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ANAIL RAMDASJI NAGDEVE 05-Aug-2013 736833470

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INDIAN INCOME TAX RETURN VERIFICATION FORM Assessment Year

FORM
ITR-V [Where the data of the Return of Income in Benefits in Form (ITR-1 (SAHAJ), ITR-2, ITR-3,
ITR-4, ITR-4S (SUGAM), ITR-5, ITR-6 transmitted electronically without digital signature] . 2013 - 14
(Please see Rule 12 of the Income-tax Rules, 1962)

Name PAN
ANIL RAMDASJI NAGDEVE
ADJPN2848P
PERSONAL INFORMATION AND THE

Form No. which


DATE OF ELECTRONIC

Flat/Door/Block No Name Of Premises/Building/Village


FLAT NO A-101/102 JEEVANDEEP CHS has been ITR-4
TRANSMISSION

electronically
transmitted
Road/Street/Post Office Area/Locality
PLOT NO. 42, SECTOR 13 KHANDA COLONY

Town/City/District State Pin Status


Individual
NEW PANVEL WEST
MAHARASHTRA 410206

Designation of AO (Ward / Circle) WD-2 PANVEL Original or Revised ORIGINAL

E-filing Acknowledgement Number 736833470050813 Date(DD-MM-YYYY) 05-08-2013


1 Gross Total Income 1 436456
2 Deductions under Chapter-VI-A 2 99074
3 Total Income 3 337380
COMPUTATION OF INCOME

a Current Year loss, if any 3a 0


4
AND TAX THEREON

4 Net Tax Payable 14150


5 Interest Payable 5
6 Total Tax and Interest Payable 6 14150
7 Taxes Paid
a Advance Tax 7a
b TDS 7b 55499
c TCS 7c
d Self Assessment Tax 7d
e Total Taxes Paid (7a+7b+7c +7d) 7e 55499
8 Tax Payable (6-7e) 8
9 Refund (7e-6) 9 41350
VERIFICATION
I, ANIL RAMDASJI NAGDEVE son/ daughter of NAGDEVE RAMDASJI UPASRAO
, holding permanent account number ADJPN2848P

solemnly declare to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmitted
electronically by me vide acknowledgement number mentioned above is correct and complete and that the amount of total income/ fringe benefits
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 and
fringe benefits chargeable to income-tax for the previous year relevant to the assessment year 2013-14. I further declare that I am making this return
in my capacity as and I am also competent to make this return and verify it.

Sign here Date 05-08-2013 Place NEW PANVEL WEST

If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP

For Office Use Only


Receipt No Filed from IP address 120.61.118.129

Date

Seal and signature of


ADJPN2848P0473683347005081318DCF0EE70D7E94FBC5B1176508BB1436C368B77
receiving official

Please furnish Form ITR-V to “Income Tax Department - CPC, Post Bag No - 1, Electronic City Post Office, Bengaluru - 560100,
Karnataka”, by ORDINARY POST OR SPEED POST ONLY, within 120 days from date of transmitting the data electronically. Form ITR-V
shall not be received in any other office of the Income-tax Department or in any other manner. The receipt of this ITR-V at ITD-CPC will be sent to
you at e-mail address advnagdevear@rediffmail.com

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