Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

ITR-1 SAHAJ INDIAN INCOME TAX RETURN

Income from Salaries, one house property, other sources (Interest etc.), and agricultural income upto Rs.5 thousand

[Not for an individual who is either a director in a company or has invested in unlisted equity shares]
(Refer instructions for eligibility)

PART A GENERAL INFORMATION

Name CHANA SHAKE

PAN BXAPS4458J Date of Birth (DD/MM/YYYY) 15/05/1988

Mobile no 91 - 8686862285 Email Address [email protected]

Aadhaar Number 810574866392

Address

Flat / Door / Block No 121 Name of Premises / Building / Village

Road/ Street/Post Office Raghunada Rao Street Area/ Locality Vijayawada (Urban)

Town/ City/ District KRISHNA State ANDHRA PRADESH

PIN Code 520003 Country INDIA

Nature of Employment Not Applicable(eg. Family pension etc)

Filed u/s /Filed in Response to Notice u/s 139(1)-On or before due date

If revised/defective

Receipt number

Date Of Filing Of Original Return (DD/MM/YYYY)

If filed in response to notice u/s 139(9)/142(1)/148/153A/153C or 119(2)(b)-

Unique number

Date of such notice/Order

Part B Gross Total Income

B1 (i) Gross Salary(ia + ib + ic) 780000

(a)Salary as per section 17(1) 780000

(b)Value of perquisites as per section 17(2) 0

(c)Profits in lieu of salary as per section 17(3) 0

ii) Less : Allowances to the extent exempt u/s 10(Ensure that it is included in salary income u/s 17(1)/17(2)/17(3)) 195000

S.No. Nature of Exempt Allowance Description ( If Any Other selected) Amount

1 Sec 10(13A)-Allowance to meet expenditure incurred on house rent 195000

(iii) Net Salary(i-ii) 585000

(iv) Deductions u/s 16 (iva + ivb + ivc) 40000

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Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

(a) Standard Deduction u/s 16(ia) 40000

(b) Entertainment allowance u/s 16(ii)

(c) Professional tax u/s 16(iii)

(v) Income chargeable under the Head "Salaries"(iii - iv) 545000

B2 Type of House Property

(i) Gross rent received/ receivable/ letable value during the year 0
House Property

(ii) Tax paid to local authorities 0

(iii) Annual Value (i – ii) 0

(iv) 30% of Annual Value 0

(v) Interest payable on borrowed capital 0

(vi) Arrears/Unrealized Rent received during the year Less 30% 0

(vii)Income chargeable under the head ‘House Property’ (iii – iv – v) + vi 0

B3 Income from Other Sources 0

S.No. Nature of Income Description ( If Any Other selected) Amount

Less: Deduction u/s 57(iia) (Applicable for family pension only)

B4 Gross Total Income (B1+B2+B3)(If loss, put the figure in negative) 545000

Part C - Deductions and Taxable Total Income

S.No. Section Amount System Calculated

80C - Life insurance premia, deferred annuity, contributions to provident 120540 120540

fund, subscription to certain equity shares or debentures, etc.

80CCC - Payment in respect Pension Fund,etc. 0 0

80CCD(1) - Contribution to pension scheme of Central Government 0 0

80CCD(1B) - Contribution to pension scheme of Central Government 0 0

80CCD(2) - Contribution to pension scheme of Central Government by 0 0

employer

80CCG - Investment made under an equity savings scheme 0 0

80D

(A) Health Insurance Premium - 0 0

(B) Medical expenditure - 0

(C) Preventive health check-up - 0

80DD - Maintenance including medical treatment of a dependent who is a 0 0

person with disability -

80DDB - Medical treatment of specified disease - 0 0

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Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

80E - Interest on loan taken for higher education 0 0

80EE - Interest on loan taken for residential house property 0 0

Donations to certain funds, charitable institutions, etc. (Please fill 80G 0 0

Schedule. This field is auto-populated from schedule)

80GG - Rent paid 0 0

80GGA - Certain donations for scientific research or rural development 0 0

(Please fill 80GGA Schedule. This field is auto-populated from schedule.)

80GGC - Donation to Political party 0 0

80TTA - Interest on saving bank Accounts in case of other than Resident 0 0

senior citizens

80TTB- Interest on deposits in case of Resident senior citizens. 0 0

80U-In case of a person with disability- 0 0

C1 Total Deductions 120540 120540

Note:Total deductions under chapter VI A cannot exceed GTI.

