Income Tax Return Form(ITR-1) Assessment Year 2010-2011

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Assessment Year F O R M SARAL-II (ITR-1) INDIAN INCOME TAX RETURN [For Individuals having Income from Salary / Pension / Income from One House Property (excluding loss brought forward from previous years) / Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses)] (Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions) 2 0 1 0 - 1 1 PAN First name Middle name Last name Date of Birth (DD/MM/YYYY) Flat/Door/Block No Name Of Premises/Building/Village / / Employer Category (Tick)? Road/Street/Post Office Area/Locality ? Govt ? PSU ? Others Pin code Sex (Tick) ? Town/City/District State ? Male ? Female PER SO N A L I N F O R M A T IO N Email Address (STD code)-Phone Number ( ) Designation of Assessing Officer (Ward/Circle) Return filed under Section - [Please see instruction number-9(i)] Whether original or Revised return? (Tick) ? ? Original ? Revised If revised, enter Receipt No and Date of filing original return DD / MM / YYYY F IL IN G S T A T U S Residential Status (Tick) ? ? Resident ? Non-Resident ? Resident but Not Ordinarily Resident 1 Income chargeable under the Head 'Salaries'(Salary/ Pension) 1 2 Income chargeable under the Head 'House Property' (enter -ve sign in case of loss, if any) 2 3 Income chargeable under the Head 'Other Sources' (enter -ve sign in case of loss, if any) 3 4 Gross Total Income (1+2+3) 4 5 Deductions under chapter VI A (Section) a 80C e 80DD i 80GG b 80CCC f 80DDB j 80GGA c 80CCD g 80E k 80GGC d 80D h 80G l 80U 6 Deductions (Total of 5a to 5l) 6 IN C O M E & D E D U C T IO N S 7 Total Income (4-6) 7 8 Tax Payable on Total Income 8 9 Secondary and Higher Education cess on 8 9 10 Total Tax and Education Cess Payable (8+9) 10 11 Relief under Section 89 11 12 Relief under Section 90/91 12 13 Balance Tax Payable (10-11-12) 13 14 Total Interest Payable U/s 234A/ B/C 14 T A X C O M P U T A T IO N 15 Total Tax and Interest Payable (13+14) 15 Do not write or stamp in this area For Office Use Only Receipt No Date Seal and Signature of receiving official 16 Taxes Paid a Advance Tax (from item 25) 16a b TDS (column 7 of item 23 +column 7 of item 24) 16b c Self Assessment Tax (from item 25) 16c 17 Total Taxes Paid (16a+16b+16c) 17 T A X E S P A ID 18 Tax Payable (15-17) (Enter if 15 is greater than 17, else leave blank) 18 19 Refund (17-15) (enter if 17 is greater than 15, also give Bank Account details below) 19 20 Enter your bank account number (mandatory in case of 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 R E F U N D MICR Code Type of Account (tick as applicable ? ) ? Savings 23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] Sl No Tax Deduction Account Number (TAN) of the Employer Name and address of the Employer Income chargeable under the head Salaries Deduction under Chapter VI-A Tax payable (incl. edn. cess) Total tax deducted Tax payable/ refundable (1) (2) (3) (4) (5) (6) (7) (8) i TD S O N S A L A R Y ii 24 Details of Tax Deducted at Source other than salary Sl No Tax Deduction Account Number (TAN) of the Deductor Name and address of the Deductor Amount paid/ credited Date of Payment / Credit Total tax deducted Amount out of (6) claimed for this year (1) (2) (3) (4) (5) (6) (7) i ii T D S O N I N T E R E ST NOTE ? Enter the total of column (7) of 23 and column (7) of 24 in Sl No. 16b of TAXES PAID 25 Details of Advance Tax and Self Assessment Tax Payments Sl No Name of Bank & Branch BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii T A X P A Y M E N T S NOTE ? Enter the totals of Advance tax and Self Assessment tax in Sl No. 16a and 16c of TAXES PAID 26 Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code) Sl Code Amount (Rs) Sl Code Amount (Rs) Sl Code Amount (Rs) a 001 d 004 g 007 b 002 e 005 h 008 c 003 f 006 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 knowledge and belief, the informati

