INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2018-19
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
TIRTHRAJ JIVRAJBHAI SOJITRA FMPPS9905G
PERSONAL INFORMATION AND THE

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

SHRIJITIRTH , PLOT:12/13, has been
DATE OF ELECTRONIC

electronically ITR-1
GOKULDHAM SOCIETY-2,
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

HANUMANPARA MAIN ROAD, AMRELI
AMRELI Status Individual
Town/City/District State Pin/ZipCode Aadhaar Number/Enrollment ID
AMRELI Gujarat
365601 XXXX XXXX 97

Designation of AO(Ward/Circle) ITO WD 3(1)(4), RAJKOT-AM Original or Revised ORIGINAL

E-filing Acknowledgement Number 645676490120618 Date(DD/MM/YYYY) 12-06-2018

1 Gross total income 1 413810
2 Deductions under Chapter-VI-A 2 150000
3 Total Income 3 263810
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 0
AND TAX THEREON

4 Net tax payable

5 Interest and Fee Payable 5 0
6 Total tax, interest and Fee payable 6 0
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 6000
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 6000
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 6000
Agriculture 0 10
10 Exempt Income 0
Others 0

The return has been electronically uploaded on 12-06-2018 17:14:22 from IP address 103.234.162.227 and has been electronically

verified by TIRTHRAJ JIVRAJBHAI SOJITRA in the capacity of INDIVIDUAL having PAN FMPPS9905G

on 12-06-2018 17:31:05 from IP address 103.234.162.227 at AMRELI using

Electronic Verification Code QW47G846SI generated through Aadhaar OTP mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU