Itr-V: (Please See Rule 12 of The Income-Tax Rules, 1962)

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INDIAN INCOME TAX RETURN VERIFICATION FORM Assessment Year

FORM
ITR-V [Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3,
ITR-4S (SUGAM), ITR-4, ITR-5, ITR-7 transmitted electronically without digital signature] . 2014 - 15
(Please see Rule 12 of the Income-tax Rules, 1962)

Name PAN
KANIKA VIJAY SAHAJWALLA
PERSONAL INFORMATION AND THE

BNPPS2389H

Form No. which


DATE OF ELECTRONIC

Flat/Door/Block No Name Of Premises/Building/Village


has been ITR-1
TRANSMISSION

B 40 4TH FLOOR
electronically
transmitted
Road/Street/Post Office Area/Locality
FLORENTINE CO OPERAVIVE SOPAN BAUG GHORPADI
HOUSING SOCIETY
Town/City/District State Pin Status
Individual
PUNE
MAHARASHTRA 411001

Designation of AO (Ward / Circle) ITO WD 1 (1) Pune Original or Revised ORIGINAL

E-filing Acknowledgement Number 300670470310714 Date(DD-MM-YYYY) 31-07-2014


1 Gross Total Income 1 285600
2 Deductions under Chapter-VI-A 2 76777
3 Total Income 3 208820
COMPUTATION OF INCOME

a Current Year loss, if any 3a 0


4
AND TAX THEREON

4 Net Tax Payable 0


5 Interest Payable 5 0
6 Total Tax and Interest Payable 6 0
7 Taxes Paid
a Advance Tax 7a 0
b TDS 7b 0
c TCS 7c 0
d Self Assessment Tax 7d 0
e Total Taxes Paid (7a+7b+7c +7d) 7e 0
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
VERIFICATION
I, KANIKA VIJAY SAHAJWALLA son/ daughter of LAKHI PRATAPRAI ADVANI , holding Permanent Account Number BNPPS2389H
solemnly declare 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 2014-15. 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 31-07-2014 Place Pune

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


Filed from IP address 182.64.151.94
Receipt No

Date

Seal and signature of


BNPPS2389H01300670470310714B7EE4F7E1876A15BCF4A0DCAA1777993D07D26C0
receiving official

Please send the duly signed Form ITR-V to “Centralized Processing Centre, Income Tax Department, Bengaluru 560500”, by ORDINARY
POST OR SPEED POST ONLY, within 120 days from date of transmitting the data electronically. Form ITR-V shall not be received in any other
office of the Income-tax Department or in any other manner. The confirmation of receipt of this Form ITR-V at ITD-CPC will be sent to the e-mail
address [email protected]

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