Assessment Year : 2017-18

ITR-1 SAHAJ INDIVIDUAL INCOME TAX RETURN

Other sources (Interest etc.) and having taxable income upto Rs.50 lakh.)

PERSONAL INFORMATION

PAN BCLPS6204C First Name SUDHIR

Middle Name KUMAR Last Name SAHU

Aadhaar Number (Please enter the Aadhaar 462683859142 Aadhaar Enrolment Id

Number which is linked for your PAN in e-

Filing portal)

Date of Birth (DD/MM/YYYY) 09/11/1986 Mobile no 9086243579

Email Address [email protected]

Address

Flat / Door / Block No 12 FIELD REGT LRW Name of Premises / Building / Village

Road/ Street Area/ Locality C/O 56 APO

Town/ City/ District JAMMU State JAMMU AND KASHMIR

Country INDIA PIN Code 925712

Filing Status

Employer Category Government

Residential Status RES - Resident

Return filed 12 - After Due Date 139(4)

Whether original or revised return? Original

If under section: 139(5) - revised return:

Original Acknowledgement Number

Date of filing of Original Return(DD/MM/YYYY)

If under section: 139(9) - return in response to defective return notice:

Original Acknowledgment Number

Date of filing of Original Return (DD/MM/YYYY)

Notice Number

If filed in response to notice u/s 139(9)/142(1)/148/153A/153C,enter the date of such notice

Are you governed by Portuguese Civil Code as per section 5A ? No

If Yes,Fill PAN of the Spouse

Part B Gross Total Income

B1 Income from Salary /Pension ( Ensure to fill Sch TDS1) 444208

B2 Type of House Property

Income from one house property(If loss, put the figure in negative) 0

B3 Income from other Sources (Ensure to fill Sch TDS2) 0

Page 1
 Assessment Year : 2017-18

B4 Gross Total Income (B1+B2+B3)(If loss, put the figure in negative) 444208

Part C – Deductions and Taxable Total Income

S.No. Section Amount System Calculated

80C 150000 150000

80CCC 0 0

80CCD(1) 0 0

80CCD(1B) 0 0

80CCD(2) 0 0

80CCG 0 0

80D 0 0

80DD(Maximum eligible amount is 75000. For Severe Disability, it is 0 0

125000)

80DDB(Maximum eligible amount is 40000. For Senior Citizen, it is 60000 0 0

and Rs. 80,000 for Very Senior Citizen)

80E 0 0

80EE 0 0

80G 0 0

80GG 0 0

80GGA 0 0

80GGC 0 0

80RRB 0 0

80QQB 0 0

80TTA 0 0

80U(Maximum eligible amount 75000. For Severe Disability, it is 125000) 0 0

C1 Total Deductions 150000 150000

Note:Total deductions under chapter VI A cannot exceed GTI.

C2 Taxable Total Income (B4 - C1) 294210

Part D - Computation of Tax Payable

D1 Tax Payable on Total Income(C2) 4421

D2 Rebate u/s 87A 4421

D3 Tax after Rebate (D1-D2) 0

D4 Cess on (D3) 0

D5 Total Tax and Cess (D3+D4) 0

D6 Relief u/s 89(1) 0

Balance Tax After Relief (D5-D6) 0

D7 Interest u/s 234A 0

Page 2
 Assessment Year : 2017-18

D8 Interest u/s 234B 0

D9 Interest u/s 234C 0

Total Interest Payable ( D7 + D8 + D9 ) 0

D10 Total Tax and Interest ( D5 + D7 + D8 + D9 - D6 ) 0

D11(i) Total Advance Tax Paid 0

D11(ii) Total Self Assessment Tax Paid 0

D11(iii) Total TDS Claimed 10649

D11(iv) Total TCS Collected 0

D11(v) Total Taxes Paid(D11[(i) + (ii) + (iii) + (iv)]) 10649

D12 Amount payable (D10 –D11)(if D10 > D11) 0

D13 Refund(D11 - D10)(if D11 > D10) 10650

Exempt income (For reporting Purposes)