C2 Total Income (B4-C1) 424460

Exempt income (For reporting Purposes)

S.No. Nature of Income Description ( If Any Other selected) Total Amount

Total Amount 0

Part D - Computation of Tax Payable

D1 Tax Payable on Total Income(C2) 8723

D2 Rebate u/s 87A 0

D3 Tax after Rebate (D1-D2) 8723

D4 Health and Education Cess @4% on (D3) 349

D5 Total Tax &Cess 9072

D6 Relief u/s 89 (Please ensure to submit Form 10E to claim this relief) 0

Balance Tax After Relief (D5-D6) 9072

D7 Interest u/s 234A 0

D8 Interest u/s 234B 0

D9 Interest u/s 234C 0

D10 Fee u/s 234F 0

Total Interest and Fee Payable ( D7 + D8 + D9 + D10) 0

D11 Total Tax, Fee and Interest ( D5 + D7 + D8 + D9 + D10- D6) 9072

D12(i) Total Advance Tax Paid 0

D12(ii) Total Self Assessment Tax Paid 0

D12(iii) Total TDS Claimed 48000

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Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

D12(iv) Total TCS Claimed 0

D12(v) Total Taxes Paid(D12[(i) + (ii) + (iii) + (iv)]) 48000

D13 Amount payable (D11 –D12)(if D11 > D12) 0

D14 Refund(D12 - D11)(if D12 > D11) 38930

Part E – Other Information

D15 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)

S.No. IFS Code of the Bank Name of the Bank Account Number Select Account for Refund Credit

1 SBIN0011097 State Bank of India 33401183369

2 ANDB0001317 Andhra Bank 131710100016196

TAX DETAILS

TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

S.No. Tax Deduction Account Number Name of Deductor [Col (2)] Income chargeable Total Tax Deducted [Col (4)]

(TAN) of the Deductor [Col (1)] under Salaries [Col (3)]

1 HYDK04770D K B C INFRA STRUC 780000 48000

TURES PRIVATE LIM ITED

TOTAL 48000

TDS2 Details of Tax Deducted at Source from Income OTHER THAN Salary [As per FORM 16A issued by Deductor(s)]

Sl.No. Tax Deduction Account Name of the Gross receipt which Year of tax Tax Deducted [Col (5)] TDS Credit out

Number (TAN) of the Deductor [Col (2)] is subject to tax deduction [Col (4)] of (5) claimed for

Deductor [Col (1)] deduction [Col (3)] this Year [Col (6)]

TOTAL 0

TDS3 Details of Tax Deducted at Source [As per Form 16C furnised by the Payer(s)]

S.No. Permanent Account Name of the Gross receipt which Year of Tax Tax Deducted[Col (5)] TDS Credit out of

Number of the Tenant [Col (2)] is subject to tax Deduction [Col (4)] (5) claimed this

Tenant [Col (1)] Deduction [Col (3)] Year [Col (6)]

TOTAL 0

TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]

S.No. Tax Collection Name of the Gross payment which Year of tax Tax Collected [Col (5)] TCS Credit out

Account Number of Collector [Col (2)] is subject to tax Collection [Col (4)] of (5) claimed

the Collector [Col (1)] collection [Col (3)] this year [Col (6)]

TOTAL 0

IT Details of Advance Tax and Self Assessment Tax Payments

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Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

S.No. BSR Code Date of deposit Serial Number of Challan Tax paid

[Col (1)] (DD/MM/YYYY) [Col (2)] [Col (3)] [Col (4)]

TOTAL 0

Details of donations entitled for deduction under section 80G

A. Donations entitled for 100% deduction without qualifying limit, (where any row is filled by the user, all the fields in that row should become mandatory)

S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

1 0 0

Total A 0 0 0 0

B. Donations entitled for 50% deduction without qualifying limit (where any row is filled by the user, all the fields in that row should become mandatory)

S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

1 0 0

Total B 0 0 0 0

C. Donations entitled for 100% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become

mandatory)

S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

1 0 0

Total C 0 0 0 0

D. Donations entitled for 50% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become mandatory)

S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

1 0 0

Total D 0 0 0 0

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

Schedule 80GGA:Details of donations for scientific research or rural development

S No. Relevant Clause Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible

under which the Donee or District the Donee Donation Donation in Total Amount

deduction in cash other mode Donation of

is claimed Donation

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Acknowledgement Number : 560788540050719 Assessment Year : 2019-20

1 0 0

Total Donation 0 0 0 0

VERIFICATION

I, CHANA SHAKE son/daughter of, ISMAIL SHAKE , solemnly declare that to the best of my knowledge and belief, the information given in the return is

correct and complete and is in accordance with the provisions of the Income- tax Act 1961.I further declare that I am making this return in my capacity as Self
and I am also competent to make this return and verify it. I am holding permanent account number BXAPS4458J

Place GUNTUR

Income Tax Return submitted electronically on 05/07/2019 from IP Address 49.206.90.104 and verified by CHANA SHAKE having PAN BXAPS4458J on 05/07/201
9 from IP address 49.206.90.104 using Electronic Verification Code PUYTV1HL1I generated through Aadhaar OTP mode.

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