. it (Please sce Rule 12 ofthe ty Assessment Yes 2015 - 16 IR, 1TR24, 17R3, ad electroalally without digital signature]. metax Rules, 1962) ectonically by me vide aeknowiedgem wn then are truly stted andar in ae ign here If the return has been prepared serio ear relevant othe assessment yenr 2015-16 fre devon thr one ek 8 Tax Return Preparer (TRE) give further details as below: 3 Rajendrarai Seva Trust | E IS : 2g | PauDoormiock no Name OF PremisesBulling Vilage Form No. whieh dae has bees ima eee letrocally S25 | ResdsurecdPos Otic ‘ArealCocal fenanitted 52 Diwar BS 2 | am ‘Status AOPOsy 33 [Reece Pin ‘Aadhanr Number g UTTAR PRADESH 221005 “| Designation of AO (Ward 7 Cirle [rro-20) VARANAST ] Orginal or Revised T GrucNaL] Estling Acknowledgement Number _[9S6308150]50016 [oaeooanyeny[— ism J 1] Gros Toiatincome 4 H @ 2 | Deductions andor Chapior VER 5 A | 3 | Total come d 3 s [Current Year Tosany : 3a ¢ |aikatarpne 3 £8 | s| tates Payable 5 SE | 6 [outta and eres Payapi Ca. é £4 T| Taxes Paid - i ge 2 | Advance Tax z 0 PE ibs 75° n a « [tes 7 : o a | Self Assessment Tax 7a 0 Be [Tot Taxes Paid (av TPTCHTIY 78 5 [TaxPayable 76) 3 3 Refi (15) > 10| Exempt lancome Agriculture o me Others ras | VERIFICATION I, Satist Rai fon! deuahter OfRajeudtea Prasad Rai, holding Permanent Account Number _AMIPIG99;1) iy dene te aT ST et ot ing this return in my eapacity as L Pate 18.02.2016 Place Varanasi {entifieation No, of TRP ‘Name of TRP ‘Counter Signature of TP ~ nce) Ree Date ~ ‘Seal and signature of 7 | AACTRISe0707C36300150 1802 eBCECIECHORSSZOFUaTAAZOABALADADEASTECENO ee tease send te daly signed Fon TTR-V to income Tax Lrayatata” by ORDINARY POST OR SPEED POST ONLY, within 120 dare fee dete of transmitting the data electronically. Form ITV. cate wecived in any athe office ofthe Income-tx Depestien rin any ates eee ake ontfismation of receipt ofthis Form TERY at ["TD-CPC wil be sentto the e-mail adress tamer aso aun nent; CPC: Post Bag No~ f Biceronle Cy Post Otfss Doalara GOTOMame of Assessee Address Status Ward PAN Residential Status Filing Status Last Year Retum Filed On Bank Name Tele: Registration no Registration Date : Income from Other Sources (Chapter IV F) Donation Receipts Interest on'SB Less: Salary Printing & Stationary Audit Fees Accounting Charges Traveling & Conveyance Bank Charges Office & Misc. Expenses Social Welfare Envoirement Expenses Aids Awareness Health Related programme Income Before Application of Income Less: Application of income Gross Total Income Total Income Round off u/s 288 A Adjusted total income (AT!) Tax Due Tax Payable Rajendrarai Seva Trust Nuwav Naipura Varanasi UTTAR PRADESH 221005 AOP Trust Assessment Year 2015-2016 Year Ended 31.3.2015 AACTR3540A Formation Date 30/01/2014 Resident Original 10/01/2015 Serial No.: 462114450100115 Union Bank of india, At Tikri Post Nayapuri Block Baragaon Dist. Varanasi Uttar Pradesh Pin 221005 MICR:NON MICR, A/C NO:399402010945183 Type: Saving IFSC Code: UBIN0539945 (542)2314301 Mob:9454353068 Computation of Total Income 586 52600 415 53015 24415 1260 2500 3600 2650 75 2619 5260 4120 3610 3492 is not more than Rs. 20 lakh hence AMT not applicable. °NAME OF ASSESSEE : Rajendrarai Seva Trust AY. 2015-2016 PAN: AACTR35408 _ Code-To101 Due Date for fling of Return July 34, 2018 Due date extended to 07/09/2015 F.NO.225/154/2016/TA.L OT. 02.09.2015 ‘Statoment of Current Year Loss Adjustment NeadlSource oflncome Current Year House Properly Business Lose oF Other Sources Current Year Income Income rent Yerrset "eCurentYear — Lossatthe Remaining site ace Current Year Set Sot off Current Year Sot off off, off ~ Loss to be adjusted 586 House Property NIL NIL NIL. NIL Business NL. NL NL NIL ‘Specuiation Business NIL, NIL NIL. NIL NIL Short term Capital Gain NIL. NL NIL NL, NIL ‘Long term Capital Gain NIL NIL NIL NIL NIL Other Sources NL NIL Nit, NIL Total Loss Set off NL NL. NL NIL NIL 586 ee ea Details of Members of AOP S.No. Name of Member PAN eyelet eq caret TR HST sat tinataa For Rajendrarai Seva Trust CompuTax : T0101 (Rajendrarai Seva Trust] Page 2