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Instructions for filling out Income Tax Return FORM SARAL-II ITR-1 These instructions are guidelines for filling the particulars in this Return Form. In case of any doubt, please refer to relevant provisions of the Income-tax Act, 1961 and the Income-tax Rules, 1962. 1. Assessment Year for which this Return Form is applicable This Return Form is applicable for assessment year 2010-2011 only, i.e., it relates to income earned in Financial Year 2009-10. 2. Who can use this Return Form This Return Form is to be used by an individual whose total income for the assessment year 2010-11 includes:- (a) Income from Salary/ Pension; or (b) Income from One House Property (excluding cases where loss is brought forward from previous years); or (c) Income from Other Sources (Excluding Winning from Lottery and Income from Race Horses). Further, in a case where the income of another person like spouse, minor child, etc. is to be clubbed with the income of the assessee, this Return Form can be used only if the income being clubbed falls into the above income categories. 3. Who cannot use this Return Form This Return Form should not be used by an individual whose total income for the assessment year 2010-11 includes,- (a) Income from more than one house property; or (b) Income from Winnings from lottery or income from Race horses; or (c) Income under the head "Capital Gains", which are not exempt from tax, e.g., short-term capital gains or long-term capital gains from sale of house, plot, etc.; or (d) Income from agriculture in excess of Rs. 5,000; or (e) Income from Business or Profession. 4. Annexure-less Return Form No document (including TDS certificate) should be attached to this Return Form. All such documents enclosed with this Return Form will be detached and returned to the person filing the return. 5. Manner of filing this Return Form This Return Form can be filed with the Income Tax Department in any of the following ways, - (i) by furnishing the return in a paper form; (ii) by furnishing the return electronically under digital signature; (iii) by transmitting the data in the return electronically and thereafter submitting the verification of the return in Return Form ITR-V; (iv) by furnishing a Bar-coded return. Where the Return Form is furnished in the manner mentioned at 5(iii), the assessee should print out two copies of Form ITR-V. One copy of ITR-V, duly signed by the assessee, has to be sent by ordinary post to Post Bag No. 1, Electronic City Office, Bangaluru-560100 (Karnataka). The other copy may be retained by the assessee for his record. 6. Filling out the acknowledgement Only one copy of this Return Form is required to be filed. Where the Return Form is furnished in the manner mentioned at 5(i) or at 5(iv), the acknowledgement slip attached with this Return Form should be duly filled. 7. Codes for filling this Return Form Under the heading 'Filing Status' in the Return Form details have to be filled out regarding section under which the return is being filed on the basis of relevant codes. The codes corresponding to the section under which a return is being filed are as under:- Sl.No. How the return is filed Code i. Voluntarily before the due date under section 139 11 ii. Voluntarily after the due date under section 139 12 iii. In response to notice under section 142(1) 13 iv. In response to notice under section 148 14 v. In response to notice under section 153A/ 153C 15 8. Obligation to file return Every individual whose total income before allowing deductions under Chapter VI-A of the Income-tax Act, exceeds the maximum amount which is not chargeable to income tax is obligated to furnish his return of income. The deductions under Chapter VI-A are mentioned in item 5 ("Income and Deductions") of this Return Form. The maximum amount not chargeable to income tax in case of different categories of individuals is as follows:- Sl.No. Category Amount (in Rs.) i. In case of individuals below the age of 65 years (other than women) 1,60,000 ii. In case of women below the age of 65 years 1,90,000 iii. In case of individuals who are of the age of 65 years or more at any time during the financial year 2009-10. 2,40,000 9. Details to be filled in this Return Form The details to be filled out in this Return Form are self-explanatory. However, some of the items which are to be filled out have been explained below:- (a) e-mail address and phone number are optional; (b) In "employer category", Government category will include Central Government/ State Governments employees. PSU category will include public sector companies of Central Government and State Government; (c) In item 1, fill the details of salary/ pension as given in TDS certificate (Form 16) issued by the employer. However, if the income has not been computed correctly in Form No. 16, please make the correct computation and fill the same in this item. Further, in case there was more than one employer during the year, please furnish in this item the details in respect of total