Page 1

2012-13 ITR-1, PAGE 1

SAHAJ INDIAN INDIVIDUAL INCOME TAX RETURN AY 2012-13

ITR-1

A2 MIDDLE NAME

A1 FIRST NAME

A4 PERMANENT ACCOUNT NUMBER

A3 LAST NAME

A7 INCOME TAX WARD/CIRCLE

A6 DATE OF BIRTH

A5 SEX

D D MM Y Y Y Y

; Male ; Female

A8 FLAT/DOOR/BUILDING

A9 ROAD/STREET

A10 AREA/LOCALITY

A11 TOWN/CITY/DISTRICT

A12 STATE

A13 PINCODE

A14 EMAIL ADDRESS

A15 RESIDENTIAL/OFFICE PHONE NO. WITH STD CODE A16 MOBILE NO. A17 Fill only one if you belong to 9 ; Government 9 ; PSU A18 Fill only one 9 ; Tax Refundable 9 ; Tax Payable 9 ; Nil Tax Balance A19 Fill only one 9 ; Resident A20 Fill only one: filed

9

;

Before due date-139(1)

9

;

After due date-139(4)

9

A21 If revised

;

9

9

;

142(1)

9

;

148

9

Whole-Rupee(`) only. B1

NOTEð Ensure to fill “Sch TDS1” given in Page 2

7 If showing loss, mark the negative sign in bracket at left

B2 Income from One House Property

B2

(-)

B3 Income from other sources

B3

(-)

B4

(-)

NOTEð Ensure to fill “Sch TDS2” given in Page 2

B4 Gross Total Income (B1 + B2 + B3)

PART C - DEDUCTIONS AND TAXABLE TOTAL INCOME

to

C2 80CCC

C3 80CCD

C4 80CCF

C5 80D

C6 80DD

C7 80DDB

C8 80E

C9 80G

C11 80GGA

C12 80GGC

C10 80GG C13

C13 80U C14 Total Deductions ( Add items C1 to C13 ) C15 Taxable Total Income( B4 - C14 )

C14 C15

(-)

FOR OFFICIAL USE ONLY

STAMP RECEIPT NO. HERE

153A/153C

Date of Filing Original Return

B1 Income from Salary/Pension

80C

;

D D MM Y Y Y Y

and

PART B - GROSS TOTAL INCOME

C1

; Others

; Non Resident 9 ; Resident but not ordinarily resident

Revised Return-139(5) OR in response to notice

Receipt Number of Original Return

C1

9

SEAL, DATE AND SIGNATURE OF RECEIVING OFFICIAL


PERMANENT ACCOUNT NUMBER

2012-13 ITR-1, PAGE 2

PART D—TAX COMPUTATION AND TAX STATUS D1 Tax Payable On Total Income(C15) to D3 D1

Secondary & Higher Education Cess

D4 Relief u/s 89 to D6 D4

Relief u/s 90/91

D7 Total Interest u/s 234A/234B/234C to D9 D7

Total Tax and Interest (D6+D7)

D10 Total Self Assessment Tax Paid to D12 D10

Total TDS Claimed

D13 Tax Payable ( D8-D12, If D8>D12) to D14 D13

Refund ( D12—D8, If D12 >D8 )

TOTAL TAX AND CESS ( D1+ D2 )

D3

D2

Balance Tax After Relief ( D3-D4-D5)

D5

D6 Total Advance Tax Paid

D8

D9 Total Prepaid Taxes ( D9+D10+D11)

D11

D12

D14

Bank Account Details ( Mandatory in all cases irrespective of refund due or not)

D15 ACCOUNT No. 9D16 MICR CODE 9D17 Type of account: 9 ; Current 9 ; Savings 9D18 Fill only one: Refund by 9 ; cheque or 9 ; deposited directly into your bank account 9D19 Exempt income only for reporting purposes 9

VERIFICATION I, 9 son/ daughter of 9 solemnly declare that to the best of my knowledge and belief, the information given in the return is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are 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 2012-13.

