SAHAJ INDIVIDUAL INCOME TAX RETURN
[For individuals having Income from Salaries, One house property, Other sources (Interest etc.) and having taxable income upto Rs.50 lakh]

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PART A GENERAL INFORMATION

PAN * First Name
Middle Name Last Name *
Aadhaar Number
(Please enter the Aadhaar Number which is linked for your PAN in e-Filing portal.)
Aadhaar Enrolment Id
(Please enter a valid Aadhaar Enrolment Id. The top of your Acknowledgement Slip contains 14 digit enrolment number (1234/12345/12345) and the 14 digit Date and Time (dd/mm/yyyy hh:mm:ss) of enrolment. These 28 digits together form your Enrolment Id.)
Date of Birth (DD/MM/YYYY)* Mobile Number *
Email Address *
Address
Flat / Door / Block No * Name Of Premises / Building / Village
Road / Street / Post Office Area / Locality *
Town / City / District * State *
Country * Pin Code *
Zip Code * No Zip Code
Employer Category*
Residential Status *
Return filed *
Whether original or revised return? *
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
If filed in response to notice u/s 139(9)/142(1)/148/153A/153C, enter the date of such notice
Are you governed by Portuguese Civil Code as per section 5A ?*
If Yes, Fill PAN of the Spouse

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 (If loss, put the figure in negative)
B3. Income from Other Sources
(Ensure to Fill “Sch TDS2”)
B4. Gross Total Income (B1 + B2 + B3) (If loss, put the figure in negative)
Part C – Deductions and Taxable Total Income
S.No. Section Amount System Calculated
80C
80CCC
80CCD(1)
80CCD(1B)
80CCD(2)
80CCG
80D
80DD
(Maximum eligible amount is 75000. For Severe Disability, it is 125000)
80DDB
(Maximum eligible amount is 40000. For Senior Citizen, it is 80000)
80E
80EE
80G
80GG
80GGA
80GGC
80RRB
80QQB
80TTA
80U
(Maximum eligible amount is 75000. For Severe Disability, it is 125000)
C1. Total Deductions
Note:Total deductions under chapter VI A cannot exceed GTI.
C2. Taxable Total Income (B4-C1)

Part D – Computaion of Tax Payable

D1.
Tax Payable on Total Income (C2)
D2.
Rebate u/s 87A
D3.
Tax after Rebate (D1-D2)
D4.
Cess on (D3)
D5.
Total Tax & Cess (D3+D4)
D6
Relief u/s 89(1) (Please ensure to submit Form 10E)
Balance Tax After Relief (D5 - D6)
D7
Interest u/s 234A
D8.
Interest u/s 234B
D9.
Interest u/s 234C
Total Interest Payable (D7 + D8 + D9)
D10.
Total Tax and Interest (D5 + D7 + D8 + D9 - D6)

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

S.No. Tax Deduction Account Number (TAN) of the Deductor
Name of the Deductor
Income chargeable under Salaries
Total tax deducted
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) of the Deductor
[Col (1)]
Name of the Deductor
[Col (2)]
Amount which is subject to tax deduction
[Col (3)]
Deduction year
[Col (4)]
Tax Deducted
[Col (5)]
Amount out of (5) claimed for this year
[Col (6)]
Amount claimed in the hands of spouse if section 5A is applicable
[Col (7)]
1
Total
del

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

Sl.No.
Tax Collection Account Number of the Collector
[Col (1)]*
Name of the Collector
[Col (2)]*
Amount which is subject to tax collection
[Col (3)]
Collection year
[Col (4)]
Tax Collected
[Col (5)]
Amount out of (5) being claimed [Col (6)]
(5)
Amount claimed in the hands of spouse if section 5A is applicable [Col (7)]
(6)
1
Total
alt del

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

S.No. BSR Code
[Col (1)]
Date of deposit
(DD/MM/YYYY)
[Col (2)]
Serial Number of Challan
[Col (3)]
Tax paid
[Col (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.
D11(i).
Total Advance Tax Paid
D11(ii).
Total Self Assessment Tax Paid
D11(iii).
Total TDS Claimed
D11(iv).
Total TCS Claimed
D11(v). Total Taxes Paid(D11[(i) + (ii) + (iii) + (iv)])
D12. Amount payable (D10 –D11)(if D10 > D11)
D13. Refund (D11 – D10) (if D11 > D10)
Exempt income (For reporting Purposes)
(i) Sec.10(38)
(ii) Sec.10(34)
(iii) Agriculture Income (≤ Rs.5000)
(iv) Others
S.No. Nature of Income Amount
1
alt del

Part E – Other Information

Bank Account Details

14 Do you have any Bank Account in India ?*

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) Cash deposited during 09.11.2016 to 30.12.2016 (if aggregate cash deposits during the period ≥ Rs.2 lakh)
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) Cash deposited during 09.11.2016 to 30.12.2016 (if aggregate cash deposits during the period ≥ Rs.2 lakh)
2
alt del

c) Details of Bank Account held outside India by Non-Resident (excluding dormant accounts)

S.No. IBAN/SWIFT Code Name of the Bank Country of Location Account Number
1
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 in accordance with the provisions of the Income-tax Act, 1961.
Place*
Date (DD/MM/YYYY)*
PAN*

Instructions for correct calculation of 80G

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".