INDIVIDUAL INCOME TAX RETURN

FORM

SAHAJ

ITR-1

(For Individuals having Income from Salaries, One House Property, Other Sources (Interest etc.) Refer to
Instructions for eligibililty.)

First Name
Ganpat
PERSONAL INFORMATION

Assessment
Year
2 0 16 - 1 7

Middle Name

Last Name

Babu

Flat / Door / Building

S. No.014

PAN

Shelke

ETUPS0409E

Name of Premises / Building / Village

Status
I - Individual

Yerwada
Road / Street

Area / Locality

Gurudwara Road

Date of birth

Near Raj Mudra Pratishthan

Town/ City/ District

Pune

State
19-MAHARASHTRA

Email Address
ganpat120050@gmail.com

01/06/1974

Mobile No. 1

M-Male

Country

Pincode

91-INDIA

(STD Code)

411006
Mobile No. 2

Phone No

9011052035

Return filed under section

(Select)

Whether Person governed by Portuguese Civil Code under section 5A ?

Enter PAN of Spouse if

applicable

FILING STATUS

No
Original

Employer Category
OTH

Income Tax Ward / Circle

Whether Original or Revised

return?

Sex

Tax Status

Tax Refundable

If Revised/Defective, then Enter Receipt Number of

Original Return

Date of Filing Original

Return

Notice No (Where the Original Return filed was

defective and a notice is issued to the assessee to file a
fresh return Sec 139(9)

If filed in response to a
notice u/s
139(9)/142(1)/148/153A/1
53C enter date of such
notice

Residential Status

Whether you have Aadhaar Number?

(Select)
Yes

If Yes, Please provide Aadhaar Number

333919174557

1 Income from Salary / Pension (Ensure to fill Sch TDS1)

2 Income from One House Property

(Select)

305782

3 Income from Other Sources (Ensure to fill Sch TDS2)

4 Gross Total Income (1+2+3)

INCOME & DEDUCTIONS

5 Deductions under Chapter VI A (Section)

305782
System Calculated

80 C

5a

80 CCC

5b

80 CCD (1)

5c

5d

80 CCD(1B)
80 CCD (2)

5e

80 CCG

5f

80 D

5g

80 DD

5h

i
j

80 DDB
80 E

5i
5j

0
0

80 G

5l

80 GG

5m

80 GGA

5n

80 GGC

5o

80 QQB

5p

80 RRB

5q

80 TTA

5r

80 U

5s

6 Total Deductions (Total of 5a to 5r)

##
0

7 Taxable Total Income (4 - 6)

305780
##

8 Tax Payable on Total Income

9 Rebate u/s 87A

##
0

10 Tax Payable After Rebate (8-9)

10

##
0

11 Surcharge if Taxable Total Income (7) exceeds 1 crore

11

12 Education Cess, including secondary and higher education cess on 10+11

12

###
0

13 Total Tax,Surcharge and Education Cess (Payable) (10+11+12)

13

##
0

15

##
0

14 Relief under Section 89

14

15 Balance Tax after Relief (13-14)

a

Interest payable u/s 234 A

16a

##
0

Interest payable u/s 234 B

16b

##
0

Interest payable u/s 234 C

16c

###
0

17 Total Interest u/s 234A 234B 234C

17

###
0

18 Total Tax and Interest Payable (15 + 17)

18

##
0

16

19 TDS1 Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]

SI.No

Tax Deduction
Account Number
(TAN) of the Employer

Name of the Employer

Income under salary

Tax Deducted

(1)

(2)

(3)

(4)

1
2
3
4
Total

(Do Not Delete Blank Rows)

20
TDS2

Details of Tax Deducted at Source on Income OTHER THAN SALARY [As per FORM 16 A issued by Deductor(s)]
SI.No
Tax Deduction
Account Number
(TAN) of the Deductor

Name of the Deductor

Unique TDS
Certificate No.

