SAHAJ INDIVIDUAL INCOME TAX RETURN Assessment

FORM
Year
ITR-1 (For Individuals having Income from Salaries, One House Property, Other Sources (Interest etc.) Refer to 2 0 16 - 1 7
Instructions for eligibililty.)

First Name Middle Name Last Name PAN

MURALI KRISHNA YERUBANDI AAIPY9947Q

PERSONAL INFORMATION

Flat / Door / Building Name of Premises / Building / Village Status

Flat No.SF-2, Door No.31-32- I - Individual
SRI SAI BALAJI RESIDENCY
59/10
Road / Street Area / Locality Date of birth Sex
PHASE-3, HIG-2,3,4- RAJIVNAGAR KURMANNAPALEM 14-06-1965 M-Male
Town/ City/ District State Country Pincode

VISAKHAPATNAM 02-ANDHRA PRADESH 91-INDIA 530046

Email Address Mobile No. 1 (STD Code) Phone No Mobile No. 2 Employer Category

ymkrishna68@gmail.com 9246971424 PSU

Income Tax Ward / Circle Return filed under section
WARD-2 (3)
11 - On Or Before DueDt 139(1)

Whether Person governed by Portuguese Civil Code under section 5A ? Enter PAN of Spouse if
No applicable

Whether Original or Revised

FILING STATUS

return? Original Tax Status Tax Payable

If Revised/Defective, then Enter Receipt Number of Date of Filing Original

Original Return Return

If filed in response to a
Notice No (Where the Original Return filed was defective notice u/s
and a notice is issued to the assessee to file a fresh return 139(9)/142(1)/148/153A/15
Sec 139(9) 3C enter date of such
notice
 Residential Status
RES-Resident

Whether you have Aadhaar Number? (Select) If Yes, Please provide Aadhaar Number

1 Income from Salary / Pension (Ensure to fill Sch TDS1) 1 754632

2 Income from One House Property Let Out 2 73050

3 Income from Other Sources (Ensure to fill Sch TDS2) 3 5999

4 Gross Total Income (1+2+3) 4 833681
5 Deductions under Chapter VI A (Section) System Calculated
a 80 C 5a 280254 150000
b 80 CCC 5b 0

c 80 CCD (1) 5c 0
INCOME & DEDUCTIONS

d 80 CCD(1B) 5d 0
e 80 CCD (2) 5e 0
f 80 CCG 5f 0
g 80 D 5g 0
h 80 DD 5h 0
i 80 DDB 5i 0
j 80 E 5j 0
k 80 G 5l 0 0
l 80 GG 5m 0
m 80 GGA 5n 0
n 80 GGC 5o 0
o 80 QQB 5p 0
p 80 RRB 5q 0
q 80 TTA 5r 0
r 80 U 5s 0
6 Total Deductions (Total of 5a to 5r) 6 280254 6 150000
##
7 Taxable Total Income (4 - 6) 7 683680
##
8 Tax Payable on Total Income 8 61736
9 Rebate u/s 87A 9 ##
0
10 Tax Payable After Rebate (8-9) 10 61736
##
11 Surcharge if Taxable Total Income (7) exceeds 1 crore 11 0
12 Education Cess, including secondary and higher education cess on 10+11 12 1852
###
13 Total Tax,Surcharge and Education Cess (Payable) (10+11+12) 13 63588
##
14 Relief under Section 89 14
15 Balance Tax after Relief (13-14) 15 63588
##
a Interest payable u/s 234 A 16a ##
0
16 b Interest payable u/s 234 B 16b ##
0
c Interest payable u/s 234 C 16c ###
0
17 Total Interest u/s 234A 234B 234C 17 ###
0
18 Total Tax and Interest Payable (15 + 17) 18 63588
##
 Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]
19 TDS1

Tax Deduction
SI.No Account Number Name of the Employer Income under salary Tax Deducted
(TAN) of the Employer

(1) (2) (3) (4)

VPNR00545G RINL, VISAKHAPATNAM STEEL 903570 60370
1
PLANT
2
3
4
Total 903570 60370
(Do Not Delete Blank Rows)

20 Details of Tax Deducted at Source on Income OTHER THAN SALARY [As per FORM 16 A issued by Deductor(s)]
TDS2
SI.No
Tax Deduction
Unique TDS Certificate Amount out of (5)
Account Number Name of the Deductor Deducted Year Tax Deducted
No. claimed this year
(TAN) of the Deductor

