INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2017-18
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
BIBHUDATTA SENAPATI DAMPS6663C
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village Form No. which

Qtr.No:-12350/5 Type-1 has been
DATE OF ELECTRONIC

electronically ITR-1
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

O.F.BADMAL O.F.BADMAL
Status Individual
Town/City/District State Pin/ZipCode Aadhaar Number/Enrollment ID
BALANGIR ORISSA
767770

Designation of AO(Ward/Circle) ITO, WARD 1, BOLANGIR Original or Revised ORIGINAL

E-filing Acknowledgement Number 835940970300617 Date(DD/MM/YYYY) 30-06-2017

1 Gross total income 1 453215
2 Deductions under Chapter-VI-A 2 55728
3 Total Income 3 397490
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 10041
AND TAX THEREON

4 Net tax payable

5 Interest payable 5 0
6 Total tax and interest payable 6 10041
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 10041
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 10041
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture 0 10
10 Exempt Income 0
Others 0

The return has been electronically uploaded on 30-06-2017 from IP address 223.176.54.100 and has been electronically

verified by BIBHUDATTA SENAPATI in the capacity of having PAN DAMPS6663C

on 30-06-2017 19:07:33 from IP address 182.66.144.173 at BADMAL using

Electronic Verification Code 5WKX6RLHXF generated through Net Banking mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU