Income Tax Calculation With Itr-i Modified

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    BIO DATA OF THE EMPLOYEE FOR FILLING UP OF ITR-1FIRST NAME IN CAPITAL

    Middle Name: DATA SHEET FOR FILLING UP I T R - ILast Name:

    Permanent A/C No ( PAN NO)DATE OF BIRTH

    EMPLOYEE'S ADDRESSPost Office:

    Area/Locality:District:

    PIN CODE:State:(STD code)-Phone No:

    GENDER- MALEFEMALE

    EMPLOYEE STATUSDESIGNATION OF EMPLOYEE

    Office AddressSTATUS- Govt/PSU/Others

    Tan no of D.D.O.

    PARTICULARS OF SALARY

    0

    This Calculation Sheet Prepared by SriPranab Bandyopadhyay, Bhattapara,

    Jiaganj, Murshidabad.Email:-

    [email protected].

    Total Income from Salary Rs :(col.no 7 ) ofSalary Statemet for THIS YEAR

    Gross salary( including HRA,BONUS,

    ANY INT.PTAX,&U/S10(13A))

    Taxable income of previous year (Col-9)Form No. 16 ofPREVIOUS YEAR

    Auto Calculation for Relief U/S 89(1)[ Taxable Income for this yearafter deduc 80 C

    (Col-9 of Salary statement]

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    1

    2 Pention fund(Max.100000/-) 80CCC

    3 80CCD

    4 Donation(max.100%) 80G

    5 Health Premium (Max.15000/-)80D

    6 Education Loan(Max.75000/-) 80E

    7 Handicapped (Max.1,00,000/-) 80DD

    8

    9

    Total Deduction 0

    Arrear Received if any

    Relief under Section 89(1) 0 AUTO FILLED CELL (DON'T PUT ANY DATA )

    Advance Tax Paid

    For refund enter 9 Digit MICR Code

    Type of Account Savings/CurrentBank Account No

    Deduction under chapter VI-A(LIC,PF,Tuition Fees,H.B.Principal):80C

    Put the Total DepositAmount through 80 C &Ors.

    New pension scheme (Max10% of salry

    Medical TreatmentEtc.80DDB(Max.40000/-

    Permanent disabbility includingblindnes (Max.75000/-) 80 U

    This Cell is Autofilled,The Amount is ATaxable Income fthis Year(Col.no.Salary statementthis year.)

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    tualor

    ofof

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    FORM

    ITR-1

    INDIAN INCOME TAX RETURN Assessment Year

    [For Individual having Income from Salary/Pension/family pension & Interest]

    2 0 1 0 - 1 1 (Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instructions)

    PERSONALINF

    ORMATION

    First name Middle name Last name Pan No

    0 0 0 0Flat /Door/Block No. Name Of Premises/Building/Village

    0 12/30/1899

    Road/Street/Post Office Area/Locality Employer Category (T

    0 0 Govt. PSU Others

    Town/City/District State Pin code

    0 0 0 0 0

    Email Addr (STD Code) - Phone Number

    FI

    LING

    STATUS

    Designation of Assessing Officer (Ward/Circ Return Filed Under Section- 1 1

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

    Whether original or Revised return? (T Original Revised

    ORIGINAL

    Residential Status (Ti Resident Non-Resident Resident but not ordinarily Resi

    INCOME&

    DEDUCTIONS

    1 Income chargeable under the Head 'Salaries',Pension 1 -

    2Income chargeable under the Head 'Other Sources' (Interest) # 0

    a Family pension 2a 0

    b Interest 2b 0

    c Total (2a+2b) 2c 0

    3 Gross Total Income (1+2c) 3 0

    4 Deductions under chapter VIA (Section

    a 80C 0 e 80DD 0 I 80GG 0

    b 80CCC 0 f 80DDB 0 j 80GGA 0c 80CCD 0 g 80E 0 k 80GGC 0

    d 80D 0 h 80G 0 l 80U 0

    mDeductions (Total of a to i) 4m 0

    5 Total Income (3-4m) 5 06 6

    7 Aggregate Income' (5+6) 7 0

    TAXCOMPUTATION

    8 a Tax Payable on 'Aggregate Income' 8a 0

    b Rebate in respect of Net Agricultural income 8b 0

    9 a Tax Payable on total Income (8a - 8b) 9a 0b Surcharge on 9a 9b 0

    c Education Cess on (9a + 9B) 9c 0

    d Total Tax, Surcharge and Education cess payable (9a + 9b + 9c) 9d 0

    # Relief under Section 89 10 0

    # Relief under Section 90/91 11 0

    Date of Birth (DD/MM/YY

    Sex (Tick)

    If revised, enter Receipt No and Date offiling original return (DD/MM/YYYY)

    Net Agricultural Income (Enter only if greater than Rs.5,000)

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    # Balance Tax Payable (9d-10-11) 12 0

    13 a Interest Payable U/s 234A 13a 0

    b Interest Payable U/s 234B 13b 0

    c Interest Payable U/s 234C 13c 0d Total Interest Payable 13d 0

    (13a+13b+13c)

    14 Total Tax and Interest Payabl 14 0(12+13d)

    For office Use only Seal and signature of receivin

    Receipt No.

    Date

    TAXESPAID

    # Taxes Paid

    a Advance Tax (from item 23) 15a 0

    b TDS (column 7 of item21+column 7 of 15b 0

    c Self Assessment Tax (from item 23) 15c

    d Total Taxes paid (15a+15b+15c) 15d 0

    # 16 0

    REFUND

    # 17 0

    # Enter your bank account number (mandatory in case of ref0

    # Do you want your refund b Cheque, or

    # In case of direct deposit to your bank account give additional det

    MICR Code 0 Savin Curren

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

    TDSON

    SALARY

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

    0

    2 Details of Tax Deducted at Source on Interest [As per Form 16 A issued by Deductor(s)]

    ON

    INTEREST

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

    0

    0

    Do not write or stamp in this ares (Space forar code)

    Tax payable(14-15d)(enter if 14 is greater than 15d, else leave blank)

    Refund (15d-14) (enter if 15d is greater than 14, also give Bank account details below)

    deposited directly into your bank account? (tick

    Type of Account (tick as applicable

    SlNo

    Tax DeductionAccountNumber(TAN) ofthe Employer

    Namee and address ofthe Employer

    Incomechargeable

    under the headsalaries

    DeductionunderChapter VI-A

    Tax payable(incl. surch.

    And edn.Cess)

    Totaltax

    deposited

    Taxpayable/refundabl

    e

    SlNo

    Tax Deduction

    AccountNumber(TAN) of

    the Deductor

    Namee and address ofthe Deductor

    Amount paid/credited

    Date ofPayment/Credit

    Total taxdeposited

    Amount

    out of (6)claim forthis year

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    TD

    0

    NOTE Enter the total of column (7) of 22 in Sl.No.15b of TAXES PAID 0

    3 Details of Advance Tax and Self Assessment Tax Payments

    TAXPAYMENTS

    Name of Bank & Branch BSR Code

    (i) 0

    (iii 0

    NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.15a and 15c of 0

    4

    l. Code Amount (Rs.) Sl. Code Amount (Rs.) Sl Code Amount (Rs.)

    001 e 004 h 007

    002 f 005 i 008

    003 g 006 j

    5 Tax-exempt interest income (for reporting purposes only)

    VERIFICATION

    I, son/ daughter of solemnly

    lace Date Sign here

    6 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below :

    dentification No. of TR Name of TRP Counter Signature of TRP

    27

    SlNo

    Date of Deposit(DD/MM/YYYY)

    Serial Number ofChallan

    Amount(Rs.)

    Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii)

    eclare that to the best of my knwledge and belief, the information given in the return thereto is correct andomplete and that the amount of total income and other particulars shown therein are truly stated and in

    f TRP is entitled for any reimbursement from the Government, amount thereof(to be fill

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    Y)

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    official

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    or code)

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    Government of India

    INCOME TAX DEPARTMENTACKNOWLEDGEMENT

    Received with thanks form: 0 0 0 a return of income &/returnof fringe benefits in Form No ITR - 1 for assessment year 20010-2011, having the following particulars:

    PERSON

    ALINFORMATION Name PAN NO

    0 0 0 0

    Flat/Door/Block No: Name of Premises/Building/Village:

    0

    Road/Street/Post Office: Area/Locality:

    0 0

    Town/City/District: State: Status(fill the code)

    0 0

    Designation of Assessing Officer Original/Revised

    1 Gross total income 1 0

    2 Deduction under Chapter-VI-A 2 0

    3 Total Income 3 0

    4 Net tax payable 4 0

    5 Interest payable 5 06 Total tax and interest payable 6 0

    7 Taxes paid

    a Advance Tax 7a 0

    b TDS 7b

    c TCS 7c 0

    d Self Assessment Tax 7d 0

    e Total Taxes paid (7a+7b+7c+7d) 7e 0

    8 Tax payable (6-7e) 8 09 Refund (7e-6) 9 0

    10 Value of Fringe Benefits 10 NA

    11 Total fringe benefit tax liability 11 NA

    12 Total interest payable 12 NA

    13 Total tax and interest payable 13 NA14 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 NA16 Refund (14c-13) 16 NAReceipt No. Seal and Signature of receiving official:

    Date:

    COMPUTATIONOFINCOME&T

    AXTHEREON

    C

    omputationofIncome&

    Frin

    geBenefits&TaxThereon

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    FORM NO.10 E[See rule 21AA]

    1 Name and address of the employee 0 0

    2 Permanent account number 0

    3 Residential status PERMANENT RESIDENT

    1 (a)0

    (b)

    Not Applicable

    (c)

    Not Applicable

    (d)Not Applicable

    2ANNEX-I

    ..Signature of the employee

    Verification

    I, _______,do hereby declare that what is stated above

    is true to the best of my knowledge and belief.

    Verified today, the Day of

    Place: .

    Date: Signature of the employee

    Form for furnishing particulars of income under section 192(2A) for the year ending 31 st March, 2010 for claimingrelief under section 89(1) by a Government servant or an employee in a 2[company,co-operative society,local

    authority ,university, instituty

    Particulars of income referred to in rule 21A of the Income-tax Rules, 1962,during the previous year relevant toassessment year 2010-11

    Salary received in arrears or in advance in accordance with the provisions of sub-rule (2)of rule 21A.

    Payment in the nature of gratuity in respect of past services, extending over a period of notless than 5 years in accordance with the provisions of sub-rule (3) of rule 21A.

    Payment in the nature of compensation from the employer or former employer at or inconnection with termination of employment after continuous service of not less than 3years or where the unexpired portion of term of employment is also not less than 3 ye

    Payment in commutation of pension in accordance with the provisions of sub-rule (5) ofrule 21A

    Detailed particulars of payments referred to above may be given in Annexure I,II,IIA,III,or IV as the case may be.

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    ANNEXURE-I

    [See item 2 of Form No.10E]

    Arrears or advance salary

    Sl No. Particulars Amount (Rs.)

    1 Total income (excluding salary received in arrears or advance) 0

    2 Salary received in arrears or advance

    03 0

    4 Tax on total income [as per item 3] 05 Tax on total income [as per item 1] 0

    6 0

    7 0

    8 0

    TABLE "A"[See item 7 of Annexure 1]

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

    2008-09 0 0 0 0 0 0

    Signature:

    Place:Name:

    Date: Designation:

    Dept:

    Total income (as increased by salary received in arrears or advance)[Add item 1 and item 2]

    Tax on salary received in arrears or advance

    [Difference of item 4 and item 5]

    Tax computed in accordance with Table "A"[Brought from column 7 of Table A]

    Relief under Section 89(1) [Indicate difference between the amounts mentioned

    against item 6 and item 7]

    Previousyear

    Total incomeof the

    relevent

    previous year(Rs.)

    Salary receivedin arrears or

    advance

    relating to therelevent

    previous year

    as mentionedin column (1)(Rs.)

    Total income (asincreased by

    salary received in

    arrears oradvance) of the

    relevent previous

    year mentioned incolumn (1) [addcolmn 2 & 3]

    (Rs.)

    Tax on totalincome [as per

    column (2)-After

    Rebate andincluding Edn

    Cess and

    Surcharge](Rs.)

    Tax on totalincome[as per

    column (4)

    After Rebateand includingEdn Cess and

    Surcharge](Rs.)

    Difference in tax[Amount under

    column (6) minus

    amount undercolumn (5)]

    (Rs.)