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**** Suri - 1.3 (27.06.10) ****



                                     SARAL RETURN FORM F.YR 2009-10 (A.YR. 2010-11)




                                  Fill Data in the GREEN CELLS in Basic Data sheet & Tax Details Sh
                                     CHECK FINAL FIGURES in the Basic Data Sheet
                              If details are correct - Print the return for

Disclaimer : This is a free tool. All efforts have been made so that it can be of use to the maximum users and is accura
in case, any inaccuracy is found, neither AllBankingSolutions.com nor the developer of the tool will be responsible for
caused on this account.
 (A.YR. 2010-11)




et & Tax Details Sheet
sic Data Sheet
he return form

mum users and is accurate as far as possible. However,
ol will be responsible for any loss or inconvenience
          **** Suri - 1.3 (27.06.10) ****              Downloaded from AllBankingSolutions.com
          suri.ashwani@rediffmail.com                  Developed by : Ashwani Suri - suri.ashwani@rediffmail.com
 Tax                              First Name
Details                          Middle Name
                                  Last Name

Return                       Father's Name
Form                               PAN
                              Date of Birth
                               Sr. Citizen                       No
                          Flat/Door/Block No.
                   Name of Premises/Building/Village
                        Road/Street/Post Office
                              Area/Locality                      AMRITSAR
                           Town/City/District                    AMRITSAR
                                   State                         PUNJAB
                                Pin Code                         143001
                                    Sex                          Male
                             Email Address
                              (STD Code)                         0183
                             Phone Number
              Designation of assessing officer(ward/circle)      Ward
                       Return filed under Section                11
                     SALARY as per Form No. 16
                          Employers Category                     Govt
                    Income chargeable to salaries
             Income (+)/Loss(-) Under Head House Property
                        Interest / Other Sources

            80C          0                      80DD       0                   80GG         0
           80CCC         0                     80DDB       0                  80GGA         0
           80CCD         0                       80E       0                  80GGC         0
            80D          0                       80G       0                    80U         0
                             Relief U/s 89                                                              0.00
                              If refund
                 Refund Thru Chq(Y) / Direct in Bank(N)
 Tax                       Account Number
Details                      MICR Code
                          Exempted Income
Return                          Place                                                              Amritsar
Form                             Date

                       Check final figures
          Gross Total Income                                              0
          Deductions Under Chapter VI-A                                   0
          Total Income                                                    0
          Current Year loss (if any)                                      0
          Net tax payable                                                 0
          Interest payable                                                0
Total tax and interest payable                              0
Taxes paid                                                  0
Advance Tax                                       0         0
TDS                                               0         0
TCS                                               0         0
Self Assessment Tax                               0         0
Total Taxes Paid (7a+7b+7c+7d)                    0         0
Tax Payable (6-7d)                                          0
Refund (7e-6)                                               0
                                                                                           Code
Other Information (transactions reported through Annual Information Return)
001 Cash deposits aggregating to ten lakh rupees or more in a year in any savings account by you
   maintained in a banking company to which the Banking Regulation Act, 1949 (10 of 1949),
   applied (including any bank or banking institution referred to in section 51 of that Act)
002 Payment made by you against bills raised in respect of a credit card aggregating to two lakh
   rupees or more in a year.
003 Payment made by you of an amount of two lakh rupees or more for purchase of units of
   Mutual Fund.
004 Payment made by you of an amount of five lakh rupees or more for acquiring bonds or
   debentures issued by a company or institution.
005 Payment made by you of an amount of one lakh rupees or more for acquiring shares issued
   by a company.
006 Purchase by you of any immovable property valued at thirty lakh rupees or more.
007 Sale by you of any immovable property valued at thirty lakh rupees or more.
008 Payment made by you of an amount of five lakh rupees or more in a year for investment in
   bonds issued by Reserve Bank of India.
@rediffmail.com




            11 - Voluntarily before the due date under section 139
            12 - Voluntarily after the due date under section 139
            13 - In response to notice under section 142(1)
            14 - In response to notice under section 148
            15 - In response to notice under section 153A/ 153C
        Code    Amount

ccount by you


 to two lakh




ares issued
Basic    Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employ(s)]
Data              TAN Number     Name & Address Income Chargeable         Deduction under   Tax Payable
          Sl-No
                  of Employer       of Employer   Under Head Salaries      Chapter- VI -A   (incl edu cess)
Return     (1)           (2)            (3)                (4)                  (5)                (6)
Form         i
                                                                    -                     -                -
            ii


         Details of Tax Deducted at source other than salary

                  TAN Number      Name & Address        Amount Paid/         Date of Payment /        Total Tax
          Sl-No
                  of Deductor       of Deductor           Credited                Credit               Deducted
           (1)          (2)             (3)                 (4)                      (5)                 (6)
            i
                                                                                                                  0
            ii
                                                                                                                  0
            iii
                                                                                                                  0
         Note > Enter the total of column (7) of 23 and column (7) of 24 in Sl No 17b of TAXES PAID