D D MM Y Y Y Y

Place

SIGN HERE è

If the return has been prepared by a Tax Return Preparer (TRP) give further details as below Name of the TRP TRP PIN [ 10 Digit ] Amount to be paid to TRP 9

TRP Signature

9

Sch IT - DETAILS OF ADVANCE TAX AND SELF ASSESSMENT TAX PAYMENTS BSR CODE(col.i) 9

9

R2

9

9

R3

9

9

R4

9

9

R5

9

9

D D D D D

D D D D D

MM MM MM MM MM

Y Y Y Y Y

TAX PAID(col.iv)

CHALLAN NO(col.iii)

DATE OF DEPOSIT(col.ii)

R1

Y Y Y Y Y

Y Y Y Y Y

Y Y Y Y Y

9

9

9

9

9

9

9

9

9

9

NOTEð (1) Enter the totals of Advance Tax and Self Assessment Tax in D9 and D10 (2) Continue in Supplementary Schedule IT if you cannot fill within Sch IT

Sch TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY NAME OF THE EMPLOYER(col.ii)

TAN(col.i)

[As per Form 16 issued by Employer(s)]

INCOME UNDER SALARY(col.iii)

TAX DEDUCTED(col.iv)

S1

9

9

9

9

S2

9

9

9

9

S3

9

9

9

9

NOTEð

(1) Enter the total of column (iv) of Sch TDS1 and column (vi)of Sch TDS2 in D11 (2) Continue in Supplementary Schedule TDS1 if you cannot fill within Sch TDS1

Sch TDS2 - DETAILS OF TAX DEDUCTED AT SOURCE FROM INCOME OTHER THAN SALARY [As per Form 16A issued by Deductor(s)] NAME OF THE DEDUCTOR (col.ii)

TAN(col.i)

DEDUCTED YEAR(col.iv)

UNIQUE TDS CER. NO(col.iii)

T1

9

9

9

9

T2

9

9

9

9

T3

9

9

9

9

T4

9

9

9

9

NOTEð (1) Enter the total of column (iv) of Sch TDS1 and column (vi)of Sch TDS2 in D11

Y Y Y Y

Y Y Y Y

Y Y Y Y

Y Y Y Y

AMT OUT OF(v) CLAIMED THIS YR(col vi)

TAX DEDUCTED(col.v) 9

9

9

9

9

9

9

9

(2) Continue in Supplementary Schedule TDS2 if you cannot fill within Sch TDS2


AY 2012-13

PERMANENT ACCOUNT NUMBER FIRST NAME

MIDDLE NAME

LAST NAME

SUPPLEMENTARY SCHEDULE TDS 1(To be used only after exhausting items S1-S3 of Schedule TDS1 in main form etc) NAME OF THE EMPLOYER(col.ii)

TAN(col.i)

INCOME UNDER SALARY(col.iii)

TAX DEDUCTED(col.iv)

S4

9

9

9

9

S5

9

9

9

9

S6

9

9

9

9

S7

9

9

9

9

S8

9

9

9

9

S9

9

9

9

9

S10

9

9

9

9

S11

9

9

9

9

S12

9

9

9

9

S13

9

9

9

9

S14

9

9

9

9

S15

9

9

9

9

S16

9

9

9

9

S17

9

9

9

9

S18

9

9

9

9

S19

9

9

9

9

S20

9

9

9

9

S21

9

9

9

9

S22

9

9

9

9

S23

9

9

9

9

S24

9

9

9

9

S25

9

9

9

9

S26

9

9

9

9

S27

9

9

9

9

S28

9

9

9

9

S29

9

9

9

9

S30

9

9

9

9


AY 2012-13

PERMANENT ACCOUNT NUMBER FIRST NAME

MIDDLE NAME

LAST NAME

SUPPLEMENTARY SCHEDULE TDS 2 (To be used only after exhausting items T1-T4 of Schedule TDS2 in main form etc) NAME OF THE DEDUCTOR (col.ii)

