INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, ITR-4(SUGAM), ITR-5, ITR-6, ITR-7
Assessment Year
filed and verified] 2021-22
(Please see Rule 12 of the Income-tax Rules, 1962)

PAN CMDPK5003N

Name MASHOUD ALAM KHAN

Address 0 , AGRC PATH SARAB HATTI ROAD , NEAR FC GODOWN HIJUGIRI , HOLLOGIRI GAON , TINSUKIA , 786125

Status Individual Form Number ITR-1

Filed u/s 139(5) Revised- Return revised after filing original return e-Filing Acknowledgement Number 579328970250921

Current Year business loss, if any 1 0

Total Income 7,17,610

Book Profit under MAT, where applicable 2 0

Adjusted Total Income under AMT, where applicable 3 0

Net tax payable 4 58,263

Interest and Fee Payable 5 0

Total tax, interest and Fee payable 6 58,263

Taxes Paid 7 65,508

(+)Tax Payable /(-)Refundable (6-7) 8 (-) 7,250

Dividend Tax Payable 9 0

Interest Payable 10 0

Total Dividend tax and interest payable 11 0

Taxes Paid 12 0

(+)Tax Payable /(-)Refundable (11-12) 13 0

Accreted Income as per section 115TD 14 0

Additional Tax payable u/s 115TD 15 0

Interest payable u/s 115TE 16 0

Additional Tax and interest payable 17 0

Tax and interest paid 18 0

(+)Tax Payable /(-)Refundable (17-18) 19 0

Income Tax Return submitted electronically on 25-09-2021 17:45:01 from IP address 10.1.213.150 and verified by MASHOUD ALAM KHAN
having PAN CMDPK5003N on 25-09-2021 17:47:01 using paper ITR-Verification Form /Electronic Verification Code CBEXAE4BKI
generated through Digital mode

System Generated

Barcode/QR Code
CMDPK5003N0157932897025092148C3B0F8BAED328F40BA6F1A60950BCEA5BD3F7C

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

NAME OF ASSESSEE : MASHOUD ALAM KHAN
PAN : CMDPK5003N
FATHER'S NAME : ALAM KHAN
RESIDENTIAL ADDRESS : 0, AGRC PATH SARAB HATTI ROAD, NEAR FC GODOWN HIJUGIRI,
HOLLOGIRI GAON, TINSUKIA, ASSAM-786125
STATUS : INDIVIDUAL ASSESSMENT YEAR : 2021 - 2022
WARD NO : ITO W-1 TINSUKIA FINANCIAL YEAR : 2020 - 2021
GENDER : MALE DATE OF BIRTH : 24/09/1988
EMAIL ADDRESS : client.cackp@gmail.com
RESIDENTIAL STATUS : RESIDENT
NAME OF BANK : HDFC BANK
MICR CODE : 110240037
IFSC CODE : HDFC0000280
ADDRESS : GURGAON - FIRST INDIA PLACE
ACCOUNT NO. : 50100100713102
RETURN : REVISED (RETURN FILING DATE : 25/09/2021 & NO. : 579328970250921)

COMPUTATION OF TOTAL INCOME

SALARIES 752440

NJ INSURANCE BROKERS PRIVATE LIMITED (TAN:

SRTN02311B) : 502, 2ND FLOOR, B TOWER,UDHNA
SANGH COMPLEX, CENTRAL ROAD NO 10, UDHNA,
SURAT, GUJARAT-394210
GROSS SALARY 804840
LESS: STANDARD DEDUCTION U/S 16(ia) 50000
LESS: PROFESSIONAL TAX U/S 16(iii) 2400
TAXABLE SALARY 752440

INCOME FROM OTHER SOURCES 883

SB INT 883
TOTAL 883

GROSS TOTAL INCOME 753323

LESS DEDUCTIONS UNDER CHAPTER-VIA

80D MEDICAL INSURANCE PREMIA 12792
- HEALTH INSURANCE (SELF AND FAMILY) 12792
80GG DEDUCTION IN RESPECT OF RENTS PAID [SEE 22035
NOTE 1]
80TTA INTEREST ON DEPOSITS IN SAVINGS ACCOUNT 883
TOTAL DEDUCTIONS 35710
TOTAL INCOME 717613
TOTAL INCOME ROUNDED OFF U/S 288A 717610

COMPUTATION OF TAX ON TOTAL INCOME

TAX ON RS. 250000 NIL
TAX ON RS. 250000 (500000-250000) @ 5% 12500
TAX ON RS. 217610 (717610-500000) @ 20% 43522
TAX ON RS. 717610 56022
56022
ADD: HEALTH AND EDUCATION CESS @ 4% 2241
58263
LESS TAX DEDUCTED AT SOURCE
SECTION 192: SALARY 65508 65508
-7245

REFUNDABLE (7245)
TAX ROUNDED OFF U/S 288B (7250)

NOTES :-
1. MINIMUM OF 22035(96000 - 73965(739648/10)) AND 184912(739648/4) AND 60000(5000 * 12)