ASSESSMENT YEAR 2012-13 (FINANCIAL YEAR 2011-12)
PERSONAL DETAILS FORM
AUTHORISED TAX RETURN PREPARER- PAVAN KUMAR TIRUMAREDDY
H # 1-11-193/2, FIRST FLOOR,SHYAMLAL BUILDING, BEGUMPET,
HYDERABAD - 500 016, MOBILE : 9949265151, E-mail : email@example.com
PLEASE FILL IN CAPITAL LETTERS IN THE SHADED AREA ONLY DATE :
FIRST NAME MIDDLE NAME SURNAME
BIRTH DATE (DD/MM/YYYY) PAN NO.
PHONE NO/ MOBILE NO. GENDER
INCOME TAX WARD/CIRCLE E-MAIL ID.
COMP. NAME BANK DETAILS ARE MANDATORY IRRESPECTIVE OF REFUND
DEPT. NAME BANK NAME
OFF PHONE NO A/C. NO.
EXTN NO MICR CODE
ANY OTHER INCOME(MENTION NIL IF YOU DO NOT HAVE ANY OTHER INCOME)
INCOME FROM BUSINESS/PROFESSION: INCOME FROM HOUSE PROPERTY
INCOME FROM OTHER SOURCES (INTEREST) INCOME FROM CAPITAL GAINS
(FILL ONLY IF ONE HOUSING LOAN IS TO BE CONSIDERED) RESIDENTIAL ADDRESS IN THIS CITY
HOUSE PROPERTY ADDRESS (ADDRESS FOR COMMUNICATION)
FLAT / DOOR / H.NO. FLAT/DOOR #
AREA / LOCALITY Area / Locality
IF YOU OWN MORE THAN ONE HOUSE PROPERTY PLEASE GIVE DETAILS ACCORDINGLY IN A SEPARATE ENCLOSURE
2011-12 Filing Now-Current Year Enclosures given along with this form
DID YOU FILE INCOME TAX 2010-11 PAN Photo copy
RETURN FOR FINANCIAL 2009-10 Copy of Form 16
2008-09 Any other document
YEAR (MENTION: YES / NO) Any other document
2006-07 Any other document
ANY OTHER INFORMATION TO BE INCLUDED IN THE INCOME TAX RETURN INCLUDING ANNUAL INFORMATION RETURN
FORM 16 PERIOD (MENTION WHETHER FOR PART YEAR OR FULL YEAR ):
Terms & Conditions 1. Please fill in capital letters only. 2. Your income tax return will be prepared and filed based on the information given in this form, Form -16/A/AA and
in the documents enclosed. 3. For any changes in this form: kindly make a request in writing only. 4. Our Responsibility is only towards assistance in income tax return filing.
5. Any delay in the income tax return filing is only co-incidental to the number of returns processed by us and we are not responsible for any delay. 6. This form is designed
keeping in view the salaried assessees, in case you have any other income please do disclose the same in the required section or give enclosures including Annual
Information Return details. 7. Payment of taxes & interest theron and the computation of income is the sole responsibility of the assessee. 8. Unsigned forms will not be
processed. 9. Please verify before you sign the income tax return. 10. PAN photo copy is mandatory. 11. Any additional details can be enclosed and the same needs to be
mentioned in this form in the Enclosures section.12 You permit us to contact you from time to time and you also authorise us to do everything needful to file your income tax
return.13. If you were employed with only one employer from 1st April 2011 to 31st March 2012: Mention as FULL year else mention as PART year.
I HAVE READ THE ABOVE TERMS AND CONDITIONS AND AGREE TO ABIDE BY THEM
PLEASE FILE MY INCOME TAX RETURN AS GIVEN ABOVE & IN FORM 16
SIGNATURE OF THE ASSESSEE
1 Please enter the information in the spaces provided for name, address and other details
2 Enter the Full Name in expanded form preferably in the sequence given in the form
3 All the information asked for in this form is mandatory unless it is given as optional
4 Personal E-Mail Id is preferred
5 Bank account details are Mandatory.MICR CODE is a 9 digit number code given at the bottom
of your cheque leaf
6 Please Mention : YES /NO for filing the Tax Return for the following previous years (as this
information will help us calculate the charges). If this column is not filled in we will assume
that you have been filing income tax returns regularly)
7 Any other information which was not given in Form 16 But to be included in the Income tax
return is optional. You can give us information regarding any exemptions or deductions not
included in the form 16 but to be included now.