TAN(col.i)

DEDUCTED YEAR(col.iv)

UNIQUE TDS CER. NO(col.iii)

T5

9

9

9

9

T6

9

9

9

9

9

9

9

9

T8

9

9

9

9

T9

9

9

9

T10

9

9

T11

9

T12

YYYY YYYY YYYY

AMT OUT OF(v) CLAIMED THIS YR(col vi)

TAX DEDUCTED(col.v) 9

9

9

9

9

9

YYYY

9

9

9

YYYY

9

9

9

9

YYYY

9

9

9

9

9

YYYY

9

9

9

9

9

9

YYYY

9

9

T13

9

9

9

9

YYYY

9

9

T14

9

9

9

9

YYYY

9

9

T15

9

9

9

9

YYYY

9

9

T16

9

9

9

9

YYYY

9

9

T17

9

9

9

9

YYYY

9

9

T18

9

9

9

9

YYYY

9

9

T19

9

9

9

9

YYYY

9

9

T20

9

9

9

9

YYYY

9

9

T21

9

9

9

9

YYYY

9

9

T22

9

9

9

9

YYYY

9

9

T23

9

9

9

9

YYYY

9

9

T24

9

9

9

9

YYYY

9

9

T25

9

9

9

9

YYYY

9

9

T26

9

9

9

9

YYYY

9

9

T27

9

9

9

9

YYYY

9

9

T28

9

9

9

9

YYYY

9

9

T29

9

9

9

9

YYYY

9

9

T30

9

9

9

9

YYYY

9

9

T31

9

9

9

9

YYYY

9

9

T7


AY 2012-13

PERMANENT ACCOUNT NUMBER FIRST NAME

MIDDLE NAME

LAST NAME

SUPPLEMENTARY SCHEDULE IT(To be used only after exhausting items R1-R5 of Schedule IT in main form etc) BSR CODE(col.i)

DATE OF DEPOSIT(col.ii)

CHALLAN NO(col.iii)

TAX PAID(col.iv)

R6

9

9

D D MM Y Y Y Y

9

9

R7

9

9

D D MM Y Y Y Y

9

9

R8

9

9

D D MM Y Y Y Y

9

9

R9

9

9

D D MM Y Y Y Y

9

9

R10

9

9

D D MM Y Y Y Y

9

9

R11

9

9

D D MM Y Y Y Y

9

9

R12

9

9

D D MM Y Y Y Y

9

9

R13

9

9

D D MM Y Y Y Y

9

9

R14

9

9

D D MM Y Y Y Y

9

9

R15

9

9

D D MM Y Y Y Y

9

9

R16

9

9

D D MM Y Y Y Y

9

9

R17

9

9

D D MM Y Y Y Y

9

9

R18

9

9

D D MM Y Y Y Y

9

9

R19

9

9

D D MM Y Y Y Y

9

9

R20

9

9

D D MM Y Y Y Y

9

9

R21

9

9

D D MM Y Y Y Y

9

9

R22

9

9

D D MM Y Y Y Y

9

9

R23

9

9

D D MM Y Y Y Y

9

9

R24

9

9

D D MM Y Y Y Y

9

9

R25

9

9

D D MM Y Y Y Y

9

9

R26

9

9

D D MM Y Y Y Y

9

9

R27

9

9

D D MM Y Y Y Y

9

9

R28

9

9

D D MM Y Y Y Y

9

9

R29

9

9

D D MM Y Y Y Y

9

9

R30

9

9

D D MM Y Y Y Y

9

9

R31

9

9

D D MM Y Y Y Y

9

9

R32

9

9

D D MM Y Y Y Y

9

9

Sahaj Tax Forms For Asst Year 2012-13  

Download Sahaj tax forms for Assessment Year 2012-13 which can be used by Indiaviduals hvaing no business income or capital gains.

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