income tax calculation with itr-i modified
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BIO DATA OF THE EMPLOYEE FOR FILLING UP OF ITR-1FIRST NAME IN CAPITAL
Middle Name: DATA SHEET FOR FILLING UP I T R - ILast Name:
Permanent A/C No ( PAN NO)DATE OF BIRTH
EMPLOYEE'S ADDRESSPost Office:
Area/Locality:District:
PIN CODE:State:(STD code)-Phone No:
GENDER- MALEFEMALE
EMPLOYEE STATUSDESIGNATION OF EMPLOYEE
Office AddressSTATUS- Govt/PSU/Others
Tan no of D.D.O.
PARTICULARS OF SALARY
0
This Calculation Sheet Prepared by SriPranab Bandyopadhyay, Bhattapara,
Jiaganj, Murshidabad.Email:-
Total Income from Salary Rs :(col.no 7 ) ofSalary Statemet for THIS YEAR
Gross salary( including HRA,BONUS,
ANY INT.PTAX,&U/S10(13A))
Taxable income of previous year (Col-9)Form No. 16 ofPREVIOUS YEAR
Auto Calculation for Relief U/S 89(1)[ Taxable Income for this yearafter deduc 80 C
(Col-9 of Salary statement]
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1
2 Pention fund(Max.100000/-) 80CCC
3 80CCD
4 Donation(max.100%) 80G
5 Health Premium (Max.15000/-)80D
6 Education Loan(Max.75000/-) 80E
7 Handicapped (Max.1,00,000/-) 80DD
8
9
Total Deduction 0
Arrear Received if any
Relief under Section 89(1) 0 AUTO FILLED CELL (DON'T PUT ANY DATA )
Advance Tax Paid
For refund enter 9 Digit MICR Code
Type of Account Savings/CurrentBank Account No
Deduction under chapter VI-A(LIC,PF,Tuition Fees,H.B.Principal):80C
Put the Total DepositAmount through 80 C &Ors.
New pension scheme (Max10% of salry
Medical TreatmentEtc.80DDB(Max.40000/-
Permanent disabbility includingblindnes (Max.75000/-) 80 U
This Cell is Autofilled,The Amount is ATaxable Income fthis Year(Col.no.Salary statementthis year.)
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tualor
ofof
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FORM
ITR-1
INDIAN INCOME TAX RETURN Assessment Year
[For Individual having Income from Salary/Pension/family pension & Interest]
2 0 1 0 - 1 1 (Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instructions)
PERSONALINF
ORMATION
First name Middle name Last name Pan No
0 0 0 0Flat /Door/Block No. Name Of Premises/Building/Village
0 12/30/1899
Road/Street/Post Office Area/Locality Employer Category (T
0 0 Govt. PSU Others
Town/City/District State Pin code
0 0 0 0 0
Email Addr (STD Code) - Phone Number
FI
LING
STATUS
Designation of Assessing Officer (Ward/Circ Return Filed Under Section- 1 1
0 [Please see instruction number-9(i)]
Whether original or Revised return? (T Original Revised
ORIGINAL
Residential Status (Ti Resident Non-Resident Resident but not ordinarily Resi
INCOME&
DEDUCTIONS
1 Income chargeable under the Head 'Salaries',Pension 1 -
2Income chargeable under the Head 'Other Sources' (Interest) # 0
a Family pension 2a 0
b Interest 2b 0
c Total (2a+2b) 2c 0
3 Gross Total Income (1+2c) 3 0
4 Deductions under chapter VIA (Section
a 80C 0 e 80DD 0 I 80GG 0
b 80CCC 0 f 80DDB 0 j 80GGA 0c 80CCD 0 g 80E 0 k 80GGC 0
d 80D 0 h 80G 0 l 80U 0
mDeductions (Total of a to i) 4m 0
5 Total Income (3-4m) 5 06 6
7 Aggregate Income' (5+6) 7 0
TAXCOMPUTATION
8 a Tax Payable on 'Aggregate Income' 8a 0
b Rebate in respect of Net Agricultural income 8b 0
9 a Tax Payable on total Income (8a - 8b) 9a 0b Surcharge on 9a 9b 0
c Education Cess on (9a + 9B) 9c 0
d Total Tax, Surcharge and Education cess payable (9a + 9b + 9c) 9d 0
# Relief under Section 89 10 0
# Relief under Section 90/91 11 0
Date of Birth (DD/MM/YY
Sex (Tick)
If revised, enter Receipt No and Date offiling original return (DD/MM/YYYY)
Net Agricultural Income (Enter only if greater than Rs.5,000)
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# Balance Tax Payable (9d-10-11) 12 0
13 a Interest Payable U/s 234A 13a 0
b Interest Payable U/s 234B 13b 0
c Interest Payable U/s 234C 13c 0d Total Interest Payable 13d 0
(13a+13b+13c)
14 Total Tax and Interest Payabl 14 0(12+13d)
For office Use only Seal and signature of receivin
Receipt No.
