Office Use OnlyReceipt No/ Date

FIL

ING

S

TA

TU

S

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

Seal and Signature of Receiving Official

C6

Enter first name

M6

Enter middle name, if any

U6

Last name / Surname should not be blank

AL6

PAN: First five alphabets, next four digits, then alphabet (exactly 10 chars)

C10

Enter flat no, door no etc. Should not be left blank

U10

Enter name of house, society, complex etc

C14

Enter name of road or street

U14

Enter name of locality. Should not be left blank.

AL14

Should be in DD/MM/YYYY format only. DoB should be before 01/04/2009

C18

Enter city or town. Should not be left blank

AD18

Enter six digit pin code (NRI can enter 999999)

C22

Enter valid Email Address to receive copy of ITR-V via email

Y22

Do not prefix '0' before STD code. If mobile number is given, use '91' in STD code.

AD22

Enter your Phone Number

AP22

Select from list provided. If not employed or for HUF use 'OTH'

C24

Enter the ward or circle where the return is filed

AN24

Select from list provided. Usually would be 11

V26

Select from list provided. If this is the only Return then select 'Original' if you have already filed your return for this year and would like to make changes then select 'Revised'

AM28

On or after 01/04/2009 Enter the Acknowledgement number and date of filing of Original return

U30

Select from list provided. Usually would be 'RES'

Z43

Enter family pension, if any, recieved

Z44

Enter all gross bank interest recieved from saving account,FD,NSC etc. Please note that there is no minimum amount or exemption. No negetive value should be entered

Z48

Investment in approved schemes.Maximum eligible amount is Rs.100,000 for 80C + 80CCC + 80CCD

Z49

Contribution to annuity plans. Maximum eligible amount is Rs.10,000. Maximum eligible amount is Rs.100,000 for 80C + 80CCC + 80CCD

Z50


Z51


Z52


Z53


Z54


Z55


Z56


Z57


Z58


Z59


AM62

Enter if net agriculture income exceed Rs 5000 and Total income is greater than Rs 100,000. Do not enter negetive value

AM64

Calculate tax as per Tax Table in Instuctions

AM65

Calculate rebate on net agriculture income as per IT acts. Default is '0', if there is no agriculture income.

Z67

Calculate surcharge at 10% on tax payable as per Instructions if total income exceeds Rs 10,00,000. Round off nearest Rupee.

Z70

Calculate relief u/s 89 as per IT Act in case of receipt of arrears of salary.or advances of salary recieved during the year.

Z71

Calculate relief u/s 90 or 91 as per IT Act in case of tax paid outside India

AM73

Calculate intertest in case of delay of filing return as per IT Act. Round off nearest Rupee.

AM74

Calculate intertest in case of default in payment of advance tax as per IT Act. Round off nearest Rupee.

AM75

Calculate intertest in case of default in payment of appropriate instalment of advance tax as per IT Act. Round off nearest Rupee.

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AID

15 Taxes Paida 15a 0

b 15b 1,900

c Self Assessment Tax (item 23) 15c 0

d Total Taxes Paid (15a+15b+15c) 15d 1,900

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

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FU

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17 Refund (15d-14) if 15d is greater than 14 17 1,900

18 Enter your Bank Account number 20014284498 (Mandatory in case of refunds)19 Yes

20 In case of direct deposit to your bank account give additional detailsMICR Code 125002008 Type of Account(As applicable) Savings

24

Sl Code Amount (Rs) Sl Code Amount (Rs)a 001 0 b 002 0c 003 0 d 004 0e 005 0 f 006 0g 007 0 h 008 0

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

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

Place HISAR Date 23/07/2010 Sign here ->

PAN AZHPM0802G26 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 7 of 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 instruction number-9(ii) for code)

DHARAMPAL SINGH MALIK

solemnly 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 and other 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 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)

H8

Enter if refund is due. Account number must have 0 to 9 maximum 15 digits. Do not enter alphabets or any special characters.

J9

Select if Y in case direct deposit is required. This facility avilable only in select cities.

E11

Enter if Y is selected for direct deposit. MICR Code is printed on the middle of the bottom portion of your cheque

J11

Select appropriate nature of the account

E14

Cash deposits aggregating Rs 10 lakhs or more in a year

J14

Credit Card payments aggregating Rs 2 lakhs or more in a year

E15

Payments of Rs 2 lakhs or more for purchase of units of MF

J15

Payments of Rs 5 lakhs or more for acquiring bonds or debentures

E16

Payments of Rs 1 lakh or more for acquiring shares of a company

J16

Purchase of immovable property valued at Rs 30 lakhs or more

E17

Sale of immovable property valued at Rs 30 lakhs or more

J17

Payments of Rs 5 lakhs or more for investments in RBI bonds in a year

J23

Enter any interest received that is claimed as Tax exempt eg Interest from RBI bonds

F28

Enter name. In case of HUF, Karta's name should be entered here.

J28

Enter fathers name

C31

Enter city

H31

Enter date in DD/MM/YYYY. Date should be on after 01/04/2009. Do not enter future date.

