Acknowledgement Number : Assessment Year : 2019-20
ITR-1 SAHAJ INDIAN INCOME TAX RETURN
For individuals being a resident (other than not ordinarily resident) having total income upto Rs.50 lakh, having
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 DEVENDRA SINGH
PAN CZUPS6599H Date of Birth (DD/MM/YYYY) 01/06/1968
Mobile no 91 - 8793549433 Email Address devendrabamrah16@gma il.com
Aadhaar Number 459186768504
Address
Flat / Door / Block No S/O CHARAN SINGH Name of Premises / Building / Village
Road/ Street/Post Office H. NO. 171, VILL GANE SHPUR Area/ Locality Ganeshpur
Town/ City/ District UDHAM SINGH NAGAR State UTTARAKHAND
PIN Code 263152 Country INDIA
Nature of Employment Others
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) 510500
(a)Salary as per section 17(1) 510500
Salary / Pension
(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 0
S.No. Nature of Exempt Allowance Description ( If Any Other selected) Amount
(iii) Net Salary(i-ii) 510500
(iv) Deductions u/s 16 (iva + ivb + ivc) 40600
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Acknowledgement Number : Assessment Year : 2019-20
(a) Standard Deduction u/s 16(ia) 40000
Salary / Pension
(b) Entertainment allowance u/s 16(ii)
(c) Professional tax u/s 16(iii) 600
(v) Income chargeable under the Head "Salaries"(iii - iv) 469900
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 150
S.No. Nature of Income Description ( If Any Other selected) Amount
1 Interest from Income Tax Refund 150
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) 470050
Part C - Deductions and Taxable Total Income
S.No. Section Amount System Calculated
80C - Life insurance premia, deferred annuity, contributions to provident 92330 92330
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 : 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
80G - Donations to certain funds, charitable institutions, etc 0 0
80GG - Rent paid 51600 51600
80GGA - Certain donations for scientific research or rural development 0 0
80GGC - Donation to Political party 0 0
80TTA - Interest on deposits in savings Accounts 0 0
80TTB- Interest on deposits in case of senior citizens. 0 0
80U-In case of a person with disability- 0 0
C1 Total Deductions 143930 143930
Note:Total deductions under chapter VI A cannot exceed GTI.
C2 Total Income (B4-C1) 326120
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) 3806
D2 Rebate u/s 87A 2500
D3 Tax after Rebate (D1-D2) 1306
D4 Health and Education Cess @4% on (D3) 52
D5 Total Tax & Cess 1358
D6 Relief u/s 89(1) 0
Balance Tax After Relief (D5-D6) 1358
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) 1358
D12(i) Total Advance Tax Paid 0
D12(ii) Total Self Assessment Tax Paid 0
D12(iii) Total TDS Claimed 7900
D12(iv) Total TCS Claimed 0
D12(v) Total Taxes Paid(D12[(i) + (ii) + (iii) + (iv)]) 7900
D13 Amount payable (D11 –D12)(if D11 > D12) 0
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Acknowledgement Number : Assessment Year : 2019-20
D14 Refund(D12 - D11)(if D12 > D11) 6540
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 HDFC0002470 HDFC BANK 50100128087155
2 SBIN0000617 STATE BANK OF INDIA 31495089484
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 MRTG04528G GOODLUCK INDUSTRI 249167 2500
ES II UNIT GOODLU
CK INDIA LIMITED
2 MUMS24378E SHIVAM STEELS AND 168000 5400
TUBES PRIVATE LI MITED
TOTAL 7900
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 : 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 : Assessment Year : 2019-20
1 0 0
Total Donation 0 0 0 0
VERIFICATION
I, DEVENDRA SINGH son/daughter of, CHARAN SINGH , 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 CZUPS6599H
Place RUDRAPUR
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