SAHAJ INDIVIDUAL INCOME TAX RETURN
[For individuals having Income from Salaries, One house property, Other sources (Interest etc.) Refer to Instructions for eligibility.]

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Personal Information

A1. First Name A2. Middle Name
A3. Last Name * A4. PAN *
A5. Sex* A6. Date of Birth (DD/MM/YYYY)*
A7. Income Tax Ward / Circle Status *
Address
A8. Flat / Door / Building * A9. Name Of Premises / Building / Village
A10. Road / Street A11. Area / Locality *
A12. Town / City / District * A13. State *
A14. Country * A15. Pincode *
A16. Email Address * A17. Mobile Number 1 *
A18. Mobile Number 2 Residential/Office Phone no.with STD code
(Do not prefix STD code with '0')
-

(STD)            (Landline)

Filing Status

A19. Employer Category*
A20. Tax Status *
A21. Residential Status *
A22. Return filed under section*
A23. Whether Person governed by Portuguese Civil Code under section 5A*
A24. If A23 is applicable, PAN of the Spouse
Whether original or revised return? *
A25. If under section: 139(5) - revised return:
Original Acknowledgement Number
Date of filing of Original Return(DD/MM/YYYY)
If under section: 139(9) - return in response to defective return notice:
Original Acknowledgement Number
Date of filing of Original Return (DD/MM/YYYY)
Notice Number
A26. If filed in response to notice u/s 139(9)/142(1)/148/153A/153C, enter the date of such notice
A27. Whether you have Aadhaar Number ?
A28. If A27 is Yes, please provide

Gross Total Income And Deduction

B1. Income from Salary / Pension
(Ensure to fill Sch TDS1)
B2. Type of House Property
Income from One House Property
B3. Income from Other Sources
(Ensure to fill Sch TDS2)
B4. Gross Total Income (B1 + B2 + B3)
Deductions under chapter VI A (Section)
S.No. Section Amount System Calculated
C1. 80C
C2. 80CCC
C3. 80CCD(1)
C4. 80CCD(1B)
C5. 80CCD(2)
C6. 80CCG
C7. 80D
C8. 80DD
(Maximum eligible amount is 75000. For Severe Disability, it is 125000)
C9. 80DDB
(Maximum eligible amount is 40000. For Senior Citizen, it is 80000)
C10. 80E
C11. 80G
C12. 80GG
C13. 80GGA
C14. 80GGC
C15. 80RRB
C16. 80QQB
C17. 80TTA
C18. 80U
(Maximum eligible amount is 75000. For Severe Disability, it is 125000)
C19. Total Deductions (Total of C1 to C18)
Note:Total deductions under chapter VI A cannot exceed GTI.
C20. Taxable Total Income (B4 - C19)

Tax Computation

D1.
Tax Payable on Total Income (C20)
D2.
Rebate u/s 87A
D3.
Tax Payable after Rebate (D1-D2)
D4.
Surcharge, if C20 exceeds 1 crore
D5.
Cess on (D3+D4)
D6.
Total Tax, Surcharge & Cess (D3+D4+D5)
D7.
Relief u/s 89
D8.
Balance Tax After Relief (D6 - D7)
D9.
Total Interest u/s 234A
D10.
Total Interest u/s 234B
D11.
Total Interest u/s 234C
Total Interest Payable (D9 + D10 + D11)
D12.
Total Tax and Interest (D8 + D9 + D10 + D11)

Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)

A Particulars of Asset Amount (Cost) (Rs.)
1 Immovable Assets
a Land
b Building
2 Movable Asset
a Cash in hand
b Jewellery, bullion etc.
d Vehicles, yachts, boats and aircrafts
3 Total
B Liability in relation to Assets at A

SCH TDS1. Details of Tax Deducted at Source from SALARY [As per Form16 issued by Employer(s)]

S.No. Tax Deduction Account Number (TAN)
(1)
Name of the Employer
(2)
Income under Salary
(3)
Tax Deducted
(4)
1
Total
del

SCH TDS2. Details of Tax Deducted at Source from Income other than Salary [As per Form16 A issued by Deductor(s)]

S.No. Tax Deduction Account Number (TAN)
(1)
Name of the Deductor
(2)
Unique TDS Certificate Number
(3)
Deducted Year
(4)
Tax Deducted
(5)
Amount out of (5) claimed this year
(6)
If A23 is applicable, amount claimed in the hands of spouse
(7)
1
Total
del

SH.TCS Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]

Sl.No.
(1)
Tax Deduction and Collection Account Number of the Collector
(2)*
Name of the Collector
(3)*
Tax Collected
(4)
Amount out of (4) being claimed
(5)
If A23 is applicable, amount claimed in the hands of spouse
(6)
1
Total
alt del
Note: Please enter total of column 6 of TCS in 11c of Part B-TTI

SCH IT. Details of Advance Tax and Self Assessment Tax Payments

S.No. BSR Code
(1)
Date of deposit
(DD/MM/YYYY)
(2)
Challan Number
(3)
Tax Paid
(4)
1
Total
del

Taxes Paid

Please note that calculated fields (in grey) are picked from other schedules and are not to be entered. For Eg : The taxes paid figures below will get filled up when the Schedules linked to them are filled.
D13.
Total Advance Tax Paid
D14. Total Self Assessment Tax Paid
D15.
Total TDS Claimed
D16.
Total TCS Collected
D17. Total Taxes Paid(D13 + D14 + D15 + D16)
D18. Tax Payable(D12 - D17, if D12 > D17)
D19. Refund(D17 - D12, if D17 > D12)
D20. Exempt income only for reporting purposes
(If agricultural income is more than 5000, use ITR-2 or 2A)

D21. 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).*

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

S.No. IFS Code of the bank * Name of the Bank * Account Number (the number should be 9 digits or more as per CBS system of the bank)* Bank Account Type *
1

b) Other Bank account details

S.No. IFS Code of the bank Name of the Bank Account Number (the number should be 9 digits or more as per CBS system of the bank) Bank Account Type
2
alt del

Verification

I,
* 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 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 2016-17.
Place
* Date (DD/MM/YYYY)
* PAN
*
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Name of the TRP
TRP PIN(10digit)
Amount to be paid to TRP

A. Donations entitled for 100% deduction without qualifying limit

S No. Name of the Donee * Address * City or Town or District * State Code * Pincode * PAN of the Donee * Amount of donation * Eligible Amount of Donation
1
Total A
del

B. Donations entitled for 50% deduction without qualifying limit

S No. Name of the Donee * Address * City or Town or District * State Code * Pincode * PAN of the Donee * Amount of donation * Eligible Amount of Donation
1
Total B
del

C. Donations entitled for 100% deduction subject to qualifying limit

S No. Name of the Donee * Address * City or Town or District * State Code * Pincode * PAN of the Donee * Amount of donation * Eligible Amount of Donation
1
Total C
del

D. Donations entitled for 50% deduction subject to qualifying limit

S No. Name of the Donee * Address * City or Town or District * State Code * Pincode * PAN of the Donee * Amount of donation * Eligible Amount of Donation
1
Total D
del

E. 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".