Professional Documents
Culture Documents
FORM
ITR-1
Assessment
Year
2012-13
(Please see rule 12 of the Income-tax Rules,1962) (Also see attached instructions)
PERSONAL INFORMATION
First Name
Middle Name
Last Name
PAN
Status
I - Individual
Road / Street
Area / Locality
Town/City/District
State
Email Address
Mobile no
Pin Code
FILING STATUS
O-Original
Date
Sex (Select)
M-Male
TAX COMPUTATION
1
2
0
System Calculated
0
0
0
0
0
0
0
0
0
#NAME?
0
0
0
0
#NAME? 6
7
8
9
10
0
0
13
14
15
0
0
0
0
0
0
0
0
0
#NAME?
#NAME?
0
0
0
#NAME?
#NAME?
0
0
0
0
0
0
Import Persona
23
Tax Deduction
Account Number
(TAN) of the
Employer
(2)
Name of the
Employer
Income charg
eable under the
head Salaries
Total tax
Deducted
(3)
(4)
(5)
(Click + to add more rows to 23) TDS on Salary above. Do not delete blank rows. )
24
SI.No
(1)
1
2
3
4
Tax Deduction
Account Number
(TAN) of the
Deductor
Name of the
Deductor
Unique TDS
Certificate No.
Deducted
Year
Total tax
Deducted
Amount
out of
(6)
claimed
for
this year
(2)
(3)
(4)
(5)
(6)
(7)
(Click + to add more rows ) TDS other than Salary above. Do not delete blank rows. )
25
Sl No
BSR Code
Serial
Number of
Challan
Amount (Rs)
1
2
3
4
5
6
(Click '+' to add more rows ) Tax Payments. Do not delete blank rows. )
TAXES PAID
REFUND
16 Taxes Paid PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM
OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid figures below will get
filled up when the Schedules linked to them are filled.
16a
16b
17
18
19
20
0
17
18
19
0
0
0
21 Select Yes if you want your refund by direct deposit into your bank account, Select No
No if you want refund by Cheque
22 In case of direct deposit to your bank account give additional details
MICR Code
Type of Account(As applicable)
26 Exempt income for reporting purposes only
VERIFICATION
son/daughter of
I,
solemnly declare that to the best of my knowledge 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 are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Incometax for the previous year relevant to the Assessment Year 2012-13
Place
Date
PAN
27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No of TRP
Name of TRP
28
If TRP is entitled for any reimbursement from the Government, amount thereof (to be
filled by TRP)
Schedule 80G
Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
Address
City or Town or
District
State Code
PinCode
1
2
3
4
Total 80GA
PinCode
1
2
3
4
Total 80GB :
PinCode
#NAME?
PinCode
Total 80GD
Donations (A + B + C + D)
NOTE : (IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),
PLEASE USE PAN AS "GGGGG0000G".
#NAME?
#NAME?