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ITR1 PHII r6
ITR1 PHII r6
ITR1 PHII r6
FORM
[For Individuals having Income from Salary/ Pension/ family pension & Interest]
ITR-1 (Please see Rule 12 of the Income Tax-Rules,1962) (Also see attached Instructions) 2 0 0 9 - 10
First Name Middle Name Last Name PAN
PERSONAL INFORMATION
a 80 C 4a 0 0
b 80 CCC 4b 0 0
c 80 CCD 4c 0 0
d 80 D 4d 0 0
e 80 DD 4e 0 0
f 80 DDB 4f 0 0
g 80 E 4g 0 0
h 80 G 4h 0 0
i 80 GG 4i 0 0
j 80 GGA 4j 0 0
k 80 GGC 4k 0 0
l 80 U 4l 0 0
m Total Deductions Do not Leave Blank 4m 0 4m 0
5 Total Income (3 - 4m) 5 0
6 Net Agricultural Income (Enter only if greater than Rs. 5,000) 6 0
7 Aggregate Income (5 + 6) 7 0
8 a Tax payable on Aggregate Income 8a
b Rebate in respect of Net Agricultural Income
TAX COMPUTATION
8b 0
9 a Tax payable on Total Income (8a-8b) 9a 0
b Surcharge on 9a 9b
Education Cess, including secondary and
c higher secondary cess on (9a+9b) 9c
d Total Tax, Surcharge and Education Cess (Payable) (9a+9b+9c) 9d 0
10 Relief under Section 89 10 0
11 Relief under Section 90/91 11 0
12 Balance Tax Payable (9d - 10 - 11) 12 0
13 a Interest payable u/s 234 A 13a 0
b Interest payable u/s 234 B 13b
c Interest payable u/s 234 C 13c
d Int payable(13a+13b+ 13c) 13d 0
14 Total Tax and Int. Payable(12+13d) 14 0
For Office Use Only Seal and Signature of
Receipt No/ Date Receiving Official
15 Taxes Paid
0
TAXES PAID
a Advance Tax (from item 23) 15a
b TDS (column 7 of item 21 +column 7 15b
0
of item 22)
c Self Assessment Tax (item 23) 15c 0
d Total Taxes Paid (15a+15b+15c) 15d 0
16 Tax Payable (14-15d) (if 14 is greater than 15d,) 16 0
17 Refund (15d-14) if 15d is greater than 14 17 0
18 Enter your Bank Account number (Mandatory in case of refunds)
REFUND
19 Select Yes if you want your refund by direct deposit into your bank account, No
Select No if you want refund by Cheque
20 In case of direct deposit to your bank account give additional details
MICR Code Type of Account(As applicable)
24 Other Information (transactions reported through Annual Information Return) (Please see instruction
number-9(ii) for code)
Sl Code Amount (Rs) Sl Code Amount (Rs)
a 001 0 b 002 0
c 003 0 d 004 0
e 005 0 f 006 0
g 007 0 h 008 0
25 Tax-exempt interest income (for reporting purposes only) 0
VERIFICATION
I, (full name in block letters), son/daughter of
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 2009-10
Place Date Sign here ->
PAN
26 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof (to be
27
filled by TRP)
21 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
Income Tax
Tax Deduction
charg Deduction payable
Account Tax
UTN (Unique Name of the eable under (incl. Total tax
SI.No Number Address City State PinCode payable/
Transaction Number) Employer under the Chapter surch. Deducted
(TAN) of the refundable
head VI-A and
Employer
Salaries edn.cess)
(1) (2) (9) (3) (4) (5) (6) (7) (8)
1
2
3
(Click + to add more rows to 22) TDS on Interest above. Do not delete blank rows. Blank rows will not be included In the ITR)
22 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]
1
2
3
4
5
6
(Click '+' to add more rows to 23) Tax Payments. Do not delete blank rows. Blank rows will not be included In the ITR)
Tax and interest Calculator 2009-10
Beta Version 1.0
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