Form_pdf_419595200110723 (1)
Form_pdf_419595200110723 (1)
Form_pdf_419595200110723 (1)
(A1) PAN (A2) First Name (A2a) Middle Name (A3) Last Name
AEIPP1742A VIJAY KUMAR PRASAD
(A5) Aadhaar Number(12 digits)/Aadhaar Enrolment Id(28 digits) (if
(A4) Date of Birth (A6) Mobile No
eligible for Aadhaar No.)
01/01/1963 +91 9470042149
9xxx xxxx 8540
(A9) Name of (A10) Road/Street/Post Office,
(A7) Email Address (A8) Flat/Door/Block No. Premises/Building/Village Area/Locality
vkprasad1963@gmail.com S/O KAMESHWAR PRASAD 553A, MAHASWETA GRAMIN HARNICHAK ROAD HARNICHAK,
MAHILA SEVA SADAN PHULWARISHARIF
(A11) Town/City/District (A12) State (A13) Country/Region (A14) PIN Code/ZIP Code
PATNA 05-Bihar 91-INDIA 800002
(A15)(a) Filed u/s (Tick)[Please see instruction] 139(1)-On or before due date
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
Sl.
Nature of Exempt Allowances Description ( If Any Other selected) Total Amount
No.
iia Less : Income claimed for relief from taxation u/s 89A iia 0
Income chargeable under the head 'House Property' (iii - iv - v) + vi (If loss, put the figure in
vii negative) B2
0
Sl.
Nature of Income Description ( If Any Other selected) Total Amount
No.
Quarterly breakup of Dividend Income Quarterly breakup of Income from retirement benefit
account maintained in a notified country u/s 89A
(taxable portion)
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
Gross Total Income (B1+B2+B3) (If loss, put the figure in negative) Note: To avail the benefit
B4 B4 15,66,719
of carry forward and set off of loss, please use ITR-2
C14 80GG - Rent paid (Please submit form 10BA to claim deduction) 0 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
1 Sec 10(11)-Statuory Provident Fund received GPF Amount received after Retirement 2280799
Total 23,87,323
D6 Relief u/s 89 (Please ensure to submit Form 10E to claim this relief) D6 16,255
D11 Total Tax, Fee and Interest (D5 + D7 + D8 + D9 + D10 - D6) D11 1,99,562
PART E - OTHER INFORMATION DETAILS OF ALL BANK ACCOUNTS HELD IN INDIA AT ANY TIME DURING THE PREVIOUS YEAR
(EXCLUDING DORMANT ACCOUNTS)
Sl. Account Number Select Account for Refund
IFS Code of the Bank Name of the Bank
No. Credit
SCHEDULE 80D
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
1 Whether you or any of your family member (excluding parents) is a senior citizen? No claiming for Self/Family
2 Whether any one of your parents is a senior citizen No claiming for Parents
(a) Parents 0
SCHEDULE 80G DETAILS OF DONATIONS ENTITLED FOR DEDUCTION UNDER SECTION 80G
A. DONATIONS ENTITLED FOR 100% DEDUCTION WITHOUT QUALIFYING LIMIT, (WHERE ANY ROW IS FILLED BY THE USER, ALL THE
FIELDS IN THAT ROW SHOULD BECOME MANDATORY)
(1) (2) (3) (4) (5) (6) (7) (9) (10) (11) (12)
Total A 0 0 0 0
B. DONATIONS ENTITLED FOR 50% DEDUCTION WITHOUT QUALIFYING LIMIT (WHERE ANY ROW IS FILLED BY THE USER, ALL THE
FIELDS IN THAT ROW SHOULD BECOME MANDATORY)
(1) (2) (3) (4) (5) (6) (7) (9) (10) (11) (12)
Total B 0 0 0 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
C. DONATIONS ENTITLED FOR 100% DEDUCTION SUBJECT TO QUALIFYING LIMIT (WHERE ANY ROW IS FILLED BY THE USER, ALL THE
FIELDS IN THAT ROW SHOULD BECOME MANDATORY)
(1) (2) (3) (4) (5) (6) (7) (9) (10) (11) (12)
Total C 0 0 0 0
D. DONATIONS ENTITLED FOR 50% DEDUCTION SUBJECT TO QUALIFYING LIMIT (WHERE ANY ROW IS FILLED BY THE USER, ALL THE
FIELDS IN THAT ROW SHOULD BECOME MANDATORY)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Total D 0 0 0 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Total 0 0 0 0
TAX PAYMENTS
Sl.
BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Tax paid
No.
Total 50,560
SCHEDULE TDS1 - DETAILS OF TAX DEDUCTED AT SOURCE FROM SALARY [AS PER FORM 16 ISSUED BY EMPLOYER(S)]
Sl. Income chargeable under
TAN of the Deductor Name of the Deductor Total Tax Deducted
No. salaries
Total 1,49,000
SCHEDULE TDS2 - DETAILS OF TAX DEDUCTED AT SOURCE FROM INCOME OTHER THAN SALARY [AS PER FORM 16A ISSUED BY
DEDUCTOR(S)]
Gross receipt which
Sl. Name of the Year of tax TDS Credit out of
TAN of the Deductor is subject to tax Tax Deducted
No. Deductor deduction (5)claimed this year
deduction
Total 0
SCHEDULE TDS3 DETAILS OF TAX DEDUCTED AT SOURCE (AS PER FORM 16C FURNISHED BY THE PAYER(S))
Gross receipt TDS Credit out
Sl. PAN of the Aadhaar Number Name of the Year of tax
which is subject Tax Deducted of (6) claimed
No. Tenant of the Tenant Tenant deduction
to tax deduction this year
Total 0
SCHEDULE TCS
Tax Collection Gross payment
Sl. Name of the Year of tax TCS Credit out of (5)
Account Number of which is subject to Tax Collected
No. Collector collection claimed this year
the Collector tax collection
Total 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”
Acknowledgement Number : 419595200110723 Date of Filing : 11-Jul-2023*
VERIFICATION
I, VIJAY KUMAR PRASAD son/ daughter of KAMESHWAR PRASAD solemnly declare that to the best of my knowledge and belief, the information
given in the return is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961. I further declare that I am making
this return in my capacity as Self and I am also competent to make this return and verify it. I am holding permanent account number AEIPP1742A
Place: PATNA
Date: 11-Jul-2023
If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
If TRP is entitled for any reimbursement from the Government, amount thereof 0
*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of filing the
return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”