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

1 VPNS02661B SBI 2015 1132 1132
2 (Select)
3 (Select)
4 (Select)
Total 1132
(Do Not Delete Blank Rows)
21 IT Details of Advance Tax and Self Assessment Tax Payments
Date of Deposit
BSR Code Challan No Tax Paid
Sl.No (DD/MM/YYYY)
(1) (2) (3) (4)
1
2
3
4
Total 0
(Do Not Delete Blank Rows)
ctor(s)]

If covered by
Portuguese Civil
Code, Amount
claimed in the hands
of spouse

(7)
 22
DETAILS OF TAX COLLECTED AT SOURCE [AS PER FORM 27D ISSUED BY THE COLLECTOR(S)]
TCS

Tax Collection Account Number of

SI.No the Collector Name of the Collector

(1) (2)
1
2
3
4
5
TOTAL
ISSUED BY THE COLLECTOR(S)]

Amount out of (3) being claimed

Tax Collected Amount out of (3) being claimed in the hands of spouse, if section
5A is applicable

(3) (4) (5)

0
 Taxes Paid
23 PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes
will get filled up when the Schedules linked to them are filled.

a Total Advance Tax Paid (from item 21) 0

TAXES PAID

b Total TDS Claimed (Total from item 19 + item 20) 61502

c Total TCS Claimed (Total from item 22) 0

d Total Self Assessment Tax Paid (from item 21) 0

24 Total Taxes Paid (23a+23b+23c+23d)

25 Tax Payable (18-24) (if 18 is greater than 24)
26 Refund (24-18) (if 24 is greater than 18)
27 Exempt Income only for Reporting Purpose (If agricultural income is more than Rs. 5000/-, use ITR-2 or 2A)

28 Details of all Bank Accounts (excluding dormant accounts) held in India at any time during the previous year (Mandatory irrespective of refund due or not)

Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts).

Bank Account in which refund, if any, shall be credited

Account Number
Sl.No IFS Code of the Bank Name of the Bank (the number should be 9 digits or more as per
CBS system of the bank)

1 SBIN0006318 STATE BANK OF INDIA 10756123665

Other Bank account details

Account Number
Sl.No IFS Code of the Bank Name of the Bank (the number should be 9 digits or more as per
CBS system of the bank)

2
3
4
 (Do Not Delete Blank Rows)

VERIFICATION

I, MURALI KRISHNA YERUBANDI son/daughter of

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 sho
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

Place VISAKHAPATNAM Date

PAN AAIPY9947Q

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

Identification No of TRP Name of TRP

30 If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)
M OTHER SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The taxes paid figures below

61502
2090
0

ng the previous year (Mandatory irrespective of refund due or not)

Type of Account

Savings

Type of Account

(Select)
(Select)
(Select)
ATION

SURYANARAYAN(LATE)

rect and complete and that the amount of total income and other particulars shown therein are
e chargeable to Income-tax for the previous year relevant to the Assessment Year 2016-17

27/07/2016
 Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)
Schedule AL

A Particulars of Asset Amount (Cost) (Rs.)

DETAILS OF ASSET AND

1 Immovable Asset
a Land 1a
b Building 1b
LIABILTY

2 Movable Asset
a Cash in hand 2a
b Jewellery, bullion etc. 2b
c Vehicles, yachts, boats and aircrafts 2c
3 Total 3
B Liability in relation to Assets at A B
e exceeds Rs. 50 lakh)

mount (Cost) (Rs.)

0
Schedule 80G Details of donations entitled for deduction under section 80G (PLEASE READ NOTE BELOW)
Donations entitled for 100% deduction without qualifying limit
A
If no entry is made in Name of Donee, then for such rows, any value entered in other columns will be ignored from 80GA to 80GD
City or Town or Eligible Amount of
Name of donee Address State Code Pincode PAN of Donee Amount of donation
District Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GA 0 0

(Do Not Delete Blank Rows)

B Donations entitled for 50% deduction without qualifying limit

City or Town or Eligible Amount of

Name of donee Address State Code Pincode PAN of Donee Amount of donation
District Donation
1 0
2 0
3 0
4 0

Total 80GB : 0 0

(Do Not Delete Blank Rows)

C Donations entitled for 100% deduction subject to qualifying limit

 City Or Town Or Eligible Amount of
Name of donee Address State Code Pincode PAN of Donee Amount of donation
District Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GC : 0 0

(Do Not Delete Blank Rows)

D Donations entitled for 50% deduction subject to qualifying limit

City Or Town Or Eligible Amount of
Name of donee Address State Code Pincode PAN of Donee Amount of donation
District Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GD 0 0

(Do Not Delete Blank Rows)

E Donations (A + B + C + D) 0 0

NOTE : IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),

PLEASE USE PAN AS "GGGGG0000G".