Income Tax Calculator for the Financial Year 2011-2012 and Assessment Year 2012-2013

ONLY NON- GOVT EMPLOYEES

Prepared By Pranab Banerjee,Bhattapara,Jiaganj,Murshidabad,West Bengal. For contact:-
pranab.banerjee83@gmail.com, Cell No. 9474316768, 8906279547

FIRST NAME Pranab

MIDDLE NAME Kumar
LAST NAME Banerjee
Note:-If any discrepency is arise
about calculation of income Tax,I am DESIGNATION UDC
not responsible for that, Pranab
Banerjee Permanent A/C No.(PAN NO) AAPB 5566 K

Gender ( Male or Female ) Male

DATE OF BIRTH 1/4/1963

If you are a Handicapped Employee, Yes/No No

Flat/Door/Block No. D 45

Village Bhattapara

Post Office: Jiaganj

For Contact:-
Area/Locality: Jiaganj

If you live in Metro City Type Yes ,else Type No No

pranab.banerjee83@gmail.com
District: Murshidabad
PIN CODE: 742123
State: West Bengal Cell No. 9474316768,
Designation of Assessing Officer ( Ward/Circle) 11 8906279547
Date of Submit this RETURN
Office Address Lalbagh,Murshidabad
STATUS- Govt/PSU/Others PSU
EMPLOYER /DEDUCTOR DETAILS
Name of the Employer / Deductor Rahul Bose
Address of the Employer/Deductor Lalbagh,Murshidabad
Father's Name of the Employer/Deductor Babulal Bose
Designation of the Employer/Deductor G.M.
 Place of Office (Loceted Office Place) Lalbagh,Murshidabad
Pan of the Employer/Deductor AAPP5588A
Tan No. of the Employer/Deductor 800

PARTICULARS OF SALARY
Deduction under 80C (Maximum Deposit Rs.1,00,000)+20,000/- Flixible Bond

1 a) G.P.F./EPF/PF 12000

2 b) P.P.F 1000

3 c) L.I.C. 50000

4 d) N.S.C. 1000

e) P.L.I. 1000
DEDUCTION ONLY U/S 80C, 80CC (MAXIMUM LIMIT
5 f) H.B. Loan Principal 12000 NOT EXCCEED RS.1,20,000/- including New Tax
Savings Bond(Max Rs.20000/-)
6 g) ESIC/ESI/GI/GISL 960

7 h) ULIP 1000

8 i)New Flexible Tax Savings Bond ( Maximum Rs. 20,000/-) 0

9 j)Equity linked savings scheme/tax savings bond etc. 1000

10 k) Tuition Fees 1000

TOTAL DEDUCTION U/S 80C Max. Rs 1,00,000/- + 20,000 Total Deduction U/S 80C (Max.limit 1,00,000/-) + 20,000/-
Infrustructure Bond, Total Rs.1,20,000/- 80960 New declared Infrustructure Bond
11
Other source of Income( Other than Salary)
12 Interest from Bank 0
Interest from N.S.C. 0
13 Deduction under Chapter V A
14 80G 100 Donation in Charitable Fund Maximum 100% of donation)
Premium in health insurance of
15 80D 100 self,spouse,children,dependent,Maximum Rs 15000/-
16 80E 100 For Higher Education Loan

17 80DD 100 Medical treatment for self or dependent as Handicapped

18 80DDB 100 Medical Treatment for self or dependent for sever desease
19 80 U 100 Handicapped Allowances Max Rs.75,000/-

TOTAL DEDUCTION CHAPTER VI-A Rs. 81560 TOTAL DEDUCTION CHAPTER VI-A Rs.

House Rent Paid 0 For Rented House. Must Submit the receipt of House Rent.

25 Relief under Section 89(1) 1,500

Advance Income Tax Paid 0
3@gmail.com

l No. 9474316768,
06279547
C, 80CC (MAXIMUM LIMIT
000/- including New Tax
Max Rs.20000/-)

x.limit 1,00,000/-) + 20,000/-

Bond

mum 100% of donation)

aximum Rs 15000/-

dent as Handicapped

ndent for sever desease

75,000/-

ER VI-A Rs.

e receipt of House Rent.

Pay Calculation Sheet for -Income Tax Calculation ,for the financial year 2010-2011, Assessment Year 2011-12
Only For Non Govt Employees

Conv. Mobile/
City Child perform Ovrtim
MONTH Basic Variable Allown./ Other Spl. Madical Intrtnm Telph. L.T.C./ Arrears
Alownc / D.A. H.R.A. Educ. ance Alownc/ Bonus
&Year Pay Pay Trnsport Allownc Allwnc Allown Allown /Fuel L.T.A Received
CCA Alownc Incentv OA
Alownc Alwnc

Apr-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 0 0

Prepared by
May-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Jun-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 Pranab

Banerjee,
Jul-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 Kalisthanpara,Jiaganj,

Aug-11 20,000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Murshidabad, West Bengal,

Sep-11 20,000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Oct-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

For
Nov-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 Contact :-

Dec-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Jan-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

pranab.banerjee83@gmail.
Feb-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0
Com,

Mar-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 Cell No.

9474316768
TOTAL 210000 72000 12000 0 9000 0 0 36000 15000 0 0 0 0 0 0 0 0
TOTAL

LIC Monthly
ESIC/ H.B.
H.B.Int Premum
(Excluding P.F./EPF P.Tax G.I.S./G Loan.
Paid Paid from TDS
Bonus+ ISL Princpl deduc
Salary

22000 1000 150 80 1000 0 0 600

22000 1000 150 80 1000 0 600

0

22000 1000 150 80 1000 0 600

Arrears) 0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 600

0

32000 1000 150 80 1000 0 453

0

354000 12000 1800 960 12000 0 0 7053

 INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2010-2011
ASSESSMENT YEAR 2011-2012
Name & Designation of the Assesses Pranab Kumar Banerjee UDC

Residential Address Bhattapara Jiaganj Murshidabad Pin Code No. 742123

Pan Card No. AAPB 5566 K
1 a) Salary income with allowance excluding H.R.A.:-…………………………………………. Rs. 318000
b) House Rent Allowance :-…………………………………………………………………………. Rs. 36000
c) Bonus :-………………………………………………………………………………………………. Rs. 0
d) Arrear,if any :-………………………………………………………………………………………. Rs. 0
2 Any other income as stated by the Assesses :-
a) Income from N.S.C. Interest-……………………………………………………………………… Rs. 0
b) Income from Bank Interest……………………………………………………………………….. Rs. 0
3 Gross Income(Col.1 + 2 ) :-…………………………………………………………………………… Rs. 354000
4 Interest paid as H.B.Loan (1.5 Lacks maximum) U/S 24(B):-…………………………………… Rs. 0
5 Intertainment Allowances Exemp U/s 16[Max For NGO Rs.7500, For Govt Empl.Rs.5000/-] Rs. 0
6 Professional Tax U/S 16(iii) :-……………………………………………………………………….. Rs. 1800
7 Exemption of Transport/Conveyance Allowances/U/s 10(14)(i)[Max.Rs 9600/……………….. Rs. 9600
8 Exemption U/S 10(13A) :-
a) H.R.A.Received :-………………………………………………………………. Rs. -
b) House Rent paid :-…………………………………………………………….. Rs. -
c) Expenditure on rent in excess of
50% of B.Pay In Metropol City ors 40%.................................... 84,000 Rs. -
10% of B.Pay ………………………………………………… - 21,000 Rs. -
e) Amount exempted (Least of a,c):-……………………… - 21,000 Rs. - Rs. -
9 Exemption of Leave Travel Consession/LTA U/s 10(5)…………………………………………. Rs. -
10 Exemption ofChildren Education Allowances,U/s 10(14), Max Rs. 1200 PA …………………. Rs. -
11 Total Income(Col.3-4-5-6-7-8-9-10) :-………………………………………………. ………………….. Rs. 342,600
12 Deduction U/S 80 C (Maximum Rs.1,20,000/- including T.Svngs Bond)
a) Contribution to G.P.F.:- ……………………………………………. Rs. 12000
b) Contribution to P.P.F…………………………………………………… Rs. 1000
b) Group Insurance Savings Scheme/ESIC/ESI :-……………………. Rs. 960
c) L.I.C./Premium paid…………………………………………………….. Rs. 50000
d)Purchase of N.S.C. :-…………………………………………………….. Rs. 1000
e) ULIP………………………………………………………………………… Rs. 1000
f)Tution Fees Maximum Rs.1,00,000/-………………………………….. Rs. 1000
f) Payment of H.B.Loan (Principal) :-………………………………….. Rs. 12000
g) New Infru.Flexible Bond Max Rs. 20,000/-)………………………. Rs. 0
h) P.L.I……………………………………………………………………….. Rs. 1000
i) Equity linked savings scheme/tax savings bond etc……………. Rs. 1000
Total Deduction U/s 80C (Max Rs. 1,00,000/-+ 20,000/-)………………….. Rs. 80960
13 Deduction Under Chapter V A
i) U/S 80 G Rs. 100
ii) U/S 80 D Rs. 100
iii) U/s 80 DD Rs. 100
iv) U/s 80 E Rs. 100
v) U/s 80 DDB Rs. 100
vi) U/s 80 U Rs. 100 Total Amount of Chapter V A Rs. 600
14 Total Amount Deducted U/S 80C and Chapter VI A (Col 12 + 13)………. Rs. 81,560 Rs. 81,560
15 Taxable Income (11 -14) :-[Rouned to the next 10]……………….. Rs. 261040

