Académique Documents
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2010-2011
Entries Results
Personal IT Stat.
Pay Data
Particulars
IT Data 0
* This programme is suitable to salaried class individuals without Other Source of Income
i.e. Agricultural Income, Business, Capital gains etc.
VERSION 1.1
Results
IT Stat.
ITR
Particulars of
0
e of Income
Enter the Details
* Use Tab to fill details.
Name
Designation
Office Address
Pincode
Professional Tax
Date of Birth
Tuition Fees
Phone No.
Cell No.
Bank AC No.
Bank Branch
Gender M
Income from
Deposit Interest
Donation to
State or Central Donation to
Govt other
Medical Insurance institution
Prem. Paid for For
Assesse Family Parents
Expenses for
handicapped
dependant
Interest paid to
educational loan
Permanent
physical
disability
Infrastructure
Development
Bond
ential Address
Is parent is a
senior citizen
AMOUNT
AMOUNT
ME PENSION
Net
GPF HF FBF SPF IT Salary
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0
0
0
0
0
0
0 0 0 0 0 0
Data For ITR Form
* Use Tab to fill details
Father Name
Flat/Door/Block No.
Road/Street/Post Office
Area / Locality
Town/City/District
State
Pincode
Email Address
Employee Category
Sex
Residential Status
Date / /
Name of Employer or Pay Drawing Officer
Son of
Details of Tax Deducted at Source on Salary [As per Form 16 issued by Emp
Tax Deduction Account Number
Sl. Name and address of the Employer
(TAN) of the Employer
No (2) (3)
i
nment Account
ed and deposited)
fer voucher/
Challan
fication No.
INCOME TAX CALCULATION STATEMENT FOR THE FINANCIAL
YEAR 2010-2011 (ASST. YEAR 2011-2012)
Name :
Designation : PAN :
Print it in Legal
Office Address:
Sheet, 2Pages,
double side
Phone No. : Cell No.: Pin :
Rs. Rs.
1. GROSS SALARY INCOME (Including all allowances) 0
2. LESS
HRA exempted under I.T. Rules under Section 10 (13A)
a. Actual rent paid
b. 10% of salary (Pay + DA)
c. Difference (excess over 10% pay + DA) i.e. (a-b)
d. H.R.A received 0
e. 40% of salary (Pay + DA)
HRA exempted c (or) d (or) e whichever is less 0
3. GROSS INCOME (1-2) 0
4. Taxable perquisites
Counter Signed
Taxable Non-tax.
Month Pay DP DA HRA MA RA Allow Allowan. GA GPF HF FBF SPF IT
March-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
April-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
May-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
June-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
July-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
August-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
September-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
October-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
November-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
December-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
January-11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
February-11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Surrender 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DA Arrear 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DA Arrear 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pongal Bonus 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pay Com. Arrear 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Profession Tax : 0 Insurance Premium : 0
ITR
GPF/PPF : 0 : NSC Deposit : 0
HF : 0 Mutual Fund/ F.D :
FBF : 0
Total : 0
1 ITR 1
Print it in A4
Sheet, 1Page,
Single side
ACKNOWLEDGEMENT
Town/City/District State
(For Individuals having Income from Salary / Pension / family pension & Interest) Sheet, 2Pages,
ITR-1 double side 2 0 1 1 - 1 2
(Please see Rule 12 of the Income-tax Rules, 1962) (Also see attached instructions)
Flat/ Door/ Block No. Name of Premises / Building / Village Date of Birth (DD/MM/YYYY)
/ /
Road / Street / Post Office Area / Locality Employee Category
0 0
Whether Original or Revised return? 0
If revised,enter original return's
Receipt No. Date / /
Residential Status 0
1 Income chargeable under the Head 'Salaries' (Salary/Pension) 1 0
2 Income chargeable under the Head 'Other Sources'
a Family Pension 2a 0
b Interest 2b 0
c Total (2a+2b) 2c 0
INCOME & DEDUCTIONS
b Surcharge on 9a 9b
c Education cess, including secondary and higher 9c
secondary cess on (9a+9b) 0
d Total Tax, Surcharge and Education Cess Payable (9a+9b+9c) 9d 0
10 Relief under Section 89 10
11 Relief under Section 90/91 11
12 Balance Tax Payable (9d-10-11) 12 0
Do not write or stamp in this area (Space for bar code) 13 a Interest Payable U/s 234A 13a
b Interest Payable U/s 234B 13b
c Interest Payable U/s 234C 13c
d Total Interest Payable 13d
(13a+13b+13c) 0
14 Total Tax and Interest Payable 14
(12+13d) 0
For Office Use Only
Date
15 Taxes Paid
a Advance Tax (from item 23) 15a
TAXES PAID
0 0 0 0 0
ii
22 Details of Tax Deducted at Source from Interest [As per Form 16A issued by Deductor(s)]
Tax Deduction Account Amount out of (6)
Sl. Amount paid / Date of Payment / Total tax
Number (TAN) of the Name and address of the Deductor claimed for this
No credited Credit deducted
Deductor year
(1) (2) (3) (4) (5) (6) (7)
TDS ON INTEREST
ii
iii
NOTE Enter the totals 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
Sl.
