| 13. |
Details of *Bank accounts
| Name of
the Bank |
Address of
the Branch |
Account
Number |
| |
|
|
|
* Please
tick the bank account, where you would like the amount of
refund to be credited. | |
| 14. |
| Details of
Credit Card |
Credit
Card Number |
Issued
by |
| |
|
|
| |
|
|
| |
|
| |
| 15. |
Income from
salary (attach Form
No.16)..............................................................
|
Rs.............................. |
| 16. |
Income
from house property
...............................................................................................................
|
Rs.............................. |
| 17. |
Income
from business or profession
................................................................................................. |
Rs.............................. |
|
18. |
| Capital Gains |
15/9 |
15/12 |
15/3 |
31/3 |
Total |
| (a) Short
Term |
|
|
|
|
|
|
(b) Long
Term |
............... |
............... |
............... |
............... |
............... | |
Rs.............................. |
| 19. |
Income from
other sources
................................................................................................................................
|
Rs.............................. |
| 20. |
Income of any
other person to be added
.......................................................................................................
|
Rs.............................. |
| 21. |
Gross total
income (15+16+17+18+19+20)
.....................................................................................................
|
Rs.............................. |
| 22. |
Less:
Deductions under Chapter VI-A
:
Section
Amount (Rs.) |
|
|
(a)
....................................................... |
|
|
(b)
....................................................... |
|
|
(c)
........................................................ |
Rs.............................. |
| 23. |
Total Income:
(21-22) .......................................................
|
Rs.............................. |
| 24. |
Add:
Agricultural Income (For rate purposes) |
Rs.............................. |
| 25.
|
Income claimed
to be exempt from Income-tax |
Rs.............................. |
| 26. |
Tax on total
Income
Income
Income Tax |
|
|
(a) At normal rates
........................................ |
|
|
(b) At special rates
........................................ |
Rs.............................. |
| 27. |
Less:
Rebate ..........................................................................................................................................................
|
Rs.............................. |
| 28. |
Tax
Payable
.......................................................................................................................................................... |
Rs.............................. |
| 29. |
Add :
Surcharge .................................................................................................................................................... |
|
| 30. |
Total Tax
Payable (28+29)
................................................................................................................................... |
|
| 31. |
Less : Relief
............................................................................................................................................................ |
|
| 32. |
Net Tax Payable
............................................................................................................................................... |
|
| 33 |
Less: Tax
deducted at Source
.............................................................................................................................. |
Rs.............................. |
| 34. |
Less:
Advance Tax Paid |
|
|
|
Date
|
Date
|
Date
|
|
|
Amount
|
Amount
|
Amount
|
........................... |
| (Under
sections) |
234A
|
234B
|
234C
|
Total
| |
|
|
| Rs............................. | |
| 35. |
Add :
Interest Payable
..........................................................................................................................................
|
Rs.............................. |
| 36. |
Less:
Self Assessment Tax Paid
........................................................................................................................
|
Rs.............................. |
| 37. |
Balance tax :
Payable/Refundable
....................................................................................................................
|
Rs.............................. |
|
| DOCUMENTS ATTACHED WITH THE RETURN |
|
| 1. |
................................................................... |
2. |
................................................................... |
| 3. |
................................................................... |
4. |
................................................................... |
| 5. |
................................................................... |
6. |
................................................................... | |
|
Verification |
I,
...............................................................................................................
(name in full and in block letters),son/daughter of ... solemnly
declare that to the best of my knowledge and belief, the
information given in this return and the annexures and statements
accompanying it are correct, complete and truly stated and in
accordance with the provisions of Income-tax Act, 1961, in respect
of income chargeable to income-tax for the previous year
relevant to the assessment year
................................... |
| Receipt
No..................................................
|
|
...................................................... |
| Date
..........................................................
|
|
Signature
|
|
Seal
|
|
|
| Signature
of the receiving official |
|
|
| Date :
............................. |
|
|
| Place :
............................ |
|
| |
| +
Please go through the instructions. These will help you in filling
in the return. |
|
|
|