i) Upto Rs.1,80,000/- Tax Nil, Rs.1,80,001/-to 5,00,000/-Tax 10%, 500001 to 80000, 20%

ii)Rs.8,00,001/-to Onwards Tax 30%, For Female Up to 190000/- Tax NIL

iii) For Sr.Citizen 60 Yrs up to 2,50,000/- Nil, Above 80 yrs up to 5,00,000/- Nil

16 Total Tax Computed after the Stantard Deduction…………………………. ……………….. Rs. 10,104

17 3% Educational cess on tax :-…………………………………………………… ……………….. Rs. 303

18 Tax Payable including educational cess(Col.16 + 17) :-………………….. Rs. 10,407

19 Relief U/S 89(1)[Arrears Relief from Salary]…………………………………… …………………. Rs. 1,500

20 Net Tax Payable ( 18-19)…………………………………………………….. ………………… Rs. 8,907

21 Tax Paid from Salary Anually or Monthwise……………………………………………… Rs. 7,053

22 Balance Tax Payable/Refundable…………………………. ………………………………….. Rs. 1,854

Date:- Signature of the employee

Designation

Pranab Banerjee,Jiaganj,Msd
 Salary Statement for the Year 2010-2011(From March 10 to Feb 2011)
Salary Statement of Sri Pranab Kumar Banerjee UDC

Conv. Mobile/ ESIC/ H.B.

Other City Child perform Ovrtim P.F./E H.B.Int
MONTH Variabl Allown./ Spl. Madical Intrtnm Telph. / L.T.C./
&Year
Basic Pay
e Pay Trnsport
Allow
Allwnc
Alownc / D.A. H.R.A.
Allown
Educ.
Allown Fuel
ance Alownc/
L.T.A P.Tax G.I.S./ Loan.
nc CCA Alownc Incentv OA PF Paid
Alownc Alwnc GISL Princpl

Apr-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
May-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Jun-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Jul-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Aug-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Sep-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Oct-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Nov-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Dec-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Jan-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Feb-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
Mar-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000 150 80 1000 0
TOTAL 210000 72000 12000 0 9000 0 0 36000 15000 0 0 0 0 0 0 12000 1800 960 12000 0

Total Arrears Received from March 10 to Feb 2011 Rs. 0

Bonus Received From March 2010 to Feb 2011 Rs. 0

Signature of Employee
Dated:-
Designation:-
 FORM NO.16
[See rule 31(1)(a)]
PRART A
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source from Salary

Name and address of the Employer Name and designation of the employee
Rahul Bose Pranab Kumar Banerjee UDC

Lalbagh,Murshidabad

PAN NO.of Deductor TAN No.of the Deductor PAN NO. of the Employee
AAPP5588A 800 AAPB 5566 K
CIT (TDS) Period
Assessment Year
Address - From To
- 2010 2011 1/4/2010 31/3/2011
City - Pin Code -
Receipt Numbers of original statements Amount of tax deposited
Amount of tax deducted in respect
Quarter of TDS under sub-section (3) of section remitted in respect of the
of the employee
200 employee
Q1 2 1,800 1,800
Q2 5 1,800 1,800
Q3 8 1,800 1,800
Q4 11 1,653 1,653
TOTAL 7,053 7,053
PART B (Refer Note )
Details of Salary Paid and any other income and tax deducted
1 Gross Salary IN RUPEES IN RUPEES IN RUPEES

(a) Salary as per provisions contained in section 17(1) Rs. 354,000

Value of perquisites under section 17(2)(as per Form

(b) No. 12BA,wherever applicable) Rs. 0
Profits in lieu of salary under section 17(3)(as per
(c) Form No. 12BA, wherever applicable) Rs. 0
(d) TOTAL Rs. 354000
2 Less: Allowance to the extent exempt u/s 10
Allowance Rs.
HRA Exempt( U/s 10(13A) 0
Conv.Alw.exempt(U/s 10(14)(i) 9600 9600
3 Balance(1-2) Rs. 344400
4 Deductions :
H.B.Loan Int.(Max-1,50,000/-)
(a) u/s 24(B) 0
Exempt Intertainment Allowances 0
(b) Tax on employment 1800
5 Aggregate of 4(a) to (b) Rs. 1,800
Income chargeable under the head 'salaries'
6 Rs. 342600
(3-5)
7 Add: Any other income reported by the employee

a)Income form N.S.C………………………………. Rs. 0

b) Income From Bank Interest……………………. Rs. 0
8 Gross total income (6+7) Rs. 342600
 9 Deductions under Chapter VIA
U/s 80C (Aggregate amount Max.Rs.1,20,000/-)
A Gross Amount Deductible Amount Rs.
(i)Sec.80C-G.P.F. Rs. 12000
(ii)P.P.F. Rs. 1000
(ii) G.I.S. Rs. 960
(iii) U L I P Rs. 1000
(iv) P.L.I. Rs. 1000
(v) Tution Fees Rs. 1000
(vi) New Flexible Bond (Max Rs 20,000/-)U/s 80CCF 0 ###
(vii) N.S.C. 1000 lic
(viii) L I C Premium Rs. 50000
(ix) Equity Links Savings Bond Rs. 1000
(x) H.B.L.(Principal) Rs. 12000 80960 Rs. 80,960
B Other sections e.g.,80E,80G,etc under chapter VI Gross Amount Qulfy amount Deductible Amount Rs.

(a) Section 80 E Rs. 100 100

(b) Section 80 G Rs. 100 100
© Section 80U Rs. 100 100
(d) Section 80DD Rs. 100 100
(e) Section 80D Rs. 100 100
f) Section 80CC Rs. 0 0
G) Section 80DDB Rs. 100 100
10 Aggregate of deductible amount under Chap. VIA Rs. 81,560
11 Total Income (8-10) Rs. 261,040
12 Tax on total income Rs. 10,104
13 Surcharge on col.12 Rs. 0
14 Education & cess @3% on col.no.12 Rs. 303
15 Tax payable (12+13+14) Rs. 10,407
16 Relief U/s 89(1) Rs. 1,500
17 Tax payable/refundable (15-16) Rs. 8,907
18 Less (a) Tax deducted at source Rs. 7,053
Net Tax col.No. 17-
19
18)
- Tax payable Rs. 1,854
Verification
I Rahul Bose son/daughter of Babulal Bose
working in the capacity of(designation G.M. do hereby certify that a sum of Rs Rs. 1,854 [Rs.
(in words)] has been deducted and deposited to the credit of the Central Governement. I further
certifify that the information given about is true, complete and correct and is based on the books of account, documents, TDS
statement ,TDS deposited and other available records.
Place:- Lalbagh,Murshidabad
Date:- Signature of person responsible for deduction of tax
Designation G.M. Full Name:- Rahul Bose

Note:-
1 If an assessee is employed under more than one employer during the year, each of the employers shall issue Part
A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each
of the employers. Part B may be issued by each of the employers or the last employer at the option of the
assessee.
2 Government deductors to enclose Annexure-A if tax is paid without production of an income-tax
challan and Annexure-B if tax is paid accomanied by an income-tax challan.
 3 Non-Government deducto5rs to enclose Annexure-B
4 The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdiction
as regards TDS statements of the assesee.
5 This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.

ANNEXURE-A
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENT5RAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY
(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Sl.N Tax Deposited in respefct on
o
Book Identification Number (BIN)
of the employee (Rs.
Date on
DDO Sequence Number in
Receipt Numbers of Form which tax
the Book Adjustment Mini
No 24G deposited
Statement
(dd/mm/yy)

Note:-
1. In the column for TDS, give total amount for TDS,Surcharge(if applicable) and education cess.

ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to employee)
Challan Identification Number ( C I N )
Sl.N Tax Deposited in respect on of Challan
o the employee (Rs.) Date on which tax deposited
BSR Code of the Bank Branch Serial
(dd/mm/yy)
Number
1 600 Treasury Lalbagh 31/4/2010 1
2 600 Treasury Lalbagh 31/5/2010 2
3 600 Treasury Lalbagh 31/6/2010 3
4 600 Treasury Lalbagh 31/7/2010 4
5 600 Treasury Lalbagh 31/8/2010 5
6 600 Treasury Lalbagh 31/9/2010 6
7 600 Treasury Lalbagh 31/10/2010 7
8 600 Treasury Lalbagh 31/11/2010 8
9 600 Treasury Lalbagh 31/12/2010 9
10 600 Treasury Lalbagh 31/1/2011 10
11 600 Treasury Lalbagh 28/2/2011 11
12 453 Treasury Lalbagh 31/3/2011 12
Total 7,053 -

1 In the Column for TDS, give total amount for TDS, Surcharge(if applicable) and education cess
 INDIAN INCOME TAX RETURN Assessment Year
FORM

SARAL-II [For Individual having Income from Salary/Pension/income from One House
(ITR-I) Property(Excluding loss brought forward from previous years)/Income from Other Sources 2 0 1 0 - 1 1
(Excluding Winning from Lottery and income from Race Horses)]

(Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instuctions)
First name Middle name Last name PAN NO
Pranab Kumar Banerjee AAPB 5566 K
PERSONAL INFORMATION

Flat /Door/Block No. Name Of Premises/Building/Village Date of Birth

D 45 Bhattapara 1/4/1963

Road/Street/Post Office Area/Locality Employer Category √

Govt
Jiaganj Jiaganj - √ PSU - Others
.
Town/City/District State Pin code Employer Category
Murshidabad West Bengal 742,123 √ male √ -
Email Addrs. (STD Code) - Phone Number
Designation of Assessing Officer (Ward/Circle) Return Filed Under Section- 1 1
FILING STATUS

11 [Please see instruction number-9(i)]

Whether original or Revised return? (Tick) √ √ Original Revised
If revised, enter Receipt No and Date of filing ORIGINAL
original return (DD/MM/YYYY) -
Original return(DD/MM/YYYY)
Residential Status (Tick)
√ √ Resident Non-Resident Resident but not ordinarily Resident
1 Income chargeable under the Head 'Salaries',Pension 1 Rs. 342,600
2 Income chargeable under the Head 'House Property'(enter-ve sign in case of loss, if any) 2 Rs. 0
3 Rs. 0
INCOME & DEDUCTIONS

3 Income chargeable under the Head 'Other Sources' (enter-ve sign in case of loss, if any)
4 Gross Total Income (1+2+3) 4 Rs. 342,600
5 Deductions under chapter VIA (Section
a 80C Rs. 80,960 e 80DD Rs. 100 I 80GG Rs. 0
b 80CCC Rs. 0 f 80DDB Rs. 100 j 80GGA Rs. 0
c 80CCD Rs. 0 g 80E Rs. 100 k 80GGC Rs. 0
d 80D Rs. 100 h 80G Rs. 100 l 80U Rs. 100
6 Deductions (Total of 5a to5i) 6 Rs. 81,560
7 Total Income (4-6) 7 Rs. 261,040
8 Tax Payable on 'Aggregate Income' 8 Rs. 10,104
Rebate in respect of Net Agricultural income Rs. 0
9b
a Tax Payable
Surcharge onon
9atotal Income (8a - 8b) 9a
9b 10104
0
TAX COMPUTATION

10 Total Tax, Surcharge and Education cess payable (8+9) 10 Rs. 10,407
11 Relief under Section 89 11 Rs. 1,500
12 Relief under Section 90/91 12 Rs. 0
13 Balance Tax Payable (10-11-12) 13 Rs. 8,907
14 Total interest payable u/s 234A/234B/234C 14 Rs. 0

15 Total Tax and Interest payable (12+13) 15 Rs. 8,907

Receipt No.