No
Name of Bank & Branch BSR Code Date of Deposit DD/MM/YYYY Serial Number of Amount (Rs.)
Challan
TAX PAYMENTS
i 0 0 0
ii 0 0 0
iii 0 0 0
iv 0 0 0
v 0 0 0
NOTE Enter the totals of Advance tax and Self Assessment tax in 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 d 004 g 007
b 002 e 005 h 008
c 003 f 006
25 Tax-exempt interest income ( for reporting purpose only ) 25
VERIFICATION
I son of 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 2011-12.
26 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of 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) 27
(See rule 31 (1) (a) of the Income Tax Rules, 1962)
Form No. 16 CERTIFICATE UNDER SECTION 203 OF THE INCOME TAX ACT,1961 FOR TAX
DEDUCTED AT SOURCE FROM INCOME CHARGEABLE UNDER THE HEAD "SALARIES"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
Print it in A4
Sheet, 2Pages,
double side
PAN No. of the Deductor TAN No. of the Deductor PAN No. of the Employee
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross Salary
(a) Salary as per provisions contained in Section 17(1) Rs.0
(b) Value of perquisites under Section 17(2)
(as per Form No.12 BA, wherever applicable) Rs.
(c) Profits in lieu of salary under Section 17(3)
( as per Form No.12 BA, wherever applicable) Rs.
(d) TOTAL Rs. 0
2. Less: Allowance to the extent exempt under Section 10
Allowance Rs.
HRA 0
3. BALANCE (1-2) Rs. 0
4. DEDUCTIONS:
(a) Risk Allowance Rs. 0
(b) Tax on Employment Rs. 0
5. Aggregate of 4 (a) and (b) Rs.0
6. Income chargeable under the head 'Salaries' (3-5) Rs.0
7. Add: Any other income reported by the Employee:
Rs.
0 Rs.0
8. GROSS TOTAL INCOME (6+7) Rs.
9. DEDUCTIONS UNDER CHAPTER VI-A GROSS DEDUCTIBLE
(A) Section 80C, 80CCC and 80CCD AMOUNT AMOUNT
(a) SECTION 80C
(i) Rs. 0
(ii) Rs. 0
(iii) Rs. 0
(iv) Rs. 0
(v) Rs. 0
(vi) Rs. 0
(vii) Rs. 0
(viii) Rs. 0 Rs. 0
(b) SECTION 80CCC Rs. 0 Rs. 0
(c) SECTION 80CCD Rs. Rs. Rs. 0
Note: 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees.
