Assessment Year F O R M ITR-V INDIAN INCOME TAX RETURN VERIFICATION FORM [Where the data of the Return of Income in Forms Saral-II (ITR-1), ITR-2, ITR-3, ITR- 4, ITR-5 & ITR-6 transmitted electronically without digital signature] (Please see Rule 12 of the Income-tax Rules,1962) (Also see attached instructions) 2 0 1 0 - 1 1 PAN Name Flat/Door/Block No Name Of Premises/Building/Village Road/Street/Post Office Area/Locality Form No. which has been electronically transmitted (fill the code) Town/City/District State Status (fill the code) Designation of Assessing Officer (Ward/ Circle) Original or Revised P E R SO N A L IN F O R M A T IO N A N D T H E D A T E O F E L E C T R O N IC T R A N SM IS SI O N E-filing Acknowledgement Number Date(DD/MM/YYYY) / / 1 Gross total income 1 2 Deductions under Chapter-VI-A 2 3 Total Income 3 3a Current Year loss (if any) 3a 4 Net tax payable 4 5 Interest payable 5 6 Total tax and interest payable 6 7 Taxes Paid a Advance Tax 7a b TDS 7b c TCS 7c d Self Assessment Tax 7d e Total Taxes Paid (7a+7b+7c +7d) 7e 8 Tax Payable (6-7e) 8 C O M P U T A T IO N O F I N C O M E A N D T A X T H E R E O N 9 Refund (7e-6) 9 VERIFICATION I, _________________________________________________(full name in block letters), son/ daughter of ____________________________________________, permanent account number __________________solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmitted electronically by me vide acknowledgement number mentioned above 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 2010-11. 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. Sign here ? Date Place 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 For Office Use Only Receipt No Date Seal and Signature of receiving official Government of India INCOME-TAX DEPARTMENT ACKNOWLEDGEMENT Received with thanks from _______________________________________________________________ a return of income in Form No. ITR . for assessment year 2010-11, having the following particulars. PAN Name Flat/Door/Block No Name Of Premises/Building/Village Road/Street/Post Office Area/Locality Town/City/District State Status (fill the code) P E R SO N A L IN F O R M A T IO N Designation of Assessing Officer (Ward/ Circle) Original or Revised 1 Gross total income 1 2 Deductions under Chapter-VI-A 2 3 Total Income 3 3a Current Year loss (if any) 3a 4 Net tax payable 4 5 Interest payable 5 6 Total tax and interest payable 6 7 Taxes Paid a Advance Tax 7a b TDS 7b c TCS 7c d Self Assessment Tax 7d e Total Taxes Paid (7a+7b+7c +7d) 7e 8 Tax Payable (6-7e) 8 C O M P U T A T IO N O F I N C O M E A N D T A X T H E R E O N 9 Refund (7e-6) 9 Receipt No Date Seal and Signature of receiving official
Instructions for filling up FORM ITR-V 1. Rule 12(3)(iii) of the Income-tax Rules, 1962 provides that any assessee can file a return of income electronically without the use of a digital signature. 2. Once a return of income is filed electronically on successful transmission of the data, Form ITR-V duly filled shall be generated by the Income-tax Department's server to the assessee. This ITR-V will also contain the acknowledgement number of electronic transmission and the date of the transmission as an evidence of filing for the benefit of the assessee. Please down load a copy of such duly filled Form and verify under your signature in the space provided. In case the return was prepared by a Tax Return Preparer (TRP), the particulars of TRP be also filled and this verification form be countersigned by the TRP. 3. 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. 4. The codes for the form number and the status of the assessee shall be generated electronically by the Department's server. 5. The details in item 1 to 9 of this form are to be filled (by the Income-tax Department's server) on the basis of relevant entry of concerned ITR form in which the return was transmitted electronically. These are as under- Item of the relevant form to be filled against the item in column (i) for the items of this form ITR- V Item No. of this Form Item No. of Form ITR-1 Item No. of Form ITR-2 Item No. of Form ITR-3 Item No. of Form ITR-4 Item No. of Form ITR-5 Item No. of Form ITR-6 Sl. No. i ii iii iv v vi vii 1 1 3 9 of Part B- TI 10 of Part B- TI 10 of Part B- TI 9 of Part B- TI 9 of Part B- TI 2 2 4m 10 of Part B- TI 11 of Part B- TI 11 of Part B- TI 10 of Part B- TI 10 of Part B- TI 3 3 5 11 of Part B- TI 12 of Part B- TI 12 of Part B- TI 11 of Part B- TI 11 of Part B- TI 3a 3a Not applicable 14 of Part B- TI 15 of Part B- TI 15 of Part B- TI 14 of Part B- TI 14 of Part B- TI 4 4 12 6 of Part B- TTI 6 of Part B- TTI 7 of Part B- TTI 7 of Part B- TTI 11 of Part B- TTI 5 5 13d 7d of Part B- TTI 7d of Part B- TTI 8d of Part B- TTI 8d of Part B- TTI 12d of Part B- TTI 6 6 14 8 of Part B- TTI 8 of Part B- TTI 9 of Part B- TTI 9 of Part B- TTI 13 of Part B- TTI 7 7a 15a 9a of Part B- TTI 9a of Part B- TTI 10a of Part B- TTI 10a of Part B- TTI 14a of Part B- TTI 8 7b 15b 9b of Part B- TTI 9b of Part B- TTI 10b of Part B- TTI 10b of Part B- TTI 14b of Part B- TTI 9 7c 15c 9c Part B- TTI 9c Part B- TTI 10c Part B- TTI 10c Part B- TTI 14c of Part B- TTI 10 7d Not applicable Not applicable Not applicable 10d of Part B- TTI 10d of Part B- TTI 14d of Part B- TTI 11 7e 15d 9d of Part B- TTI 9d of Part B- TTI 10e of Part B- TTI 10e of Part B- TTI 14e of Part B- TTI 12 8 16 10 of Part B- TTI 10 of Part B- TTI 11 of Part B- TTI 11 of Part B- TTI 15 of Part B- TTI 13 9 17 11 of Part B- TTI 11 of Part B- TTI 12 of Part B- TTI 12 of Part B- TTI 16 of Part B- TTI