(i) Sec.10(38) 0

(ii) Sec.10(34) 0

(iii) Agriculture Income (<= Rs.5000) 0

(iv) Others

S.No. Nature of Income Amount

Part E – Other Information

D14. Do you have a bank account in India (Non-residents claiming refund with no bank account in India may select Yes

NO)?

a) Bank Account in which refund, if any, shall be credited

S.No. IFS Code of the bank Name of the bank Account Number (the number Cash deposited during 09.11.2016 to

should be 9 digits or more as 30.12.2016 (if aggregate cash deposits

per CBS system of the bank) during the period >= Rs.2 lakh)

1 SBIN0002107 State Bank of India 20037285927

b) Other Bank account details

S.No. IFS Code of the bank Name of the bank Account Number (the number Cash deposited during 09.11.2016 to

should be 9 digits or more as 30.12.2016 (if aggregate cash deposits

per CBS system of the bank) during the period >= Rs.2 lakh)

c) Non-residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank

account

S.No. IBAN/SWIFT code Name of the bank Country of Location Account Number

TAX DETAILS

TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

Page 3
 Assessment Year : 2017-18

S.No. Tax Deduction Account Number Name of Employer [Col (2)] Income chargeable Total Tax Deducted [Col (4)]

(TAN) of the Deductor [Col (1)] under Salaries [Col (3)]

1 HYDJ00028A PAY ACCOUNTS 444208 10345

OFFI CE (ORS) E M E

TOTAL 10345

TDS2 Details of Tax Deducted at Source other than salary

S.No. Tax Deduction Name of the Amount which Deduction Tax Deducted Amount out of Amount claimed in

Account Number Deductor [Col (2)] is subject to tax year [Col (4)] [Col (5)] (5) claimed for the hands of spouse

(TAN) of the deduction [Col (3)] this year [Col (6)] if section 5A is

Deductor [Col (1)] applicable [Col (7)]

1 BBNS00039E STATE BA NK OF 14417 2016 304 304

IN DIA BHAN JA

BIHAR BRANCH

TOTAL 304

TCS Details of Tax Collected at Source

S.No. Tax Collection Name of the Amount which Collection Tax Collected Amount out of Amount claimed in

Account Number of Collector [Col (2)] is subject to tax year [Col (4)] [Col (5)] (5) claimed this the hands of spouse

the Collector [Col (1)] collection [Col (3)] year [Col (6)] if section 5A is

applicable [Col (7)]

TOTAL 0

IT IT Details of Advance Tax and Self Assessment Tax Payments

S.No. BSR Code [Col (1)] Date of deposit (DD/ Serial Number of Challan [Col (3)] Tax paid [Col (4)]

MM/YYYY) [Col (2)]

TOTAL 0

Instructions for correct calculation of 80G

A. Donations entitled for 100% deduction without qualifying limit

S No. Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible Amount

the Donee or District the Donee of Donation

1 0

Total A 0 0

B. Donations entitled for 50% deduction without qualifying limit

S No. Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible Amount

the Donee or District the Donee of Donation

1 0

Page 4
 Assessment Year : 2017-18

Total B 0 0

C. Donations entitled for 100% deduction subject to qualifying limit

S No. Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible Amount

the Donee or District the Donee of Donation

1 0

Total C 0 0

D. Donations entitled for 50% deduction subject to qualifying limit

S No. Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible Amount

the Donee or District the Donee of Donation

1 0

Total D 0 0

E. Donations (A + B + C+ D) 0 0

VERIFICATION

I, SUDHIR KUMAR SAHU son/daughter of, SASHIBHUSAN BHUSAN SAHU , solemnly declare that to the best of my knowledge and belief, the information
given in the return is correct and complete and are in accordance with the provisions of the Income- tax Act 1961.

Place JAMMU Date 19/08/2017 PAN BCLPS6204C

Page 5