Sample Itr Form

Capital gains tax , Income tax , Advance corporation tax

INDIAN INCOME TAX RETURN A.Y.2010-2011 [For Individuals and HUFs not having Income from Business or profession] (Please see Rule 12 of the Income-tax Rules,1962) ____________________________________________________________

First name Middle name Last name PAN Nikita Sharma ABCDE1234F Flat/Door/Block No. D-5 Name of Premises/Building/Village DEL Colony Road/Street/Lane/Post Office Jalahalli Area/Locality/Taluka/Sub Division Town/City/District Bangalore

State/Union Territory KARNATAKA Pin Code 540013 Status [√] Individual [ ] HUF Date of Birth 07/10/1987
Employer Category [ ] Govt [ ] PSU [√] Others Sex [ ] Male [√] Female email address (STD)-Phone No ------------------------------------------------------------------------------- FILING STATUS

Designation of Assessing Officer (Ward/Circle) Return filed under Section [ 11 ]
Whether Original or Revised Return ? [√] Original [ ] Revised If revised enter, Receipt No. & dt. of filing original return. / / Residential Status [√] Resident [ ] Non-Resident [ ] Resident but Not Ordinarily Resident Whether this return is being filed by a representative assessee? If yes, please furnish following information -[ ] Yes [√] No (a) Name of the representative

(b) Address of the representative
(c) Permanent Account Number (PAN) of the representative
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