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INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-2A, ITR-3, ITR-4S (SUGAM), 2015-16
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
Neha Goyal
BIIPG3896D
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village Form No. which


602 has been
DATE OF ELECTRONIC

electronically ITR-4
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality


BLOCK NO.U2, SECTOR 20
Status Individual
Town/City/District State Pin Aadhaar Number
PANCHKULA HARYANA
134117

Designation of AO(Ward/Circle) WARD-3, PKL Original or Revised


ORIGINAL
E-filing Acknowledgement Number 155467800040416 Date(DD/MM/YYYY) 04-04-2016
1 Gross total income 1 268718
2 Deductions under Chapter-VI-A 2 0
3 Total Income 3 268720
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 0
AND TAX THEREON

4 Net tax payable


5 Interest payable 5 0
6 Total tax and interest payable 6 0
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 6602
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 6602
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 6600
Agriculture 10
10 Exempt Income
Others

The return has been electronically uploaded on 04-04-2016 from IP address 203.134.198.241 and has been electronically

verified by NEHA GOYAL in the capacity of having PAN BIIPG3896D

on 04-04-2016 11:14:54 from IP address 203.134.198.241 at PANCHKULA using

Electronic Verification Code MVVXUDNFFF generated through Net Banking mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

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