2012 ITR1 PR12 by d56FZ3E

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									                       SAHAJ                                           INDIAN INCOME TAX RETURN                                                    Assessment
                                              [For Individuals having Income from Salary / Pension / Income from One House Property                   Year
                            ITR-1
FORM
                                                               (excluding loss brought forward from previous years) /
                                            Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)]
                                                                                                                                                 2012-13
                                                  (Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions)
                       First Name                   Middle Name             Last Name                                                             PAN
PERSONAL INFORMATION




                       Flat / Door / Building                                                                                    Status
                                                                                                                                           I - Individual
                       Road / Street                                        Area / Locallity                                     Date of birth (DD/MM/YYYY)
                                                                                                                                    00/00/0000

                       Town/City/District                                   State                           Pin Code             Sex (Select)
                                                                                                                                      M-Male

                       Email Address                                        Mobile no        (Std code) Phone No             Employer Category (if in
                                                                                                                             employment) OTH
                       Income Tax Ward / Circle                                                             Return filed under section
                                                                                                            [Pl see Form Instruction] 11-BeforeDueDt
                       Whether original or revised return?                          O-Original
FILING STATUS




                       If revised, enter Original Ack no / Date                                                            Date
                       If u/s 139(9)-defective return , enter
                       Original Ack No
                       If u/s 139(9)-defective return , enter Notice                                              If u/s 139(9)-
                       No                                                                                         defective return ,
                                                                                                                  enter Notice Date
                       Residential Status                                            RES - Resident                    Tax Status    Nil Tax Balance

                        1 Income from Salary / Pension (Ensure to fill Sch TDS1)                                                       1
                          Income from one House Property
                        2                                                                                                              2                             0

                            Income from Other Sources (Ensure to fill Sch TDS2)
                        3                                                                                                              3                             0
                        4 Gross Total Income (1+2+3)                                                                                   4                             0
                        5 Deductions under Chapter VI A (Section)                                                                            System Calculated
INCOME & DEDUCTIONS




                           a 80 C                                           5a                                                     0                             0
                           b 80 CCC                                        5b                                                      0                             0
                          c(i) 80 CCD (Employers Contribution)            5c(i)                                                    0                             0
                                80 CCD (Employees / Self Employed                                                                  0
                          c(ii)                                           5c(ii)                                                                                 0
                                Contribution)
                           d 80 CCF                                        5d                                                      0                             0
                            e 80 D                                          5e                                                     0                             0
                            f 80 DD                                         5f                                                     0                             0
                           g 80 DDB                                        5g                                                      0                             0
                           h 80 E                                          5h                                                      0                             0
                            i 80 G                                          5i                                                     0                             0
                            j 80 GG                                         5j                                                     0                             0
                           k 80 GGA                                        5k                                                      0                             0
                            l 80 GGC                                        5l                                                     0                             0
                           m 80 U                                          5m                                                      0                             0
                        6 Deductions (Total of 5a to 5m)                    6                                                      0 6                               0
                        7 Total Income (4 - 6)                                                                                        7                              0
TAX COMPUTATION




                        8 Tax payable on Total Income                                                                                 8                              0
                        9 Education Cess, including secondary and higher secondary cess on 8                                          9                              0
                       10 Total Tax, Surcharge and Education Cess (Payable) (8 + 9)                                                  10                              0
                       11 Relief under Section 89                          11                                                      0
                       12 Relief under Section 90/91                       12                                                      0
                       13 Balance Tax Payable (10 - 11 - 12)                                                                         13                              0
                       14 Total Interest u/s 234A 234B 234C                                                                          14                              0
                       15 Total Tax and Interest Payable (13 + 14)                                                                   15                              0
        Details of Tax Deducted at Source from SALARY
 23     [As per FORM 16 issued by Employer(s)]
                           Tax Deduction
                                                                  Income charg
                          Account Number      Name of the                            Total tax
             SI.No                                               eable under the
                            (TAN) of the       Employer                              Deducted
                                                                  head Salaries
                             Employer
              (1)                (2)             (3)                    (4)              (5)
               1
               2
               3
        (Click + to add more rows to 23) TDS on Salary above. Do not delete blank rows. )
        Details of Tax Deducted at Source on Income OTHER THAN SALARY
 24     [As per FORM 16 A issued by Deductor(s)]
                                                                                                             Amount
                            Tax Deduction                                                                      out of
                           Account Number       Name of the       Unique TDS         Deducted    Total tax       (6)
            SI.No
                             (TAN) of the        Deductor        Certificate No.       Year      Deducted     claimed
                               Deductor                                                                          for
                                                                                                             this year
              (1)                 (2)                (3)                (4)              (5)        (6)          (7)
               1
               2
               3
               4
        (Click + to add more rows ) TDS other than Salary above. Do not delete blank rows. )