A35

Enter ID of TRP

F35

Enter name of TRP

J37

Enter TRP reimbursement amount

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

Address City State PinCode

(1) (2) (9) (3) (4) (5) (6) (7) (8)1 MUMS00123E Mumbai 400098 196,986 68,496 0 1,900 1,90023

(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)]

Address City State PinCode

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

234

(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

123456

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

SI.No

Tax DeductionAccount Number

(TAN) of the Employer

UTN (Unique Transaction Number)

Name of the Employer

Income chargeable

under thehead

Salaries

Deductionunder

Chapter VI-A

Tax payable

(incl. surch.

and edn.cess)

Total taxDeducted

Taxpayable/

refundable

ITD Cementation

1st Floor, Dani Wooltex, 158, Vidyanagari, Kalina,

19-MAHARASHTRA

SI.No

Tax DeductionAccount Number

(TAN) of the Deductor

UTN (Unique Transaction Number)

Name of the Deductor

Amount paid/

credited

Date of Payment/ Credit

Total taxDeducted

Amount out of

(6) claimed

forthis year

Date of Deposit(DD/MM/YYYY)

Serial Number of

ChallanName of the

Bank

B4

First four alphabets, next five digits, then alphabet(exactly 10 chars). Quote valid TAN to ensure credit for TDS

C4

Maximum 16 digits for UTN , provided by deductor

D4

Enter name of employer

E4

Enter Address of employer

F4

Enter city or town

G4

Select State from List

H4

Enter Pincode

I4

Enter details from Form 16

J4


K4


L4

Enter details from Form 16. Round off to nearest Rupee. This is the value TDS to be included in item 15b

M4


B5


C5


D5


E5


F5

Enter city or town

G5


H5

Enter Pincode

I5


J5


K5


L5

Enter details from Form 16. Round off to nearest Rupee. This is the value TDS to be included in item 15b

M5


C6


B11


C11


D11


E11


F11

Enter city or town

G11


H11

Enter Pincode

I11


J11

Date of Payment/Credit as on Form 16A issued by deductor

K11

Enter details from Form 16A. Round off to nearest Rupee.

L11

Enter details from Form 16A. Usually this will be the same as tax deducted. This value cannot exceed tax deducted. Round off to nearest Rupee. This is the value TDS to be included in item 15b

B12


C12


D12

Enter name of deductor

E12

Enter Address of deductor

F12

Enter city or town

G12


H12

Enter Pincode

I12


J12


K12


L12

Enter details from Form 16A. Usually this will be the same as tax deducted. This value cannot exceed tax deducted. Round off to nearest Rupee. This is the value TDS to be included in item 15b

C13


J13


C14


J14


B21

Enter Name of bank. Can be abbrevitedof deposit and Serial no of Challan are entered to ensure credit of the same

C21

Enter name of Branch. Please mention locality and city

B22


C22


B23


C23


D23

Enter seven digit code as per bank seal on counterfoil

F23

Enter challan serial number as per bank seal

G23

Enter tax payment. Round off nearest Rupee

B24


C24


D24


E24

Enter date of deposit of tax payment in DD/MM/YYYY format. This date cannot prior to 01/04/2008 and cannot be any future date. Date will be used to distinguish between Advance Tax Payments(Item 15a) and Self Assessment Tax Payments(Item 15c)

F24


G24


B25


C25


D25


E25


F25


G25


D26


E26


F26


G26


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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 Calculated1 Total income after set off of losses and deductions 196986 128491

2 03 Add : Net Agricultural Income for Rate 0 0

4 128491 1284915 Tax at Normal Rates 0 06 Rebate on Agricultural Income 0 07 Special Income as per Sch SI 08 Tax at Special Rate 09 Tax payable on Total Income 0 0

10 Surcharge 011 Marginal Relief 012 Net Surcharge 0 013 Education Cess 0 014 Gross Tax Liability 0 0

S No Calculator for Interest As entered As Calculated14 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 0 018 Interest u/s 234B 0 019 Interest u/s 234C 0 0

This calculator takes inputs from this filled up utility. This calculator requires taxpayer to complete all schedules of the utility, including Tax Payment , TDS/TCS , sCH SI, Sch EI,etc before using the calculator. The calculator also utilises the values of Gender, Date Of Birth, Assessment Year, Residential status, Sstatus of taxpayer (Individual / HUF etc) for the purpose of this computaton

The Green cells below are as per the value entered in Part B TI/ TTI and the yellow cells adjacent are as per the inbuilt computation.Click on Recalculate in case any of the input values in the return are being changed, to view the recomputated tax and interest values.If any calculation differs from your expected values, please verify the input values in all relevant schedules very carefully, and then press on Recalculate in case you have made any changes.After verifying and validating all input values, and generating the final computation, the sytem calculated values of each cell can be transferred to Part B TTI using the "Accept Calculated Values for Tax" buttonPlease note that to calculate interest , you need to complete acceptance of final computation of tax, surcharge and Education cess by clicking on "Accept Calculated values of Tax"

Deduct : Special Rate incomes from above for arriving at Aggregate Income to be used in computation of Tax at Normal Rate

Aggregate Income to be used for computation of Tax at Normal Rate

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Validate data before generating XML No of entries000

TDS on SalaryTDS on InterestTax Payments

1. Validate against each schedule the count of no of entries.

3. In case this count does not match to the entered number of entries, you may recheck the schedules, refer to instructions for filling up tables, and ensure that all entries are valid and completely entered.

2. This is required to confirm that the total no of entries entered per schedule is valid and being generated in the final XML

4. Once this sheet is validated, you may click on Save XML to generate the XML file

If the no of entries are 0In a schedule, there are mandatory fieldsFor a row to be valid, these must befilled in.Also, do not skip blank rows

itr1_phii_r6

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