Form PDF 666793380211020
Form PDF 666793380211020
Form PDF 666793380211020
and having income from business and profession which is computed under sections 44AD, 44ADA or 44AE]
[Not for an individual who is either Director in a company or has invested in unlisted equity shares]
Personal Information
YYYY)
Address
Town/City/District AHMEDABAD
State GUJARAT
Country INDIA
Aadhaar Number (Please enter the Aadhaar Number which is linked with your 304696173278
Status Individual
Std Code
Mobile No. 2 -
Email Address-2
Are you filing return of income under Seventh proviso to section 139(1) but No
Amount
Rs. 2 lakhs for travel to a foreign country for yourself or for any other person
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
Amount
Amount
In case of Revised/Defective
Receipt number
Name of representative
Capacity of representative
Address of representative
ii) Less : Allowances to the extent exempt u/s 10(Ensure that it is included in salary income u/s 17(1)/17(2)/17(3))
(i) Gross rent received/ receivable/ lettable value during the year 0
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
(vii) Income chargeable under the head ‘House Property’ (iii – iv – v) +vi (If loss, put the figure in 0
negative)
(Note : "Maximum Loss from House property that can be set-off is INR 2,00,000")
Part C - Deductions and Taxable Total Income (Refer to instructions for limits on Amount of Deductions as per 'Income Tax Act'
Whether, you have made any investment/ deposit/ payments between 01.04.2020 to 31.07.2020 for the purpose of claiming any No
deduction under Part B of Chapter VIA? [Yes/No] (If yes, please fill schedule DI)
C1. 80C - Life insurance premia, deferred annuity, contributions to provident fund, 0 0
Note: 1. Total of 80D in system calculated value should not exceed Rs 1,00,000. 2. Total
of 80D in system calculated value should not exceed Rs 50,000 in case of HUF.
C7. 80DD - Maintenance including medical treatment of a dependent who is a person with 0 0
disability -
C11. 80EEA - Deduction in respect of interest on loan taken for certain house property 0 0
C13. 80G - Donations to certain funds, charitable institutions, etc (Please fill 80G 0 0
1 RETAILER 09028-Retail sale of other products n.e.c Retail sale of other products n.e.
E1a. Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system or 0
b. 8% of E1b or the amount claimed to have been earned, whichever is higher 372492
c. Total (a + b) 372492
Note : If Income is less than the above percentage of Gross Receipts, it is mandatory to have a tax audit under 44AB and other ITR, as applicable, has to be
filed.
E4. Presumptive Income under section 44ADA (>=50% of E3)or the amount claimed to have been earned, 0
whichever is higher
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
Note : If income is less than 50% of Gross Receipts, it is mandatory to have a tax audit under 44AB and
Sl no Registration No. of goods carriage Whether owned/leased/hired Tonnage Number of months Presumptive income u/s 44AE for
NOTE-If the profits are lower than prescribed under S.44AE or the number of Vehicles owned at any
time exceed 10 then the the other ITR, as applicable, has to be filed
S.No. GSTIN No. Annual Value of Outward Supplies as per the GST Return Filed
E10. Total of value of Outward Supplies as per the GST return filed
Note : For E11 to E25 furnish the information as on 31st day of March,2020
E14. Advances 0
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
Note: Please refer to instructions for filling out this schedule (E15, E19, E20, E22 are mandatory and others if available)
SCHEDULE TDS1 DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY [As per Form 16 issued by Employer(s)]
S.No. TAN Name of the Employer Income under Salary Tax Deducted
TOTAL
Sch TDS 2(i) Details of Tax Deducted at Source on Income Other than Salary [As per Form 16 A issued by Deductor(s)]
Sl.No. TAN of the Unclaimed TDS brought forward (b/f) TDS of the TDS credit being Corresponding receipt offered TDS credit
Col (1) Deductor current Fin. Year claimed this being carried
receipt is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
which deducted Col (4) Col (5) Col (6) Col (7) Income
Total
Sch TDS 2(ii) Details of Tax Deducted at Source [As per Form 16C/16D furnished by Deductor(s)]
Sl.No. PAN of the Aadhaar No Unclaimed TDS TDS of the TDS credit Corresponding TDS credit
Col (1) Buyer/Tenant/ of the Buyer/ brought forward (b/f) current Fin. Year being claimed receipt offered being carried
receipt is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
which deducted Col (5) Col (6) Col (7) Col (8) Income
Total
Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
S.No. Tax Collection Account Name of Collector Details of amount paid as Tax Collected Amount out of
Col (1) Col (2) Col (3) Col (4) Col (5)
TOTAL
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
S.No. BSR Code Date of Deposit(DD/MM/YYYY) Serial Number of Challan Tax paid
TOTAL
Taxes Paid
D15. Total TDS Claimed (total of column 4 of Schedule-TDS1 and column 6 of Schedule-TDS2) 0
Sl. No. Nature of Income Description (If 'Any Other' is selected) Amount
Total
D21. Details of all Bank Accounts held in India at any time during the previous year (excluding dormant
accounts) (In case of non-residents, details of any one foreign Bank Account may be furnished for the
S.No. IFS Code of the bank Name of the Bank Account Number Select Account
Details of investments
Investment/ Deposit/ Payments for the purpose of claiming deduction under Chapter VIA No
disability
11. 80EEA - Deduction in respect of interest on loan taken for certain house property
13. 80G - Donations to certain funds, charitable institutions, etc (Please fill 80G
16. Total
Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self/ Family
(iii) Medical Expenditure (This deduction to be claimed on which health insurance is not claimed) 0
2 Whether any one of your parents is a senior citizen Not claiming for Parents
(a) Parents 0
S No. Name of the Donee Address City or Town State code Pincode PAN of Amount of donation Eligible
mode
Total A
S No. Name of the Donee Address City or Town State code Pincode PAN of Amount of donation
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Acknowledgement Number : 666793380211020 Assessment Year : 2020-21
mode Donation
Total B
S No. Name of the Donee Address City or Town State code Pincode PAN of Amount of donation Eligible
mode
Total C
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode
Total D
E. Donations (A + B + C+ D)
Income Tax Return submitted electronically on 21/10/2020 from IP Address 103.238.104.89 and NOT VERIFIED. Please Verify this income tax return using any one
of the below mode.
1. e-Verification option available in eFiling portal under My Account -> e-Verify Return
2. By sending the duly signed (preferably in blue ink) Form ITR-V to "Centralized Processing Centre, Income Tax Department, Bengaluru - 560500" by ORDINARY
OR SPEED POST ONLY, so as to reach 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.
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