About the Author :

V. N. HARI, B.com, FCA

Partner

Sudhakar & Kumar Associates,

Chartered Accountant
# 10-1-12, II Floor, Krishna Kamal Enclave, Asilmetta Junction, Visakhapatnam - 530 003 Ph. (O) : 0891-2755814 (M) : 9866531022

E-mail ID : vnhari.ca@gmail.com
1 Acknowledgement 2 Computation of income 3 Page No. 1 4 Page No. 2 5 Page No. 3 6 Page No. 4 7 Page No. 5 8 Challan No. 280

SAHAJ [ ITR-1 ]
A.Y. 2011-12

For Individual having Income from Salary/Pension/ Income from One House Property (excluding loss brought froward from previous years) / Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)

SUDHAKAR & KUMAR ASSOCIATES

Chartered Accountants
CLIENT DATA SHEET - SAHAJ { ITR-1 } - A.Y. 2011-12
GENERAL INFORMATION
First Name
1. Name of the Assessee 2. Father's Name 3. Date of Birth 4. Sex 4. Address 1 30-Dec-1899 MALE Senior Citizen YES

D.No. 10-1-12, II Floor, Krishna Kamal Enclave, Asilmetta Juncton, Visakhapatnam - 530 003 , Ph. 08912755814 email : vnhari.ca@gmail.com

Middle Name

Last Name/Surname

Flat/Door No./Block No. Name of premises/Building/Village Road / Street / Post Office Town / City /Municipality State/UT Pin Code (Please affix { ' } befoe the Number)

Select State
Search for PIN Code

1 Ward/Range

Select Range
1

e-mail ID skassociates.efiling@gmail.com

5. PAN 6. Assessment Year 7. Financial Year 6. Due date of filing 7. Month of filing 8. Financial Year Ending 2011-12 2010-11 31-Jul-11 30-Apr-11 31-Mar-11

Contact Numbers
STD CODE PHONE NO. MOBILE NO.

9. Name of the Employer

TAN

PAN

10. Type of Employer

Govt FALSE

Others FALSE

PSU FALSE

10a. ype of Return T

Before due date-139(1)

Revised

10b. esidential Status R

Resident
TRUE

Non Resident
FALSE

Resident but not ordinarily resident

FALSE

HEDAS OF INCOME
1. Income from Salary

2. Income from House Property

3. Income from Other Sources

COMPUTATION OF TOTAL INCOME

15.

GROSS TOTAL INCOME

Income Chargeable under the head salaries Income Chargeable under the head House Property Income Chargeable Under the head Other Sources Gross Total Icnome -

16.

Deductions under Chapter VIA

Gross Amount Qualifing Amount a) Deduction U/s 80C Life Insurance Premium Housing Loan Repayment Contribution to PF Purchase of NSC Investment in MF Investment in Pension Plan Children Tuition Fee Registration Fee of Res. House Other Savings -

b) Deduction U/s 8CCF c) Deduction U/s 80D d) Deduction U/s 8G e) Other Deductions (Please Specify)

80E

7 -

Total of Deduction under chapter VIA

TAXABLE INCOME
16. Taxable Income 17. Divident Income / Agricultural Income not exceeding Rs. 5,000/-

COMPUTATION OF TAX LIABILITY

19. Tax on Aggrigate Income (Item No.18) 23. Education Cess 24. Total Tax Payable (Item No.21+22+23) 25. Relief U/s 89 26. Relief U/s 90/91 27. Balance Tax Payable 28. Interest Payable U/s 234 a) U/s 234 A b) U/s 234 B c) U/s 234 C 29. Total Tax Payable 30. Taxes Paid -

Advance Tax Paid

Sl. Name of Bank & Branch BSR Code Date of No. Deposit
1 2 3 15-Sep-2009 15-Dec-2009 15-Mar-2010 TOTAL : -

Serial No. of Challan

Amount

Please prefix ' before entering BSR Code and Challan Number

Tax Deducted At Source (As per Form No. 16 issued by the employer)
Sl. No. TAN of the Employer Name and address of the Employer Income Chargeable under the head Total tax deducted Tax Payable/ refundable
-

TOTAL :

Tax Deducted At Source (As per Form No. 16A issued by the deductor)
Sl. No. TAN of the Deductor Name and address of the deductor Total tax deducted Amount claimed for this year

1 2 3 4 5 6 7 8 9 -

CLICK HERE TO FINDOUT CORRECT TAN

TOTAL :

Self Assessment Tax Paid

Sl. Name of Bank & Branch BSR Code No. (Must be 7 Digits) Date of Deposit Serial No. of Challan (Must be 5 Digits) Amount

Please prefix ' before entering BSR Code and Challan Number

TOTAL :

Total Taxes paid -

31. Tax Pyable 32 Refund Receivable

FALSE

###

BANK DETAILS

-Select Bank & Brancha) Name of the Bank b) Name of the Branch c) Account Number -Select Branch-

d) MICR CodeSelect MICR CODE

Type of Account

Savings

Current Account

FALSE

FALSE

### ### ### ### ### ### ### ###

NAME OF THE ASSESSEE FATHER'S NAME DATE OF BIRTH ADDRESS

(Not Applicable ) (Being a Women Assessee) PAN STATUS Due date of filing Month of filing

#VALUE! 30-Dec-1899 #VALUE! PIN CODE Asst. Year 1 INDIVIDUAL Prev. Year 31-Jul-11 Type of return 30-Apr-11 P.Y.ended on COMPUTATION OF TOTAL INCOME

Sex : MALE

2011-12 2010-11 SAHAJ 31-Mar-11

(Being a senior citizen) (i) Professional Tax

AMOUNT -

AMOUNT -

#VALUE!

