copy of 2012 itr1 pr21
TRANSCRIPT
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1 1
2 2
3 3
4 4
5
O-Original
Tax Refundable
If u/s 139(9)-
defective return ,
enter Notice Date
Assessment
Year
2 0 1 2 - 1 3
If revised, enter Original Ack no / Date
Town/City/District
30/06/1974
Whether original or revised return?
Tax StatusRES - Resident
If u/s 139(9)-defective return , enter
Original Ack No
Date
If u/s 139(9)-defective return , enter Notice
No
Residential Status
System Calculated
Income from Other Sources (Ensure to fill Sch TDS2)
Gross Total Income (1+2+3)
Deductions under Chapter VI A (Section)
1,258,764
0
96,182
0
0
b 0
[Pl see Form Instruction]
(Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions)
11-BeforeDueDt
Area / Locallity
OTH080
Flat / Door / Building
(Std code)Email Address
[For Individuals having Income from Salary / Pension / Income from One House Property (excluding
loss brought forward from previous years) /
Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)]
INDIAN INCOME TAX RETURN
Income Tax Ward / Circle
9980777975
Return filed under section
Sex (Select)
Road / Street
96,182
c(i)
a 80 C
Income from one House Property
1,258,764Income from Salary / Pension (Ensure to fill Sch TDS1)
Mobile no
RAMASAMY
15-KARNATAKA
State
OLD AIRPORT ROAD HAL
Last Name PAN
MITTAPALAYAM AKLPM2031N
560017
Status
I - Individual166 GEETHA NILAYA
PER
SONALINFORMATION
ITR-1
5TH MAIN KONENA AGRAHARA
BANGALORE
FORM
SAHAJ
First Name Middle Name
LOGANATHAN
Date of birth (DD/MM/YYYY)
employment)
Pin Code
Phone No
M-Male
Employer Category (if in
FILINGSTATUS
80 CCC
80 CCD (Employers Contribution)
5b
5c(i)
&DEDUCTIONS
0
5a
80 CCF 0
0
0
c(ii)80 CCD (Employees / Self Employed
Contribution)5c(ii)
0
d 5d
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23
SI.No
Tax Deduction
Account Number
(TAN) of the
Employer
Name of the
Employer
Income charg
eable under the
head Salaries
Total tax
Deducted
(1) (2) (3) (4) (5)
1 BLRH00759D DELL 1,258,764 243,642
2
3
(Click + to add more rows to 23) TDS on Salary above. Do not delete blank rows. )
24
SI.No
Tax Deduction
Account Number
(TAN) of the
Deductor
Name of the
Deductor
Unique TDS
Certificate No.
Deducted
Year
Total tax
Deducted
Amount
out of
(6)
claimed
forthis ear
(1) (2) (3) (4) (5) (6) (7)
1
2
3
4
(Click + to add more rows ) TDS other than Salary above. Do not delete blank rows. )
25
BSR Code
Date of Credit into
Govt Account
(DD/MM/YYYY)
Serial
Number of
Challan
Amount (Rs)
1
2
3
4
5
6
(Click '+' to add more rows ) Tax Payments. Do not delete blank rows. )
Details of Tax Deducted at Source on Income OTHER THAN SALARY
[As per FORM 16 A issued by Deductor(s)]
Details of Tax Deducted at Source from SALARY
[As per FORM 16 issued by Employer(s)]
Sl No
Details of Advance Tax and Self Assessment Tax Payments
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16
a 16a 0
b 16b243,642
c 16c 017 Total Taxes Paid (16a+16b+16c) 17 243,642
18 18 0
19 19 36,844
20 0077154000543
8
21 Yes
22
560240006 Savings
26 Exempt income for reporting purposes only
son/daughter of M.K.
RAMASAMY
22/07/2012
27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
28
TAXESPAID
VERIFICATION
Advance Tax (from item 25)
Date
Name of TRP
Tax Payable (15-17) (if 15 is greater than 17)
Self Assessment Tax (item 25)
Taxes Paid PLEASE NOTE THAT CALCULATED FI ELDS (IN WHI TE) ARE PICKED UP
FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid figur es
below wil l get fi ll ed up when the Schedules linked to them ar e fil led.
REFUND
Select Yes if you want your refund by direct deposit into your bank account,
Select No if you want refund by Cheque
solemnly declare that to the best of my knowledge and belief, the information given in the return thereto 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 2012-13
BANGALORE Sign here ->Place
PAN
I,
TDS (Total from item 23 + item 24)
Refund (17-15) if 17 is greater than 15
Type of Account(As applicable)
In case of direct deposit to your bank account give additional details
Enter your Bank Account number
MICR Code
LOGANATHAN
RAMASAMY
Identification No of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof (to be
filled by TRP)
AKLPM2031N
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Schedule 80G Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
A
Name of
donee
Adress City or Town or
District
State Code PinCode PAN of Donee Amount of
donation
Eligible
Amount of
Donation
1 02 0
3 0
4 0
0 0
B Donations entitled for 50% deduction without qualifying limitName of
donee
Address City or Town or
District
State Code PinCode PAN of Donee Amount of
donation
Eligible
Amount of
Donation1 0
2 0
3 0
4 0
0 0
C Donations entitled for 100% deduction subject to qualifying limit
Name of
donee
Address City Or Town Or
District
State Code PinCode PAN of Donee Amount of
donation
Eligible
Amount of
Donation1 0
2 0
3 0
4 0
0 0
Total 80GA
Total 80GB :
Total 80GC :
Donations entitled for 100% deduction without qualifying limit
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D Donations entitled for 50% deduction subject to qualifying limit
Name of
donee
Address City Or Town Or
District
State Code PinCode PAN of Donee Amount of
donation
Eligible
Amount of
Donation1 0
2 0
3 0
4 0
0 0
E Donations (A + B + C + D) 0 0
NOTE : (IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),
PLEASE USE PAN AS "GGGGG0000G".
Total 80GD