Date
TAXESPAID
# Taxes Paid
a Advance Tax (from item 23) 15a 0
b TDS (column 7 of item21+column 7 of 15b 0
c Self Assessment Tax (from item 23) 15c
d Total Taxes paid (15a+15b+15c) 15d 0
# 16 0
REFUND
# 17 0
# Enter your bank account number (mandatory in case of ref0
# Do you want your refund b Cheque, or
# In case of direct deposit to your bank account give additional det
MICR Code 0 Savin Curren
1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
TDSON
SALARY
(1) (2) (3) (4) (5) (6) (7) (8)
0
2 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]
ON
INTEREST
(1) (2) (3) (4) (5) (6) (7)
0
0
Do not write or stamp in this ares (Space forar code)
Tax payable(14-15d)(enter if 14 is greater than 15d, else leave blank)
Refund (15d-14) (enter if 15d is greater than 14, also give Bank account details below)
deposited directly into your bank account? (tick
Type of Account (tick as applicable
SlNo
Tax DeductionAccountNumber(TAN) ofthe Employer
Namee and address ofthe Employer
Incomechargeable
under the headsalaries
DeductionunderChapter VI-A
Tax payable(incl. surch.
And edn.Cess)
Totaltax
deposited
Taxpayable/refundabl
e
SlNo
Tax Deduction
AccountNumber(TAN) of
the Deductor
Namee and address ofthe Deductor
Amount paid/credited
Date ofPayment/Credit
Total taxdeposited
Amount
out of (6)claim forthis year
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TD
0
NOTE Enter the total of column (7) of 22 in Sl.No.15b of TAXES PAID 0
3 Details of Advance Tax and Self Assessment Tax Payments
TAXPAYMENTS
Name of Bank & Branch BSR Code
(i) 0
(iii 0
NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of 0
4
l. Code Amount (Rs.) Sl. Code Amount (Rs.) Sl Code Amount (Rs.)
001 e 004 h 007
002 f 005 i 008
003 g 006 j
5 Tax-exempt interest income (for reporting purposes only)
VERIFICATION
I, son/ daughter of solemnly
lace Date Sign here
6 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below :
dentification No. of TR Name of TRP Counter Signature of TRP
27
SlNo
Date of Deposit(DD/MM/YYYY)
Serial Number ofChallan
Amount(Rs.)
Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii)
eclare that to the best of my knwledge and belief, the information given in the return thereto is correct andomplete and that the amount of total income and other particulars shown therein are truly stated and in
f TRP is entitled for any reimbursement from the Government, amount thereof(to be fill
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Y)
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official
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or code)
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Government of India
INCOME TAX DEPARTMENTACKNOWLEDGEMENT
Received with thanks form: 0 0 0 a return of income &/returnof fringe benefits in Form No ITR - 1 for assessment year 20010-2011, having the following particulars:
PERSON
ALINFORMATION Name PAN NO
0 0 0 0
Flat/Door/Block No: Name of Premises/Building/Village:
0
Road/Street/Post Office: Area/Locality:
0 0
Town/City/District: State: Status(fill the code)
0 0
Designation of Assessing Officer Original/Revised
1 Gross total income 1 0
2 Deduction under Chapter-VI-A 2 0
3 Total Income 3 0
4 Net tax payable 4 0
5 Interest payable 5 06 Total tax and interest payable 6 0
7 Taxes paid
a Advance Tax 7a 0
b TDS 7b
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes paid (7a+7b+7c+7d) 7e 0
8 Tax payable (6-7e) 8 09 Refund (7e-6) 9 0
10 Value of Fringe Benefits 10 NA
11 Total fringe benefit tax liability 11 NA
12 Total interest payable 12 NA
13 Total tax and interest payable 13 NA14 Taxes paid NA
a Advance Tax 14a
b Self Assessment Tax 14b
c Total Taxes paid (14a+14b) 14c NA
15 Tax payable (13-14c) 15 NA16 Refund (14c-13) 16 NAReceipt No. Seal and Signature of receiving official:
Date:
COMPUTATIONOFINCOME&T
AXTHEREON
C
omputationofIncome&
Frin
geBenefits&TaxThereon
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FORM NO.10 E[See rule 21AA]
1 Name and address of the employee 0 0
2 Permanent account number 0
3 Residential status PERMANENT RESIDENT
1 (a)0
(b)
Not Applicable
(c)
Not Applicable
(d)Not Applicable
2ANNEX-I
..Signature of the employee
Verification
I, _______,do hereby declare that what is stated above
is true to the best of my knowledge and belief.
Verified today, the Day of
Place: .
Date: Signature of the employee
Form for furnishing particulars of income under section 192(2A) for the year ending 31 st March, 2010 for claimingrelief under section 89(1) by a Government servant or an employee in a 2[company,co-operative society,local
authority ,university, instituty
Particulars of income referred to in rule 21A of the Income-tax Rules, 1962,during the previous year relevant toassessment year 2010-11
Salary received in arrears or in advance in accordance with the provisions of sub-rule (2)of rule 21A.
Payment in the nature of gratuity in respect of past services, extending over a period of notless than 5 years in accordance with the provisions of sub-rule (3) of rule 21A.
Payment in the nature of compensation from the employer or former employer at or inconnection with termination of employment after continuous service of not less than 3years or where the unexpired portion of term of employment is also not less than 3 ye
Payment in commutation of pension in accordance with the provisions of sub-rule (5) ofrule 21A
Detailed particulars of payments referred to above may be given in Annexure I,II,IIA,III,or IV as the case may be.
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ANNEXURE-I
[See item 2 of Form No.10E]
Arrears or advance salary
Sl No. Particulars Amount (Rs.)
1 Total income (excluding salary received in arrears or advance) 0
2 Salary received in arrears or advance
03 0
4 Tax on total income [as per item 3] 05 Tax on total income [as per item 1] 0
6 0
7 0
8 0
TABLE "A"[See item 7 of Annexure 1]
(1) (2) (3) (4) (5) (6) (7)
2008-09 0 0 0 0 0 0
Signature:
Place:Name:
Date: Designation:
Dept:
Total income (as increased by salary received in arrears or advance)[Add item 1 and item 2]
Tax on salary received in arrears or advance
[Difference of item 4 and item 5]
Tax computed in accordance with Table "A"[Brought from column 7 of Table A]
Relief under Section 89(1) [Indicate difference between the amounts mentioned
against item 6 and item 7]
Previousyear
Total incomeof the
relevent
previous year(Rs.)
Salary receivedin arrears or
advance
relating to therelevent
previous year
as mentionedin column (1)(Rs.)
Total income (asincreased by
salary received in
arrears oradvance) of the
relevent previous
year mentioned incolumn (1) [addcolmn 2 & 3]
(Rs.)
Tax on totalincome [as per
column (2)-After
Rebate andincluding Edn
Cess and
Surcharge](Rs.)
Tax on totalincome[as per
column (4)
After Rebateand includingEdn Cess and
Surcharge](Rs.)
Difference in tax[Amount under
column (6) minus
amount undercolumn (5)]
(Rs.)