Gross Total Income Gross Total Income Less: Deduction under chapter VIA : Gross Amount U/s 80 C : Life Insurance Premium Contribution to PF Purchase of NSC Investment in MF Investment in Pension Plan Children Tuition Fee Registration Fee of Res. House Other Savings

Qfy.Amount -

U/s U/s U/s U/s

80CCF 80 D 80 G 80E Taxable Income Rounded to Agriculture Income Tax on Income returned

40,050

Add: Education Cess Total Tax Payable Less: Relief Claimed (if any) a) U/s 89 b) U/s 90/91

Tax Payable after relief claimed Less: Pre-Paid Taxes a) Tax Deducted At Source b) Advance Tax
BSR Code #VALUE! #VALUE! #VALUE! Challan No. Date 15-Sep-2009 15-Dec-2009 15-Mar-2010 31-Mar-2010 Amount in Rs. -

Refund Receivable -

Less: Self Assessment Tax Paid

### ###

### ###

### ### ###

Received with thanks from

a return of income in

#VALUE!

Male

Female

3 0 1 2 1 8 9 9

Select Range

SELECT STATE

COMPUTATION OF INCOME AND TAX RETURN

B B B B B B B B B B B B B B 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Whole-Rupee (`) only.

0 0 0

0 0 0 0 0 0

Sudhakar Kumar Associates

BACK TO INSTRUCTIONS

Sudhakar Kumar Associates

#VALUE!

Male

Female

3 0 1 2 1 8 9 9

Select Range

SELECT STATE skassociates.efiling@gmail.com

PART B- GROSS TOTAL INCOME

B1 B2 B3 B4 C1 to C 13 C 14 C 15
0 0 0 0

Whole-Rupee (`) only.

0 0 0 0

(Refer to instructions for PART C - DEDUCTIONS AND TAXABLE TOTAL INCOME Limits on Amount of Deductions as per "I

0 0

PART D - TAX COMPUTATION AND TAX STATUS

D1 to D3 D4 to D6 D7 to D9 D10 to D12

0
D13 to D14

BANK ACCOUNT DETAILS (Mandatory in all cases irrespective of refund due or not) M I C R C O D E

VERIFICATION
I,
Son of solemnly declare that to the best of my knowledge and belief, the information given in the return 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

2 1 0 6 2 0 1 1

Name of the TRP

TRP PIN [10 Digit]

Amount to be paid to TRP

TRP Signature

Sch IT -

DETAILS OF ADVANCE TAX AND SELF ASSESSMENT TAX PAYMENTS

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sch TDS 1

0 0

DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY [As per Form 16 issued by Empoyer(s)]
0
#VALUE! #VALUE!

0 0 0

0 0

Sch TDS 2

0 0 0 0

DETAILS OF TAX DEDUCTED AT SOURCE FROM OTHER THAN SALARY [As per Form 16A issued by Deductor(s)

0 0 0 0

0 0 0 0

#VALUE!

SUPPLEMENTARY SCHEDULE TDS 1

D1 to D3

(To be used only after exhausting itmes S1-S3 of Schedule TDS1 in main form etc)

#VALUE!

SUPPLEMENTARY SCHEDULE TDS 2

D1 to D3

(To be used only after exhausting itmes T1-T4 of Schedule TDS2 in main form etc)

#VALUE!

SUPPLEMENTARY SCHEDULE IT
D1 to D3

(To be used only after exhausting itmes R1-R5 of Schedule IT in main form etc)

Single copy ( to be sent to the ZAO)

Tax Applicable (Tick One)

CHALLAN NO./ ITNS 280
(0020) INCOME - TAX ON COMPANIES (CORPORATION TAX) (0021) INCOME TAX (OTHER THAN COMPANIES)

Assessment Year 2011-12

Parmenent Account Number 0 Full Name #VALUE! Complete Address with City & State #VALUE! #VALUE! Type of Payment (Tick One) Advance Tax (100) Self Assessment Tax (300) Tax on Regular Assessment (400) DETAILS OF PAYMENTS Income Tax Surcharge Education Cess Interest Penalty Others Total Total (in words) Crores Lacs Thousands Zero
Paid in Cash/Debit to A/c/Cheque

#VALUE!

Surtax (102) Tax on Distributed Profits of Domestic Companies(106) Tax on Distributed Income to Unit Holders (107) FOR USE IN RECEIVING BANK Debit to A/c / Cheque credited on DD MM SPACE FOR BANK SEAL YY

Hundreds Zero

Tens Zero Dated

Units Zero

Drawn on Name of the Bank and Branch) Rs.

Date

21-Jun-2011 Taxpayers' Counterfoil

Signature of person making payment

(To be filled up by tax payer)

SPACE FOR BANK SEAL

PAN Received from

0 #VALUE!
(Name)

Cash/Debit to A/c/Chq. No.

For Rs. Only

(Name of the Bank and Branch)

Rs.(in words) Drawn on on account of Type of Payment

INCOME TAX OTHER THAN COMPANIES SELF ASSESSMENT TAX

Rs.

Assesment Year

2011-12

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