Form Itr-1 Sahaj - Indian Income Tax Return printable pdf download

Assessment Year

INDIAN INCOME TAX RETURN

ITR-1

[For Individuals having Income from Salaries, one house property, other sources

SAHAJ

(Interest etc.) and having total income upto Rs.50 lakh]

2 0 1 7 - 1 8

Refer instructions for eligibility

(

)

PART A GENERAL INFORMATION

Name

Aadhaar Number (

)/Aadhaar Enrolment Id (

) (

12 digit

28 digit

If eligible for

PAN

Aadhaar)

Address:

Flat/Door/Block No.

Name of Premises/Building/Village

Road/Street/Post Office

Mobile No.

Email Address

Area/locality

Town/City/District

State

Country

Pin code

Fill only one if you belong to –

Residential Status (Tick)   Resident  Non-Resident  Resident but Not Ordinarily Resident

 Govt.

 PSU

 Others

 On or before due date- u/s139(1),  Belated- u/s 139(4),  Revised - u/s 139(5),  u/s 119(2)(b), or in

Return filed

(Tick)[Please see instruction- ]

response to notice u/s  139(9)-Defective,  142(1),  148, 153A/153C

If revised/defective, then enter Receipt No. and Date of filing original return (

/ /

DD/MM/YYYY)

If filed in response to notice u/s 139(9)/142(1)/148/153A/153C, enter date of such notice





No (If “YES” fill PAN of the Spouse)

Are you governed by Portuguese Civil Code as per section 5A?

Yes

Tick)

) only

PART B GROSS TOTAL INCOME

Whole- Rupee(

Income From Salary /Pension

Self Occupied  Let Out 

Income from One house property

B2 ( )

(If loss, put the figure in negative)

Income from Other Sources

Gross Total Income (B1+B2+B3)

B4( )

(If loss, put the figure in negative)

PART C – DEDUCTIONS AND TAXABLE TOTAL INCOME(

Refer instructions for Deduction limit as per Income-tax Act)

80C

80D

80G

80TTA

Any Other (Please specify section)

Total deductions

Taxable Total Income (B4-C1)

PART D – COMPUTATION OF TAX PAYABLE

Tax payable on total income

Rebate u/s 87A

Tax after Rebate

Cess, on D3

Total Tax and Cess

Relief u/s 89(1)

Interest u/s 234A

234B

234C

Total Tax and Interest(D5+D7+D8+D9 – D6)

Total Taxes Paid

D10

D11

Amount payable (D10 –D11)(if D10 > D11)

Refund (D11 – D10) )(if D11 > D10)

D12

D13

Agricultural Income

Others

Pls. specify

Exempt Income:

10 (38)

10(34)

(≤ Rs.5000)

For reporting purpose

PART E – OTHER INFORMATION

D14

Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)

Sl.

IFS Code of

Name of the Bank

Account Number

Cash deposited during 09.11.2016 to 30.12.2016

(tick one account

(of 9 digits or



(if aggregate cash deposits during the period ≥ Rs.2 lakh)

for refund)

the Bank

more as per CBS system of the bank)

III

Schedule IT Details of Advance Tax and Self-Assessment Tax payments

BSR Code

Date of Deposit (DD/MM/YYYY)

Serial Number of Challan

Tax paid

Col (1)

Col (2)

Col (3)

Col (4)

Schedule TDS Details of TDS/TCS [As per Form 16/16A/27D issued by Deductor(s)/Employer(s)/Collector(s)]

TAN of deductor

Name of the

Amount which is

Deduction/

Tax Deducted/

Amount out of (5)

Amount claimed in the

Deductor/Collector

subject to tax

collection year

collected

claimed this Year

hands of spouse if section

deduction /collection

5A is applicable

Col (1)

Col (2)

Col (3)

Col (4)

Col (5)

Col (6)

Col (7)

VERIFICATION

Stamp Receipt No., Seal, Date & Sign

son/ daughter of

solemnly declare

of Receiving Official

that to the best of my knowledge and belief, the information given in the return is correct and complete and in

accordance with the provisions of the Income-tax Act, 1961.

Date:

Sign:

Form Itr-1 Sahaj - Indian Income Tax Return

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