8 When you have more than one form 16 for the year please attach the both the form 16's.
9 Unsigned forms will not be processed
FREQUENTLY ASKED QUESTIONS PAGE (1)
1 What is TRP scheme: Tax Return Preparers Scheme?
A Tax Return Preparer Scheme is a novel initiative by The Income Tax Department. In its effort to reach out to
the doorsteps of Taxpayers and simplify the tax paying procedure, Income Tax Department has introduced
the Tax Return Preparer Scheme. The unique scheme will ensure quality service to individual and HUF
taxpayers and help them fulfill their tax obligation in a hassle-free manner by availing the services of a
certified Tax Return Preparer (TRP). The service will be available at no or marginal cost. The TRPs have
been issued a unique identification number and certificate of authorization. 3737 Tax Return Preparers
2 Advantages of using the services of a Tax Return Preparer (TRP)
A 1. High Awareness: You can increase your awareness on the importance of filing income tax
2. Low or NO cost: The service is at a nominal or no cost (applicable in a few cases only)
3. Accuracy: E-filing helps you to have an online record with minimal errors.
4. Accountability: High quality service as this is a profession for tax return preparers; a tax return
preparer submits a monthly report to the Income tax department through the Partner organization-
NIIT. And at the same time a Tax Return Preparer signs on each and every return that he prepares
and files on behalf of the individual assessee.
5. Accessibility: A tax return preparer is available for the individuals to approach directly through
out the year for individual income tax return related matters.
6. Error Check: TRP provide high value service by having a thorough error check to see if there are any
errors (data entry errors, errors of omission, errors by oversight) in the Income Tax Returns to be Filed and
even after this there is an error or mistake , a Revised(corrected) Income tax return is filed free of cost.
7. Refund follow-up: In the event of a tax refund of a person TRP can personally guide them.
8. Free consultation: There are a numerous queries from the individual assesses from time to time which
include: Tax planning, guidance on payment of self assessment tax, filing Income tax returns in the latest
formats, especially ITR 2 and ITR 4, when the assessee has two form 16s for the same financial year, refund
follow up, when they have income from other sources other than the Head- Income from Salaries and the list
goes on. You can bank on me to provide the service on the same.
9. Confidentiality: Your details are kept highly confidential
FREQUENTLY ASKED QUESTIONS PAGE (2)
4 Benefits of e-filing income tax returns
A 1. In case of refunds, we can hope to get a faster and prompt refund.
2. Chances of errors are minimized
3. A soft copy of the e-acknowledgement is always available for reference.
4. Income tax department gives preference to the returns filed electronically.
5. Your signature is clearly seen on the e-filing acknowledgement, however signature is not seen on
the manual filed acknowledgement
5 I have two or more form 16s, how should I proceed further for filing my income tax return?
A Firstly you have get your income computation done, where in the two or more form 16s will be combined and
Secondly you have pay the difference amount of tax along with interest (if any) where ever required by a tax
challan and proceed to file your income tax return
6 Can I claim exempt HRA not shown in my form 16 as I reside in rented house and have the rent paid receipts
A Yes you may do so however a confirmation can be given only when all the particulars are verified.
7 Can I show my tax saving certificates like Insurance, NSC, and other savings which are allowed under
Chapter VI A in the income tax return, as these were not shown in my form 16 though I have paid for them
before March 31st 2012
A Yes you may do so however a confirmation can be given only when all the particulars are verified
8 Is PAN mandatory for filing my income tax return
9 I have a doubt which is not listed above, whom should I ask?
A You can email your doubt or question to firstname.lastname@example.org or call 9949265151, however you get a better
response when you email your query, if required we call you back for the same.
STIONS PAGE (1)
come Tax Department. In its effort to reach out to
ocedure, Income Tax Department has introduced
will ensure quality service to individual and HUF
assle-free manner by availing the services of a
available at no or marginal cost. The TRPs have
te of authorization. 3737 Tax Return Preparers
on the importance of filing income tax
cost (applicable in a few cases only)
h minimal errors.
ofession for tax return preparers; a tax return
department through the Partner organization-
gns on each and every return that he prepares
r the individuals to approach directly through
g a thorough error check to see if there are any
rsight) in the Income Tax Returns to be Filed and
cted) Income tax return is filed free of cost.
person TRP can personally guide them.
m the individual assesses from time to time which
ssment tax, filing Income tax returns in the latest
s two form 16s for the same financial year, refund
r than the Head- Income from Salaries and the list
STIONS PAGE (2)
ilable for reference.
ns filed electronically.
wledgement, however signature is not seen on
or filing my income tax return?
n the two or more form 16s will be combined and
with interest (if any) where ever required by a tax
de in rented house and have the rent paid receipts
ly when all the particulars are verified.
SC, and other savings which are allowed under
shown in my form 16 though I have paid for them
ly when all the particulars are verified
om or call 9949265151, however you get a better
u back for the same.