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Income Tax Returns Application Form

Financial Year*

1) Name*

2) Father's Name*

3) PAN *

3) Aadhar no *

3) Passport no.

4) Date Of Birth (As mention in PAN Card) *

5) Sex*

6) Mobile No.*

7) Email*

8) Address(The mentioned address will be used to send assessment order and refund):

Flat No.




Bank Name
Type of Account

Account No.*
IFSC No. *

Refund On
upload your TDS certificate:

Employer Name Employer Address Type of Employer Employer TAN No. Income from Gross Salary/Pension before Deduction Deduction under section 10 Professional Tax Amount of TDS on salary ADD/ REMOVE
Interest on Self Occupied Property
Address of Self-Occupied House:
Let Out Property Interest Paid on Let Out Property Address of Let Out Property
Saving Bank Interest:
Income from family pension:

Agriculture Income:
PPF Interest:

Dividend Income:
FDR interest:

Income from Other Sources
Other Interest:

NSC Purchasing Detail
Financial Year of Purchase Amount of NSC Purchase
Name of Business:
Nature of Business:
Please upload your trading and profit and loss A/C and balance sheet:
Property Purchase Date Property Purchase Prices With Stamp Duty and Other Charges Property Type Share in Property Property Sale Date Property Sale Prices/Guideline Value whichever is higher Property Details ADD/REMOVE
Capital Gain on Shares
Name of Share Number of Purchase Shares Net Purchase Prices of the Share Share Purchase Date Shares Sale Date Amount of Shares Sold Numbers of Sale on Shares STT Paid or not ADD/ REMOVE
Name of Firm PAN of the Firm Percentage share in the profit of firm Amount of Share in the profit Salary/Bonus/Commission or Remuneration received from the firm Interest received from the firm on the capital Capital Balance on 31st March in the Firm ADD/REMOVE

New NSC:

NSS Deposit:

Mutual Fund:
Tution Fee Max.2 child:

House Loan Repayment
Investment in Pension Fund:

Others(please Specify):

U/S 80 D Medical Insurance Premium

Parents Sr.Citizen:
Deduction for preventive health checkup
U/S 80 U Whether assessee is a person with disability
Disable upto 40% to 80%
Disable above 80%:
U/S 80E Repayment of interest on education loan
U/S 80 G Details of donations entitted for deduction
Name of Donee Address of Donee PAN of Donee Deduction%(100% or 50%) Donation Amount ADD/REMOVE
TDS Amount TAN NO.of Deductor Head in which TDS Deducted Name of deductor ADD/REMOVE
Bank Name BSR Code Challan No. Challan Date Amount  
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