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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 Guntur
Country INDIA
Aadhaar Number (Please enter the Aadhaar Number which is linked with your 314202497744
Status Individual
STD code
Mobile No. 2 -
Email Address-2
In case of Revised/Defective
Receipt number
Unique number
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
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)) 0
(i) Gross rent received/ receivable/ letable value during the year 0
House Property
(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)
C1. 80C - Life insurance premia, deferred annuity, contributions to provident fund, 150000 150000
(A) Health Insurance Premium - Self and Family(Non Senior citizen) 25000 55000
(B) Medical expenditure - Self and Family including parents (senior citizen) 30000
C8. 80DD - Maintenance including medical treatment of a dependent who is a person with 80000 75000
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
1 SAI VISHNU CELL POINT 09026-Retail sale of hardware, paint and glass
E1a. Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received 0
b. 8% of E1b or the amount claimed to have been earned, whichever is higher 600000
c. Total (a + b) 600000
Note : If Income is less than the above percentage of Gross Receipts, it is mandatory to have a tax audit under 44AB and regular ITR 3 or 5 has to be filled
E4. Presumptive Income under section 44ADA (>=50% of E3)or the amount claimed to have been earned, 0
whichever is higher
NOTE-If Income is less than 50% of Gross Receipts, it is mandatory to have a tax audit under 44AB &
Sl no Registration No. of goods carriage Whether owned/leased/hired Tonnage Number of months Presumptive income u/s 44AE
Capacity of goods for which goods for the goods carriage (Computed
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
NOTE-If the profits are lower than prescribed under S.44AE or the number of Vehicles owned at any
time exceed 10 then the regular ITR 3/5 form has to be filled and not this form
S.No. GSTIN No. Amount of turnover/Gross receipt for the year corresponding to the GSTIN
E10. Amount of total turnover/Gross receipt as per the GST return filed 0
Note : For E11 to E25 furnish the information as on 31st day of March,2019
E14. Advances
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 0
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
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 Income offered TDS credit
corresponding
income is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
Other Source
Other Source
Other Source
Total 2121
Sch TDS 2(ii) Details of Tax Deducted at Source [As per Form 16C furnished by Deductor(s)]
Sl.No. PAN of the Tenant Unclaimed TDS brought forward (b/f) TDS of the TDS credit being Corresponding Income offered TDS credit
corresponding
income is being
offered for
Fin. Year in TDS b/f TDS Deducted TDS Claimed Gross Amount Head of
1 0
Total 2121
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 0
S.No. BSR Code Date of Deposit(DD/MM/YYYY) Serial Number of Challan Tax paid
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
TOTAL 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode
1 0 0
Total A 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode
1 0
Total B 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode
1 0
Total C 0 0 0 0
S No. Name of the Donee Address City or Town State Pincode PAN of Amount of donation Eligible
mode
1 0
Total D 0 0 0 0
E. Donations (A + B + C+ D) 0 0 0 0
Taxes Paid
D15. Total TDS Claimed (total of column 4 of Schedule-TDS1 and column 7 of Schedule-TDS2) 2121
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Acknowledgement Number : 481980140250519 Assessment Year : 2019-20
Sl. No. Nature of Income Description (If 'Any Other' is selected) Amount
Total 0
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
S.No. IFS Code of the bank Name of the Bank Account Number
VERIFICATION
I MOHANA VENKATA SAI AMBRESH KUMAR ANNA son/daughter of VENKATA CHALAPATHI RAO ANNA solemnly declare that to the best of my
knowledge and belief, the information given in the return is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961. I further
declare that I am making returns in my capacity as Self and I am also competent to make this return and verify it. I am holding permanent account number A
WGPA2965G
Place GUNTUR
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Name of TRP
Income Tax Return submitted electronically on 25/05/2019 from IP Address 45.112.187.73 and verified by MOHANA VENKATA SAI AMBRESH KUMAR ANNA
having PAN AWGPA2965G on 25/05/2019 from IP address 45.112.187.73 using Electronic Verification Code PYETFGD1YY generated through Prevalidated Bank
Account Number mode.
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