Académique Documents
Professionnel Documents
Culture Documents
ITR-1 Interest]
(Please see Rule 12 of the Income-tax Rules,1962)
(Also see attached instructions)
2009 - 10
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First name Middle name Last Name PAN
PERSONAL INFORMATION
Recipt No
Date
Taxes Paid
a Advance Tax (from item 23) 15a 0.00
TAXES PAID
21 Details of tax Deducted at Source from Salary [As per Form 16 by Employer(s)]
SI Tax Deduction account Name and address of the Income Deduction Tax payable Total tax Tax
No Number (TAN) of the Employer chargeble under (Incl.surch. And deposited payable/
TDS ON SALARY
1 2 3
I
0.00 0.00 0.00
II
0.00 0.00 0.00
III
0.00 0.00 0.00
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
SI Name of Bank & Branch BSR Code Date of Deposit Serial Number of Amount (Rs)
No (DD/MM/YYYY) Challan
1 2 3 4 5 6
TAX PAYMENTS
i 0.00
ii 0.00
iii 0.00
iv 0.00
v 0.00
Note Enter the totalS of Advance tax and Self Assessment Sl No. 15a and 15c of TAXES PAID
24 Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl Code Amount Rs. Sl Code Amount Rs. Sl Code Amount Rs.
a 001 0.00 d 004 0.00 g 007 0.00
b 002 0.00 e 005 0.00 h 008 0.00
c 003 0.00 f 006 0.00
25 Tax-exempt in terest income (for reporting purpose only) 25 0.00
26 E-filing Acknowledgement Number Date(DD/MM/YYYY) / /
VERIFICATION
I, of solemnly declare that to the best of my knowdege and belief, the information given in to 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 theIncome-tax act, 1961, in respect of income
chargeable to Income-tax for the previous year releavant to the assessment Year 2008 - 09.
27 If the return has been prepared by a Tax Return Prepare (TRP) give further details as below:
Identifications No. TRP Name of TRP Counter Signature of TRP
if Trp is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP) 28