         Details of Advance Tax
                                                                                 Date of Deposit
          Sl-No Name of Bank & Branch               BSR Code                                          Sl-No of Challan
                                                                                 DD/ MM / YYYY
            i

            ii

            iii
Basic
Data     Details of Self Assessment Tax Payments
                                                                                 Date of Deposit
          Sl-No Name of Bank & Branch               BSR Code                                          Sl-No of Challan
Return                                                                           DD/ MM / YYYY
Form        i

            ii

            iii
Tax Payable Total Tax       Tax Payable/
(incl edu cess) Deducted     Refundable
       (6)         (7)           (8)
             -         -                 0

                       0                 0




 Total Tax        Amount out of (6)
  Deducted       Claimed for this Year
     (6)                 (7)
             0                           0

             0                           0

             0                           0




  Sl-No of Challan         Amount (Rs)

                                         0

                                         0

                                         0


  Sl-No of Challan         Amount (Rs)

                                         0

                                         0

                                         0
**** Suri - 1.3 (27.06.10) ****




                                                                 INDIAN INCOME TAX RETURN                                                           Assessment Year
                               SARAL-II       [For Individuals having income from Salary / Pension / Income from One House

       FORM
                                                       Property (excluding loss brought forward from previous years) /
                                (ITR-1) Income from Other Sources (excluding Winning from Lottery and Income from Race Horses)]
                                                                                                                                                     2 0 1 0− 1 1
                                                (Please see rule 12 of Income-Tax Rule,1962) (Also see attached Instructions)




                               First name                    Middle name                     Last name                               PAN
        PERSONAL INFORMATION




                               0                                                      0                                                                       0
                               Flat / Door / Block No                    Name Of Premises / Building / Village                       Date of Birth (DD/MM/YYYY)

                                                 0                                                   0                                                        0
                               Road / Street / Post Office               Area / Locality                                             Employer Category (Tick)                     √
                                                                                                                                           √    Govt           PSU                Others
                                                  0                                              AMRITSAR
                               Town / City / District                    Sate                                  Pin Code              Sex (Tick) √              Male
                                                                                                                                          √     Male                       Female
                                          AMRITSAR                                         PUNJAB                 143001
                               Email Address                                                                                 0183
                                                                                                         (STD Code)-Phone Number
                                                        0
                               Designation of Assessing Officer (Ward/Circle)                            Return Filed under section-
                                                                                                         [Please see instruction number -9(i)]                         1 1
                               Ward
        FILING STATUS




                               Whether Original or revised return ? (Tick)                   √                                        √         Original                   Revised
                                                                                                                                     DD         /   M M        /     Y Y Y            Y
                               If Revised, enter receipt no and date of filing original return

                               Residential Status (Tick) √                 √    Resident                       Non Resident                Resident but Not Ordinarily Resident




                                  1       Income Chargeable under the Head 'Salaries' (Salary/Pension)                                 1                                                   -

                                  2       Income Chargeable under the Head 'House Property' (enter -ve sign in case of loss, if any)
                                                                                                                              2                                                            0

                                  3       Income Chargeable under the Head 'Other Sources' (enter -ve in case of loss, if any)
                                                                                                                             3                                                             -
        INCOME & DEDUCTIONS




                                  4       Gross Total Income (1+2+3)                                                                   4                                                   -

                                  5       Deductions under chapter VI A (Section)

                                            a   80C                  0     e    80DD                 0     i   80GG              0

                                            b   80CCC                0     f    80DDB                0     j   80GGA             0

                                            c   80CCD                0     g    80E                  0     k   80GGC             0

                                            d   80D                  0     h    80G                  0     l   80U               0

                                  6       Deductions (Total of 5a to 5l)                                                               6                                                   -

                                  7       Total Income (4-6)                                                                           7                                                   -

                                  8       Tax Payable on Total Income                                                                  8                                                   -

                                  9       Secondary and Higher Education Cess on 8                                                     9                                                   -
        TAX COMPUTATION




                                  10      Total Tax and Education Cess Payable (8+9)                                                  10                                                   -

                                  11      Relief under section 89                                                                     11                                                   -

                                  12      Relief under section 90 / 91                                                                12                                                   -

                                  13      Balance Tax Payable (10-11-12)                                                              13                                                   -

                                  14      Total Interest Payable u/s 234A / 234B / 234C                                               14                                                   -

                                  15      Total Tax and Interest Payable (12+13)                                                      15                                                   -

     Do not write or stamp in this area
     For Office Use Only
                                                                                                                        Seal and Signature of receiving official
     Receipt No
     Date




                                                                                                                                                                                  ***Software By:- Ashwani Suri ***
                         16     Taxes Paid




     TAXES PAID
                                  a    Advance Tax (from item 25)                                                             16a                                            -

                                  b    TDS (column 7 of item 23 +column 7 of item 24)                                         16b                                            -

                                  c    Self Assessment Tax (from item 25)                                                     16c                                            -

                         17     Total Taxes Paid (16a+16b+16c)                                                                 17                                            -

                         18     Tax Payable (15-17) (Enter if 15 is greater than 17, else leave blank)                         18                                            -

                         19     Refund (17d-16) (enter if 17d is greater than 16, also give Bank Account Details below)        19                                            -
                         20     Enter your bank account number (mandatory in case of refund)                                                   0
     REFUND




                         21     Do you want your refund by                         Cheque              Deposited directly into your bank account? (tick as applicable)   √
                         22     Give additional details of your bank account

                        MICR Code                                0                               Type of Account (tick as applicable               √        √   Savings

23                     Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employ(s)]
                                TAN Number     Name & Address Income Chargeable        Deduction under    Tax Payable Total Tax                             Tax Payable/
                        Sl-No
                                of Employer       of Employer  Under Head Salaries      Chapter- VI -A    (incl edu cess) Deducted                           Refundable
     TDS ON SALARY




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

                                                   0                 0                      0                             -                -           -                     0


                          ii
                                                                                                                                                       -                     0

24                     Details of Tax Deducted at source other than salary

                                TAN Number             Name & Address       Amount Paid/             Date of Payment /        Total Tax         Amount out of (6)
                        Sl-No
                                of Deductor              of Deductor          Credited                     Credit               Deducted       Claimed for this Year
     TDS ON INTEREST




                         (1)          (2)                    (3)                (4)                          (5)                    (6)                (7)
                          i
                                                                                                                                           0                                 0

                          ii
                                                                                                                                           0                                 0

                          iii
                                                                                                                                           0                                 0

                       Note > Enter the total of column (7) of 23 and column (7) of 24 in Sl No 17b of TAXES PAID
25                     Details of Advance Tax and Self Assessment Tax Payments
                                                                                                        Date of Deposit
                        Sl-No Name of Bank & Branch                      BSR Code                                              Sl-No of Challan            Amount (Rs)
                                                                                                        DD/ MM / YYYY
     TAX PAYMENTS




                           i                                                                                                                                                 0
                          ii                                                                                                                                                 0
                          iii                                                                                                                                                0
                          iv                                                                                                                                                 0
                          v                                                                                                                                                  0
                          vi                                                                                                                                                 0
                       Note > Enter the totals of Advance tax and Self Assessment tax in Sl No 17 a and 17 c of TAXES PAID
26                     Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl-No                  Code     Amount (Rs)                     Sl-No Code         Amount (Rs)                   Sl-No        Code Amount (Rs)
                                               -                                                 -
       A                 001                                     D         004                                        D       007                      -
                                               -                                                 -
      B                  002                                     F         005                                        F       008                      -
                                               -                                                 -
      C                  003                                     G         006


26                     Exempt income only for reporting purposes (from Dividend, Capital Gains etc)                            27

                                                                                 VERIFICATION

I,                                             .son / daughter of                                0                    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 2010-11

Place: Amritsar                                                          Date:           0.00                                 Sign Here ----->




                                                                                                                                                                  ***Software By:- Ashwani Suri ***
**** Suri - 1.3 (27.06.10) ****                                 Downloaded from AllBankingSolutions.com Developed by : Ashwani Suri - suri.ashwani@rediffmail.com
                                                                                        Government of India




                                                                                    INCOME-TAX DEPARTMENT

                                                                                       ACKNOWLEDGEMENT

 Received with thanks from                                                                                      a return of income
 and/or return of fringe benefits in Form No. SARAL-II (ITR - 1) for assessment year 2010-11, having the following particulars

                                           Name                                                                       PAN

                                                                                                                                           0
   PERSONAL INFORMATION




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


                                                                       0                                                           0
                                           Road/Street/Post Office                                    Area/Locality

                                                                       0                                                      AMRITSAR
                                           Town/City/District                                         State
                                                                                                           Status (fill the
                                                                                                                                                        11
                                                                                                               code)
                                     AMRITSAR                                       PUNJAB
         Designation of Assessing Officer (Ward/Circle)                                       Original or Revised
            1 Gross Total Income                                                                                1                                             -
   COMPUTATION OF INCOME AND TAX THEREON




            2 Deductions Under Chapter VI-A                                                                     2                                             -
            3 Total Income                                                                                      3                                             -
           3a Current Year loss (if any)                                                                       3a
            4 Net tax payable                                                                                   4                                             -
            5 Interest payable                                                                                  5                                             -
            6 Total tax and interest payable                                                                    6                                             -
            7 Taxes paid
              a    Advance Tax                                      7a                                   -
              b TDS                                                 7b                                   -
              c    TCS                                              7c                                   -
              d Self Assessment Tax                                 7d                                   -
              e    Total Taxes Paid (7a+7b+7c+7d)                                                              7e                                             -
            8 Tax Payable (6-7d)                                                                                8                                             -
            9 Refund (7e-6)                                                                                     9                                             -
Receipt No                                             Seal and Signature of receiving official
Date




                                                                                                                                                   ***Software By:- Ashwani Suri ***

				
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Description: Check Refund State Status document sample