 25            Details of Advance Tax and Self Assessment Tax Payments

                        Date of Credit into     Serial
Sl No
        BSR Code        Govt Account            Number of     Amount (Rs)
                        (DD/MM/YYYY)            Challan
 1
 2
 3
 4
 5
 6

        (Click '+' to add more rows ) Tax Payments. Do not delete blank rows. )
               16 Taxes Paid PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP
                  FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid figures




 TAXES PAID
                  below will get filled up when the Schedules linked to them are filled.
                     a Advance Tax (from item 25)               16a            0
                     b TDS (Total from item 23 + item 24)       16b
                                                                               0
                     c Self Assessment Tax (item 25)             16c           0
               17   Total Taxes Paid (16a+16b+16c)                                             17              0
               18   Tax Payable (15-17) (if 15 is greater than 17)                             18              0
               19   Refund (17-15) if 17 is greater than 15                                    19              0
               20   Enter your Bank Account number
 REFUND




     21 Select Yes if you want your refund by direct deposit into your bank account,       No
        Select No if you want refund by Cheque
     22 In case of direct deposit to your bank account give additional details
        MICR Code                                   Type of Account(As applicable)
 26 Exempt income for reporting purposes only
                                             VERIFICATION
                                                                           son/daughter of
                       I,
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 2012-13
Place                                              Date                      Sign here ->
PAN
 27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No of TRP                     Name of TRP


              If TRP is entitled for any reimbursement from the Government, amount thereof (to be
    28
              filled by TRP)
                               Schedule 80G                 Details of donations entitled for deduction under section 80G
    Donations entitled for 100% deduction without qualifying limit (IN
A   CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS
    DESCRIBED IN SECTION 80G(2), PLEASE USE PAN AS
               Name of Adress             City or Town or State Code       PinCode PAN of Donee Amount of Eligible
               donee                      District                                                     donation Amount of
                                                                                                                   Donation
        1                                                                                                                     0
        2                                                                                                                     0
        3                                                                                                                     0
        4                                                                                                                     0

               Total 80GA                                                                                     0               0




B   Donations entitled for 50% deduction without qualifying limit
               Name of Address           City or Town or State Code       PinCode     PAN of Donee Amount of Eligible
               donee                     District                                                  donation Amount of
                                                                                                             Donation
        1                                                                                                                     0
        2                                                                                                                     0
        3                                                                                                                     0
        4                                                                                                                     0

               Total 80GB :                                                                                   0               0




C   Donations entitled for 100% deduction subject to qualifying limit
               Name of Address           City Or Town Or State Code       PinCode     PAN of Donee Amount of Eligible
               donee                     District                                                  donation Amount of
                                                                                                             Donation
        1                                                                                                                     0
        2                                                                                                                     0
        3                                                                                                                     0
        4                                                                                                                     0

               Total 80GC :                                                                                   0               0
D   Donations entitled for 50% deduction subject to qualifying limit
               Name of Address            City Or Town Or State Code   PinCode   PAN of Donee Amount of Eligible
               donee                      District                                            donation Amount of
                                                                                                        Donation
        1                                                                                                          0
        2                                                                                                          0
        3                                                                                                          0
        4                                                                                                          0

               Total 80GD                                                                            0             0




E   Donations (A + B + C + D)                                                                        0             0

								
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