(1)

(2)

(3)

Deducted Year

Tax Deducted

Amount out of (5)

claimed this year

(4)

(5)

(6)

(Select)

(Select)

(Select)

(Select)
Total

(Do Not Delete Blank Rows)

21 IT

Details of Advance Tax and Self Assessment Tax Payments

Sl.No

BSR Code

Date of Deposit
(DD/MM/YYYY)

Challan No

Tax Paid

(1)

(2)

(3)

(4)

1
2
3
4
Total

(Do Not Delete Blank Rows)

ued by Deductor(s)]
If covered by
Portuguese Civil
Code, Amount
claimed in the hands
of spouse
(7)

22
DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS
SI.No

Tax Collection Account Number of

the Collector

Name of the Collector

Tax Collected

(1)

(2)

(3)

1
2
3
4
5
TOTAL

LLECTOR(S)]
Amount out of (3) being
Amount out of (3) being claimed claimed in the hands of spouse,
if section 5A is applicable
(4)

(5)

TAXES PAID

Taxes Paid
23 PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid
figures below will get filled up when the Schedules linked to them are filled.
a

Total Advance Tax Paid (from item 21)

Total TDS Claimed (Total from item 19 + item 20)

Total TCS Claimed (Total from item 22)

Total Self Assessment Tax Paid (from item 21)

24

Total Taxes Paid (23a+23b+23c+23d)

25

Tax Payable (18-24) (if 18 is greater than 24)

26

Refund (24-18) (if 24 is greater than 18)

27

Exempt Income only for Reporting Purpose (If agricultural income is more than Rs. 5000/-, use ITR-2 or 2A)

28

Details of all Bank Accounts (excluding dormant accounts) held in India at any time during the previous year (Mandatory irrespective of refund due or not)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts).
Bank Account in which refund, if any, shall be credited
Sl.No

IFS Code of the Bank

Account Number

Name of the Bank

(the number should be 9 digits or more as

per CBS system of the bank)

Name of the Bank

(the number should be 9 digits or more as

per CBS system of the bank)

Type of Account

1
Other Bank account details
Sl.No

IFS Code of the Bank

Account Number

Type of Account

(Select)

(Select)

(Select)

(Do Not Delete Blank Rows)

VERIFICATION
I,

GANPAT BABU SHELKE

son/daughter 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 2016-17
Place
PAN

Date
ETUPS0409E

29 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No of TRP

Name of TRP

30 If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

Schedule AL
A

Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)
Particulars of Asset

DETAILS OF ASSET AND

LIABILTY

3
B

Amount (Cost) (Rs.)

Immovable Asset
a

Land

1a

Building

1b

Movable Asset
a

Cash in hand

2a

Jewellery, bullion etc.

2b

Vehicles, yachts, boats and aircrafts

2c

Total

Liability in relation to Assets at A

ncome exceeds Rs. 50 lakh)

mount (Cost) (Rs.)

Schedule 80G
A

Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)

Donations entitled for 100% deduction without qualifying limit

If no entry is made in Name of Donee, then for such rows, any value entered in other columns will be ignored from 80GA to 80GD
Name of donee

Address

City or Town or
District

State Code

Pincode

PAN of Donee

Eligible Amount of
Donation

Amount of donation

(Select)

(Select)

(Select)

(Select)

Total 80GA

(Do Not Delete Blank Rows)

Donations entitled for 50% deduction without qualifying limit

Name of donee

Address

City or Town or
District

Pincode

PAN of Donee

Eligible Amount of
Donation

Amount of donation

(Select)

(Select)

(Select)

(Select)

Total 80GB :

(Do Not Delete Blank Rows)

C

State Code

Donations entitled for 100% deduction subject to qualifying limit

Name of donee

Address

City Or Town Or
District

State Code

Pincode

PAN of Donee

Eligible Amount of
Donation

Amount of donation

(Select)

(Select)

(Select)

(Select)

Total 80GC :

(Do Not Delete Blank Rows)

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

Eligible Amount of
Donation

Amount of donation

(Select)

(Select)

(Select)

(Select)

Total 80GD

(Do Not Delete Blank Rows)

Donations (A + B + C + D)

NOTE : IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),

PLEASE USE PAN AS "GGGGG0000G".