Tax Payer
IndividualHUF

[group individual1]

Who Are You
MaleFemaleSenior CitizenSuper Senior Citizen

[/group]

Residential Status
ResidentNon-residentNot Ordinary Resident

PAN CARD NUMBER
10

LAST NAME

Middle NAME

First NAME

Email ID

Mobile Number
10

Date of Birth

Flat / Room / Door / Block No.

Name of Premises / Building / Village

Road / Street / Lane/Post Office

Area / Locality / Taluka/ Sub- Division

Town / City / District

State / Union Territory

Pin Code

Source of Income
SalaryCapital GainsIncome from Business or ProfessionIncome from Other sourcesIncome from House propertyNo income

[group salary]

Income From Salary(after standard Deduction of Rs. 40000)

[/group]

[group House]

Income From House Property

Interest paid/payable on housing Loan for Current Financial Year

Do you have Other Houses or properties ? YesNo

[group house2]

Income for All other Let out Property

Municipal Taxes paid on other properties During The year

Unrealized Rent

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[/group]

[group Capital]

Attach the File of Assets, Shares, Debentures or any others kind of investment purchased of sold During the Year
Attach in Excel / Word / PDF format only With below order
1. Source ,2. Date Of Purchase, 3. Date Of Sale, 4. Amount Paid,5. Amount Received

[/group]

[group Other]

Income Form Interest/ commission/ Other Income

Winning from Lottery, Crossword, Puzzles, etc.

[/group]

[group business]

Profits & Gain of Business Or Profession (enter Profit Only)

What is your business income less then Rs. 50 lakhRs 50 lakhs - 1 Cr.Above 1 Cr.

[/group]

Do you have any agricultural Income? YesNo

DO YOU OWN HOUSE PROPERTY YesNo

Do you Invest in Shares/ Debentures or in any other kind?
YesNo

Do you receive Interest /commission / Any Other Income?
YesNo

[group agri]

Agricultural Income Aoumnt

[/group]

For Standard Deduction tick the item in which you spent your Income
Life Insurance PremiumAnnuity planProvident fund/PPFInvestment in NSCContribution towards ULIPPension fund by MF/UTIHousing loanTuition Fee Paid For ChildrenFixed DepositInterest on deposit in saving accountContribution toward NPFContribution toward NPSLong-Term Infrastructure BondsInvestment under equity saving schemeMedi-claim PremiumMedical treatment of dependentInterest on loan for higher educationInterest on loan taken for Residential HouseAny other deductable

[group life]

Life Insurance Premium Paid

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[group annuity]

Payment for annuity plan

[/group]

[group ppf]

contribution toward provident fund/PPF

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[group NSC]

Investment in NSC (VII issue)+Interest

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[group ulip]

Contribution towards ULIP

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[group MF]

Contribution towards notified pension fund by MF/UTI

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[group Loan]

Re-payment of Housing loan etc

[group Fee]

Tuition Fee Paid For Children

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[group postoffice]

5 Year fixed Deposit with PO or Schedule Bank

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[group saving]

Interest on deposit in saving account

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[group NPF]

Contribution toward NPF

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[group NPS]

Employee's/ Self Employed contribution towards NPS
Additional contribution towards NPS
Employer's contribution towards NPS

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[group infra]

Long-Term Infrastructure Bonds

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[group equitysaving]

Investment under equity saving scheme

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[group samridhi]

Deposit with sukanya samridhi accounts

[/group]

[group mediclaim]

Medi-claim Premium

Actual payment towards medical treatment
Are you Disable YesNo

[group diability1]

Your Disability is SevereNormal

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[/group]

[group dependentmediclaim]

Deduction for maintenance / medical treatment of dependent

Is Dependent Disable YesNo

[group diability2]

Disability Severe or Normal SevereNormal

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[group educationloan]

Interest on loan for higher education

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[group residentialloan]

Interest on loan taken for Residential House

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[group otherdeduct]

Any other deductable

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