2. Aggregate amount deductible under the three sections, i.e., 80C, 80CCC and 80CCD, shall not exceed one lakh rupees.
(B) OTHER SECTION (FOR e.g. 80E, GROSS QUALIFYING DEDUCTIBLE
80G ETC.) UNDER CHAPTER VI-A AMOUNT AMOUNT AMOUNT
(a) Section Rs. 0 Rs. 0 Rs. 0
(b) Section Rs. 0 Rs. 0 Rs. 0
(c) Section Rs. 0 Rs. 0 Rs. 0
(d) Section Rs. 0 Rs. 0 Rs. 0
(e) Section Rs. 0 Rs. 0 Rs. 0
(f) Section Rs. 0 Rs. 0 Rs. 0
10. Aggregate of deductible amount under Chapter VI-A Rs. 0
11. TOTAL INCOME (8-10) Rs. 0
12. TAX ON TOTAL INCOME Rs. 0
13. Surcharge (on tax computed at S.No. 12) Rs.
14. Education Cess @ 3% on
(tax at S.No. 12 and surcharge at S.No. 13) Rs. 0
15. Tax payable (12+13+14) Rs. 0
16. Relief under Section 89 (attach details) Rs.
17. Tax payable (15-16) Rs. 0
18. Less: (a) Tax deducted at source u/s 192(1) Rs. Rs. 0
(b) Tax paid by the employer on
behalf of the employee u/s
192(1A) on perquisites U/s 17 (2) Rs. Rs.
19. Tax payable / Refundable (17-18) Rs. 0
Place :
Date : Signature of the person responsible for deduction of tax
PART - B
Part B-TI Computation of total income
1 Salaries (6 of Schedule S) 1
2 Income from house property (3c of Schedule HP) (enter nil if loss) 2
TOTAL INCOME
3 Capital gains
a Short term
i Short term (u/s 111A) (A5 of Schedule CG) 3ai
ii Short term (others) (A6 of Schedule CG) 3aii
iii Total Short-term (3ai+3aii) (enter nil if loss) 3aiii
b Long-term (B5 of Schedule CG) (enter nil if loss) 3b
c Total capital gains (3aiii + 3b) 3c
Do not write or stamp in this area (Space for bar code) For Office Use Only
Receipt No
Date
2 Surcharge on 1c 2
3 Education Cess on (1c+2) 3
4 Gross tax liability (1c+2+3) 4
5 Tax relief
a Section 89 5a
b Section 90 5b
c Section 91 5c
d Total (5a+5b+5c) 5d
6 Net tax liability (4-5d) 6
7 Interest payable
a For default in furnishing the return (section 234A) 7a
b For default in payment of advance tax (section 234B) 7b
c For deferment of advance tax (section 234C) 7c
d Total Interest Payable (7a+7b+7c) 7d
8 Aggregate liability (6+7d) 8
9 Taxes Paid
a Advance Tax (from Schedule-IT) 9a
TAXES PAID
13 Do you want your refund by cheque or deposited directly into your bank account?
14 In case of direct deposit to your bank account give additional details
MICR code Type of Account
VERIFICATION
I son of solemnly declare that to the best of my knowledge and belief,
the information given in the return and schedules therto 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 2011-2012.
Place Date Sign here →
16 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 17
Schedule S Details of Income from Salary
Name of Employer PAN of Employer (optional)
a Annual letable value/ rent received or receivable (higher if let out for whole of the year,
lower if let out for part of the year) 1a
b The amount of rent which cannot be realized 1b
c Tax paid to local authorities 1c
d Total (1b+1c) 1d
e Balance (1a-1d) 1e
f 30% of 1e 1f
g Interest payable on borrowed capital 1g 0
h Total (1f+1g) 1h 0
HOUSE PROPERTY
a Annual letable value/ rent received or receivable (higher if let out for whole of the year,
lower if let out for part of the year) 2a
b The amount of rent which cannot be realized 2b
c Tax paid to local authorities 2c
d Total (2b+2c) 2d
e Balance (2a-2d) 2e
f 30% of 1e 2f
g Interest payable on borrowed capital 2g
h Total (2f+2g) 2h
i Income from house property 2 (2e-2h) 2i
3 Income under the head "Income from house property"
a Rent of earlier years realized under section 25A/AA 3a
b Arrears of rent received during the year under section 25B after deducting 30% 3b
c Total (3a+3b+1i+2i) 3c
Note Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
i Expenses fi
ii Depreciation fii
iii Total fiii
g Balance (1e-fiii) 1g
2 Winnings from lotteries, crossword puzzles, races etc. 2
3 Income from other sources (other than from owning race horses) (1g+2) 3
4 Income from owning and maintaining race horses
O a Receipts 4a
b Deductions under section 57 in relation to (4) 4b
c Balance (4a-4b) 4c
5 Income chargeable under the head "Income from other sources" (1g+2+3+4c) 5
Note Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Schedule CYLA Details of Income after Set off of current year losses
Sl. Head/Sources Income of current House property loss of the current Other sources loss (other than Current years
No. of Income year year set off loss from race horses) of the Income
(Fill this column only current year set off remaining
CURRENT YEAR LOSS ADJUSTMENT
i Salaries
ii House property
iiiShort-term capital gain
iv Long term capital gain
v Other sources (including profit from
owning race horses)
vi Total of brought forward loss set off
vii Current year's income remaining after set off Total (i3+ii3+iii3+iv3+v3)
Schedule CFL Details of Losses to be carried forward to future years
Other sources loss
Date of Filling House Short-term Long-term Other sources loss
Sl. Assessment Year (other than loss (from owning race
(DD/MM/YYYY) property loss Capital loss Capital loss horses)
No from race horses)
i 2002-03
CARRY FORWARD OF LOSS
ii 2003-04
iii2004-05
iv 2005-06
v 2006-07
vi 2007-08
vii 2008-09
viii2009-10
ix Total of earlier year losses
x Adjustment of above losses in
Schedule BFLA
xi 2010-11(Current year losses)
xii Total loss Carried Forward
to future years
Schedule VIA Deductions under Chapter VI-A (Section)
a 80C h 80G
EDUCTIONS
TOTAL DEDUCTIONS b 80CCC i 80GG
c 80CCD j 80GGA
d 80D k 80GGC
e 80DD l 80RRB
f 80DDB m 80U
g 80E
n Total deductions (total of a to m) n
Schedule SPI Income of specified persons (spouse, minor child etc) includable in income of the assessee
Sl.No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs.)
1
2
Schedule SI Income chargeable to Income tax at special rates (Please see instruction No.9(iii) for section code and rate of tax)
Sl. Section Special rate Income Tax thereon Sl. Section Special rate Income Tax thereon
No Code % i ii No Code % i ii
SPECIAL RATE
1 6
2 7
3 8
4 9
5 10
11 Total (1ii to 10ii)
2 Dividend income 2
3 Long-term capital gains from transactions on which Securities Transaction Tax is paid 3
4 Net Agriculture income/any other income for rate 4
5 Others 5
6 Total (1+2+3+4+5) 6
Schedule AIR Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl Code of Transaction Amount (Rs) Sl Code of Transaction Amount (Rs)
1 001 5 005
2 002 6 006
3 003 7 007
4 004 8 008
Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-Tax
Sl Date of Deposit Serial Number Amount (Rs)
Name of Bank & Branch BSR Code
TAX PAYMENTS
No (DD/MM/YYYY) of Challan
i
ii
iii
iv
v
Note Enter the totals of Advance tax and Self Assessment tax in Sl. No. 9a & 9c of Part B-TTI
Schedule TDS1 Details of Advance Tax and Self Assessment Tax Payments of Income-Tax
ii
Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16A issued by Deductor(s)]
Tax Deduction Account Date of Total tax Amount out of (6)
TDS ON OTHER INCOME
Sl
Number (TAN) of the Name and address of the Deductor Amount paid Payment /
No deposited claimed for this
Deductor Credit year
(1) (2) (3) (4) (5) (6) (7)
Note Please enter total ofcolumn 7 of Schedule - TDSI and column 7 of Schedule-TDS2 in 9(b) of Part B-TTI
ment Year
ving official
0
0
rrent years
's income
ter set off
sources loss
owning race
horses)
ount (Rs.)
x thereon
Tax
payable/
refundable
(8)
nt out of (6)
ed for this
year
(7)