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Client ITR-1 Details   Personal Information (*) = required fields.   Client PAN No.   First Name     Middle Name     Last Name     Flat / Door / Block No.     Name of Premises     Road / Street     Area / Locality     Town / City / District     State Select Andaman & Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli Daman & Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Lakhswadeep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttaranchal West Bengal Outside India     Pincode     Email     STD Code     Phone No.     Date of Birth (DD/MM/YYYY)     Gender < Select > Female Male     Employer Category Select Category Government PSU Others Filing Status     Ward / Circle   Return Filed under which Section ?   Return Type < Select Type> Original Revised   Original Filing Date (DD/MM/YYYY)     Residential Status Select Status Resident Non-Resident Resident but Not Ordinarily Resident   Income & Deductions     Income from Salaries   Income from Other Sources (Family Pension)   Income from Other Sources (Interest)   Total Income from Other Sources   Gross Total Income   Chapter 6A Ded 80C   Chapter 6A Ded 80CCC   Chapter 6A Ded 80CCD   Chapter 6A Ded 80D   Chapter 6A Ded 80DD     Chapter 6A Ded 80DDB     Chapter 6A Ded 80E     Chapter 6A Ded 80G     Chapter 6A Ded 80GG     Chapter 6A Ded 80GGA     Chapter 6A Ded 80GGC     Chapter 6A Ded 80U     Total Chapter 6A Ded     Total Income     Net Agricultural Income (Enter only if greater than Rs.5000)     Aggregate Income   Tax Computation     Tax on Aggregate Income   Rebate on Agricultural Income   Tax payable on Total Income   Surcharge on Tax   Education Cess (Including Secondary & Higher Education)   Total Tax, Surcharge and Education Cess   Relief under Sec 89   Relief under Sec 90/91   Balance Tax Payable   Interest payable under Sec 234A     Interest payable under Sec 234B     Interest payable under Sec 234C     Total Interest payable     Total Tax and Interest payable   Taxes Paid     Advance Tax   TDS   Self Assessment Tax   Total Taxes Paid   Tax Payable Refund     Refund Due   Total Tax Refund TD   Bank Account No     Refund mode < Select Type> Cheque Deposit into bank account   Details of TDS at Source from Salary     Form 16 TAN of Employer * Employer Name * Address * City * State * Pincode * Income from Salaries * Chapter 6A Ded * Tax payable (incl Sur and Edu cess) * Total Tax Deducted * Tax refundable * Action   DELAO2603G Demo Company #137 4th Cross New BEL Road Bangalore Karnataka 560094 300000 100000 5000 5000 0.0 Edit Remove         Details of TDS at Source on Interest     Form 16 A TAN of Deductor * Deductor Name * Address * City * State * Pincode * Amount Paid * Date of Payment * Total Tax on Amount Paid * Tax Amount claimed this year * Action   BELAO2603H ABC #44 4th Cross Crecent Road Bangalore Karnataka 560074 50000 07/04/2009 10000 3000 Edit Remove   (DD/MM/YYYY)       Details of Advance Tax and Self Assessment Tax Payments     Adv Tax/SA Tax Bank Name * Branch Name * BSR Code * Date of Deposit * Challan Serial No * Amount * Action   State Bank of India Dollars Colony 0001167 01/04/2009 12345 8000 Edit Remove   (DD/MM/YYYY)       Other Information (Transaction Reported Through Annual Information Return)   Sl No. Code     Amount (Rs) a 001 b 002 c 003 d 004 e 005 f 006 g 007 h 008

	If revised, Acknw. No. of Original
	MICR code
	Type of Account	< Select Type> Savings Current