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Assessment
FORM
ITR-1
SAHAJ [For individuals being a resident other than not ordinarily resident having Income from Salaries, one house property, other Year
sources (Interest etc.) and having total income upto Rs.50 lakh] (Refer instructions for eligibility) 2 0 18 - 1 9
Flat / Door / Block No. Name of Premises / Building / Village Date of Birth
(Select) (Select)
Email Address Mobile No. Employer Category Return filed
(Select) (Select)
Are you Person governed by Portuguese Civil Code as per section 5A ? Yes, fill PAN of the Whether Original or
No Revised return? (Select)
Spouse
v Deduction u/s 16
Gross Total Income (If loss, put the figure in negative) (1+2+3)
4 0
Note: To avail the benefit of carry forward and set off of loss, please use ITR-2
5 Deductions under Chapter VI A (Section) System Calculated
80 C - Life insurance premia, deferred annuity, contributions to
a provident fund, subscription to certain equity shares or 5a 0
debentures, etc.
b 80 CCC - Payment in respect Pension Fund 5b 0
80 CCD (1) - Contribution to pension scheme of Central
c Government 5c 0
80 CCD(1B) - Contribution to pension scheme of Central
d 5d 0
Government by employee
80 CCD (2) - Contribution to pension scheme of Central
e Government by employer 5e 0
80 D - Health insurance
g (Select) 5g 0
premium
80 DD - Maintenance
including medical
treatment of a
DEDUCTIONS
h (Select) 5h 0
dependant who is a
person with disability
80 DDB - Medical
i treatment of specified (Select) 5i 0
disease
j 80 E - Interest on loan taken for higher education 5j 0
k 80 EE - Interest on loan taken for residential house property 5k 0
l 80 G - Donations to certain funds, charitable institutions, etc 5l 0 0
m 80 GG - Rent paid 5m 0
80 GGA - Certain donations for scientific research or rural
n 5n 0
development
o 80 GGC - Donation to Political party 5o 0
p 80 QQB - Royalty income of authors of certain books. 5p 0
q 80 RRB - Royalty on patents 5q 0
r 80 TTA - Income from Interest on saving bank Accounts 5r 0
80 U - In case of a
s person with disability. (Select) 5s 0
Tax Deduction
Income chargeable
SI.No Account Number Name of Deductor Total Tax Deducted
under Salaries
(TAN) of the Deductor
19 Details of Tax Deducted at Source from Income OTHER THAN Salary [As per FORM 16 A issued by Deductor(s)]
TDS2
SI.No
Tax Deduction
Amount which is Year of tax Amount out of (5) claimed
Account Number Name of the Deductor Tax Deducted
subject to tax deduction deduction this Year
(TAN) of the Deductor
20 Details of Tax Deducted at Source [As per 26QC furnised by the Deductor(s)]
TDS3
SI.No
Permanent Account
Amount which is Year of tax Amount out of (5) claimed
Number (PAN) of the Name of the Tenant Tax Deducted
subject to tax deduction Deduction this Year
Tenant
(5) (6)
0
Total Taxes Paid
23 PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex :
The taxes paid figures below will get filled up when the Schedules linked to them are filled.
a Total Advance Tax Paid (from item 21) 0
TAXES PAID
e Total Amount 0
(i) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
a) Bank Account in which refund, if any, shall be credited
E- OTHER INFORMATION
Account Number
Sl.No IFS Code of the Bank Name of the Bank
1
PART E- OTHER INFORMA
Account Number
Sl.No IFS Code of the Bank Name of the Bank
2
3
4
VERIFICATION
I, son/daughter of
solemnly declare that to the best of my knowledge and belief, the information given in the return is correct and complete and is in accordance with the provisions
of the Income-tax Act, 1961. I further declare that I am making this return in my capacity as and I am also competent to make
this return and verify it. I am holding permanent account number
Place Date
28 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP
Name of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof
Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
Schedule 80G
(Instructions for correct calculation of 80G)
Total 80GA 0 0
Total 80GB : 0 0
Total 80GC : 0 0
Total 80GD 0 0
E Donations (A + B + C + D) 0 0