Uploaded by Sunil Joy

Form pdf 692100430280713

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First Name
SUNIL
Middle Name
Last Name
PAN
JOY
ACLPJ7868E
Flat / Door / Building
Status
I
PERSONAL
INFORMATION
DEPUTY CHIEF
Road/Street/Post Office
Area/Locality
DOB (YYYY/MM/DD)
KSEB
TRANSMISSION CIRCLEKANNUR
1966-06-01
Town/City/District
State
Pin code
Sex
KANNUR
KERALA
670002
M
Email id
(STDcode)-Ph No
Mobile No.
suniljoyj@yahoo.co.in
( 91 ) - 9446008389
9446008389
,
9446008389
Country
91- INDIA
Income Tax Ward/Circle
TAX
COMPUTATION
INCOME & DEDUCTIONS
FILING STATUS
KANNUR
Employer Category
OTH
11
Return filed under Section[Please see instruction number-9(ii)]
Whether Original or Revised return? O
If revised, enter Original Ack no /
Date
Date
If u/s 139(9)-defective return , enter
Original Ack No
If u/s 139(9)-defective return , enter
If u/s 139(9)-defective return , enter
Notice No
Notice Date
RES
NT
Residential Status
Tax Status
N
Whether Person governed by
Portuguese Civil Code under Sec 5A ?
1 Income from Salary / Pension (Ensure to fill Sch TDS1)
1
Type of House Property
0
2 Income from one House Property
0
3 Income from Other Sources (Ensure to fill Sch TDS2)
4 Gross Total Income (1+2+3)
4
5 Deductions under chapter VI A (Section)
124258
100000 h 80G
0
0
a 80C
0
0
0
0
b 80CCC
i 80GG
0
0 j 80GGA
0
0
c 80 CCD
(i) (Employers
Contribution)
0
0 k 80GGC
0
0
c 80 CCD
(ii) (Employees /
Self Employed
Contribution)
0
0l
0
0
d 80D
80U
0
0 m 80CCG
0
0
e 80DD
0
0n
0
0
f 80DDB
80RRB
0
0o
0
0
g 80E
80QQB
0
0
p 80TTA
6 Deductions (Total of 5a to 5p)
6
7 Total Income (4-6)
7
8 Tax Payable on Total Income
8
9 Education Cess, including secondary and higher secondary cess on 8
9
10 Total Tax and Education Cess (Payable)(8+9)
10
11 Relief under Section 89
11
12 Balance Tax Payable (10-11)
12
13(i) Interest u/s 234A
13(ii) Interest u/s 234B
13(iii) Interest u/s 234C
14 Total Interest u/s 234A 234B 234C
14
15 Total Tax and Interest Payable (12+14)
15
1255661
1255661
100000
1155660
176698
5301
181999
181999
0
0
0
0
181999
TAXES PAID
REFUND
16 Taxes Paid
a
Advance Tax (from item 25)
16a
181999
b TDS (Total from item 23 + item 24)
16b
c
Self Assessment Tax (item 25)
16c
Total Taxes Paid(16a + 16b + 16c)
17
17
18 Tax Payable (15-17) (if 15 is greater than 17)
18
19 Refund (17-15) if 17 is greater than 15
19
67072563983
20 Enter your Bank Account Number
21 Select Yes if you want your refund by direct deposit into bank account, select No if you want refund by cheque
N
22 In case of direct deposit to your bank account give additional details
SAV
IFSC Code
Type of Account
SBTR0000324
23
Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
SI.NO Tax Deduction
Name of the Employer
Income chargeable
Account Number
under the
(TAN) of the
head Salaries
Employer
CHND00365B
KERALA STATE ELECTRICITY BOARD
1255661
1
26 Exempt income for reporting purposes only
181999
0
Total Tax Deducted
181999
VERIFICATION
xyz
I, SUNIL JOY son/daughter of P M JOSEPH solemnly declare that to the best of my knowledge and belief, the information given in the
return thereto 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 2013-14.
Place KANNUR Date 2013-07-28
PAN ACLPJ7868E
27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP
Name of TRP
28 If TRP is entitled for any reimbursement from the Government, amount thereof
Counter Signature of TRP
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