Date

1
 16 Taxes Paid
a Advance Tax (from item 25) 16a Rs. 0
TAXES PAID

b TDS (column 7 of item23+column 7 of item 24) 16b Rs. 7,053

c Self Assessment Tax (from item 25) 16c Rs. 0
17 Total Taxes paid (16a+16b+16c) 17 Rs. 7,053
18 Tax payable(15-17)(enter if 15 is greater than 17, else leave blank) 18 Rs. 1,854 ###
19 Refund (18-17) (enter if 15d is greater than 14, also give Bank account details below) 19 Rs. 0
20 Enter your bank account number (mandatory in case of refund) 0
REFUND

21 Do you want your refund by cheque or deposited directly into your bank account? (tick as applicable √
22 Give additional details of your bank account
MICR Code 0 Type of Account (tick as applicable) √ Savings
23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
TAX
Tax payable
TDS ON SALARY

Tax Deduction Account Income chargeable Deduction Payble

Sl Name and address of (incl. surch. Total tax
No
Number(TAN) of the under the head under
the Employer And edn. deposited
Employer salaries Chapter VI-A -
Cess)

(1) (2) (3) (4) (5) (6) (7) (8)

800 AAPP5588A Rs. 342,600 Rs. 81,560 Rs. 8,907 Rs. 7,053 Rs. 1,854

24 Details of Tax Deducted at Source other than salary

Amount
Tax Deduction Account
Namee and address Amount paid/ Date of Payment Total tax out of (6)
TDS ON INTEREST

Sl
Number(TAN) of the
No
Deductor of the Deductor credited /Credit deposited claim for
this year

(1) (2) (3) (4) (5) (6) (7)

- -
-
-
NOTE Enter the total of column (7) of 23and column (7) of 17 of TAXES PAID
25 Details of Advance Tax and Self Assessment Tax Payments
Sl Date of Deposit Serial Number of
Name of Bank & Branch BSR Code Amount (Rs.)
No (DD/MM/YYYY) Challan
TAX PAYMENTS

(i)
(ii)
(iii)
(iv)
NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.17 of TAXES PAID -
26 Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Sl.
a Code
001 Amount (Rs.) eSl. Code
004 Amount (Rs.) Sl.
h Code
007 Amount (Rs.)
b 002 f 005 i 008
c 003 g 006 j

27 Exempt income only for reporting purposes(from Dividend, Capital gains etc) 27
VERIFICATION
I, son/ daughter of solemnly
declare that to the best of my knwledge 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 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 2010-11
Place Date Sign here
28 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

2
29 If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP) 29

2
 Government of India

INCOME TAX DEPARTMENT

ACKNOWLEDGEMENT

Received with thanks form: Pranab Kumar Banerjee a return of income &/return
of fringe benefits in Form No ITR - 1 for assessment year 20011-2012, having the following particulars:

Name Pan No.

PERSONAL INFORMATION

Pranab Kumar Banerjee AAPB 5566 K

Flat/Door/Block No: Name of Premises/Building/Village:
D 45 Bhattapara
Road/Street/Post Office: Area/Locality:
Jiaganj Jiaganj
Town/City/District: State: Status(fill the code)
Murshidabad West Bengal PSU 11
Designation of Assessing Officer Original/Revised Original
1 Gross total income 1 Rs. 342,600
COMPUTATION OF INCOME & TAX THEREON

2 Deduction under Chapter-VI-A 2 Rs. 81,560

3 Total Income 3 Rs. 261,040
4 Net tax payable 4 Rs. 8,907
5 Interest payable 5 Rs. 0
6 Total tax and interest payable 6 Rs. 8,907
7 Taxes paid
a Advance Tax 7a Rs. 0
b TDS 7b Rs. 7,053
c
d TCS
Self Assessment Tax 7c
7d Rs.
Rs. 0
0
e Total Taxes paid (7a+7b+7c+7d) 7e Rs. 7,053
8 Tax payable (6-7e) 8 Rs. 1,854 ###
9 Refund (7e-6) 9 Rs. 0 ###
10 Value of Fringe Benefits 10 NA
Fringe Benefits & Tax Thereon
Computation of Income &

11 Total fringe benefit tax liability 11 NA

12 Total interest payable 12 NA
13 Total tax and interest payable 13 NA
14 Taxes paid NA
a Advance Tax 14a
b Self Assessment Tax 14b
c Total Taxes paid (14a+14b) 14c NA
15 Tax payable (13-14c) 15 NA
16 Refund (14c-13) 16 NA
Receipt No. Seal and Signature of receiving official:
Date: