INDIAN INCOME TAX RETURN

[For individuals being a resident (other than not ordinarily resident) having total income
upto Rs.50 lakh, having Income from Salaries, one house property, other sources
ITR-1 (Interest etc.), and agricultural income upto Rs.5 thousand] Assessment Year
SAHAJ [Not for an individual who is either Director in a company or has invested in unlisted 2024 - 25
equity shares or in cases where TDS has been deducted u/s 194N or if income-tax is
deferred on ESOP]
(Refer instructions for eligibility)

PART A GENERAL INFORMATION

(A1) PAN (A2) First Name (A2a) Middle Name (A3) Last Name (A4) Date of Birth (A5) Aadhaar Number (12 digits)/Aadhaar Enrolment
NJWPK3419M KOMAL 05-Jun-2004 Id (28 digits) (If eligible for Aadhaar No.)
4xxx xxxx 3988

(A6) Mobile No. (A7) Email Address (A8) Flat/Door/Block No. (A9) Name of (A10) Road/Street/Post Office,
+ 91 9310453831 komalkhandelwal9991@gmail.co 1958 GALI NO-13 Premises/Building/Village Area/Locality
m RAJGARH Rajgarh Colony S.O ,
Rajgarh Colony

(A11) Town/City/District (A12) State (A13) Country/Region (A14) PIN Code/ZIP Code
EAST DELHI 09-Delhi 91-India 110031

(A15) Filed u/s (Tick) 139(1)-On or before due date 139(4)-Belated 139(5)-Revised (A16) Nature of employment
[Please see instruction] 119(2)(b)- After Condonation of delay Central Govt. State Govt. Public Sector Undertaking
CG - Pensioners SG - Pensioners PSU - Pensioners
(A17) Or Filed in 139(9) 142(1) 148 153C Other Pensioners Others
response to notice u/s Not Applicable (e.g. Family Pension etc.)

(A18) If revised/defective, then enter Receipt No. and Date of filing of original return
(DD/MM/YYYY)

(A19) If filed in response to notice u/s 139(9)/142(1)/148/153C or order u/s 119(2)

(b)- enter Unique Number/Document Identification Number (DIN) & Date of such
Notice or Order

(A20) Do you wish to exercise the option u/s 115BAC(6) of Opting out of new tax regime ? Yes No

(A21) Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income? - (Tick) Yes No

If yes, please furnish following information

[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling one or more conditions mentioned in the
seventh proviso to section 139(1)]

(i) Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel to a foreign country for yourself or for any other person? Yes No 0

(ii) Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on consumption of electricity during the previous year? Yes No 0

(iii) Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to section 139(1) (If yes, please select the relevant condition from the drop down
menu)
Yes No

Sl. No. Amount

PART B GROSS TOTAL INCOME Whole - Rupee only

B1 i Gross Salary (ia + ib + ic + id + ie) i 4,80,000

a Salary as per section 17(1) ia 4,80,000

b Value of perquisites as per section 17(2) ib 0

c Profit in lieu of salary as per section 17(3) ic 0

d Income from retirement benefit account maintained in a notified country u/s 89A id 0

e Income from retirement benefit account maintained in a country other than notified country ie 0
u/s 89A

ii Less allowances to the extent exempt u/s 10 ii 0

(Ensure that it is included in salary income u/s 17(1)/17(2)/17(3) )

Sl. No. Nature of Exempt Allowance Description ( If Any Other selected) Amount

iia Less : Income claimed for relief from taxation u/s 89A iia 0

iii Net Salary (i - ii - iia) iii 4,80,000

iv Deductions u/s 16 (iva + ivb + ivc) iv 50,000

a Standard deduction u/s 16(ia) iva 50,000

 b Entertainment allowance u/s 16(ii) ivb 0

c Professional tax u/s 16(iii) ivc 0

v Income chargeable under the head 'Salaries' (iii - iv) B1 4,30,000

B2 Tick applicable option Self-Occupied Let Out Deemed Let Out

i Gross rent received/ receivable/ lettable value during the year i 7,20,000

ii Tax paid to local authorities ii 0

iii Annual Value (i - ii) iii 7,20,000

iv 30% of Annual Value iv 2,16,000

v Interest payable on borrowed capital v 0

vi Arrears/Unrealised rent received during the year less 30% vi 0

vii Income chargeable under the head 'House Property' (iii - iv - v) + vi (If loss, put the figure in negative) B2 5,04,000
Note: - Maximum Loss from House property that can be set-off in computing income of this year is INR 2,00,000. To avail the
benefit of carry forward and set off of loss, please use ITR-2

B3 Income from Other Sources B3 24,000

Sl. No. Nature of Income Description ( If Any Other Total Amount

selected)

1 Interest from Deposit (Bank/Post Office/Cooperative Society) 24,000

Quarterly breakup of Dividend Income Quarterly breakup of Income from retirement benefit account maintained
in a notified country u/s 89A (taxable portion)

i Up to 15-Jun- 2023 0 i Up to 15-Jun- 2023 0

ii From 16-Jun- 2023 to 15-Sep- 2023 0 ii From 16-Jun- 2023 to 15-Sep- 2023 0

iii From 16-Sep- 2023 to 15-Dec- 2023 0 iii From 16-Sep- 2023 to 15-Dec- 2023 0

iv From 16-Dec- 2023 to 15-Mar- 2024 0 iv From 16-Dec- 2023 to 15-Mar- 2024 0

v From 16-Mar- 2024 to 31-Mar- 2024 0 v From 16-Mar- 2024 to 31-Mar- 2024 0

Less: Deduction u/s 57(iia) (in case of family pension only) 0

Less: Income claimed for relief from taxation u/s 89A 0

B4 Gross Total Income (B1+B2+B3) (If loss, put the figure in negative) B4 9,58,000
Note: To avail the benefit of carry forward and set of loss, please use ITR-2

Part C - Deductions and Taxable Total Income

Sl. Section Amount System Calculated

No.

a 80C - Life insurance premia, deferred annuity, contributions to provident fund, subscription to certain 5a 0 0
equity shares or debentures, etc.

b 80CCC - Payment in respect Pension Fund,etc. 5b 0 0

c 80CCD(1) - Contribution to pension scheme of Central Government 5c 0 0

d 80CCD(1B) - Contribution to pension scheme of Central Government 5d 0 0

e 80CCD(2) - Contribution to pension scheme of Central Government by employer 5e 0 0

f 80D Deduction in respect of Health Insurance premia (Please fill 80D Schedule. This field is auto- 5f 0 0
populated from schedule 80D.)

g 80DD - Maintenance including medical treatment of a dependent who is a person with disability 5g 0 0

h 80DDB - Medical treatment of specified disease 5h 0 0

i 80E - Interest on loan taken for higher education 5i 0 0

j 80EE - Interest on loan taken for residential house property 5j 0 0

k 80EEA - Deduction in respect of interest on loan taken for certain house property 5k 0 0

l 80EEB - Deduction in respect of purchase of electric vehicle 5l 0 0

m 80G - Donations to certain funds, charitable institutions, etc. (Please fill 80G Schedule. This field is 5m 0 0
auto-populated from schedule.)

n 80GG - Rent paid (Please submit form 10BA to claim deduction) 5n 0 0

o 80GGA - Certain donations for scientific research or rural development (Please fill 80GGA Schedule. This field is 5o 0 0
auto-populated from schedule.)

p 80GGC - Contributions to Political party 5p 0 0

q 80TTA - Interest on savings bank account 5q 0 0

r 80TTB- Interest on deposits 5r 0 0

s 80U-In case of a person with disability 5s 0 0

t 80CCH - Contribution to Agnipath Scheme 5t 0 0

Total Deductions (Add items 5a to 5t) 0 0

Note: Total deductions under chapter VI A cannot exceed GTI.

Total Income 9,58,000

Exempt income : For reporting purpose

Sl. No. Nature of Exempt Income Description ( If Any Other Total Amount
selected)

Total Exempt Income 0

PART D - COMPUTATION OF TAX PAYABLE

D1 Tax payable on total income 53,700 D2 Rebate u/s 87A 0 D3 Tax payable after rebate 53,700

D4 Health and education Cess 2,148 D5 Total Tax and Cess 55,848 D6 Relief u/s 89 (Please 0
@4% on D3 ensure to submit Form 10E
to claim this relief)

D7 Interest u/s 234A 0 D8 Interest u/s 234B 0 D9 Interest u/s 234C 2,256

D10 Fee u/s 234F 5,000 D11 Total Tax, Fee and Interest (D5 + D7 + D8 + D9 + D10 - D6) 63,104

D12 Total Taxes Paid 2,50,000 D13 Amount 0 D14 Refund 1,86,900
payable(D11-D12) (D12-D11) (if D12>D11)
(if D11>D12)

PART E - OTHER INFORMATION

Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)

Sl. IFS Code of the Bank Name of the Bank Account Number Type of Account
No.

1 CNRB0019182 canara bank 1689856489653 Savings Account

1. All bank accounts held at any time is to be reported, except dormant A/c.
2. In case multiple accounts, then refund will be credited to one of the validated accounts after processing the return.

Schedule 80D

1 Whether you or any of your family member(excluding parents) is a senior citizen? Not claiming for Self/Family

(a) Self & Family 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(b) Self & Family including Senior Citizen 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(iii) Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) 0

2 Whether any one of your parents is a senior citizen Not claiming for parents

(a) Parents 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(b) Parents including Senior Citizen 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(iii) Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) 0

3 Eligible Amount of Deduction 0

Schedule 80DD: Details of deduction in respect of maintenance including medical treatment of a dependent who is a person with disability.
Nature of disability Amount of Type of dependent PAN of the Aadhaar of the Date of filing Acknowledgement UDID Number (If
Deduction dependent dependent of Form 10IA number available)

Amount eligible for deduction under section 80DD 0

Schedule 80U: Details of deduction in case of a person with disability

Nature of disability Amount of Deduction Date of filing of Form 10IA Acknowledgement number UDID Number (If
available)

Amount eligible for deduction under section 80U 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)

S Name of Address City or State Pin code PAN of Amount of donation Eligible Amount of
No. the Town Code the Donation
Donee or Donee
District Donation in cash Donation in other Total Donation
mode

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)

S Name of Address City or State Pin code PAN of Amount of donation Eligible Amount of
No. the Town Code the Donation
Donee or Donee
District Donation in cash Donation in other Total Donation
mode

Total B 0 0 0 0

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)

S Name of Address City or State Pin code PAN of Amount of donation Eligible Amount of
No. the Town Code the Donation
Donee or Donee
District Donation in cash Donation in other Total Donation
mode

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)

S Name of ARN (Donation Address City or State Pin code PAN of Amount of donation Eligible Amount
No. the Reference Town Code the of Donation
Donee Number) or Donee
District Donation in Donation in Total Donation
cash other mode

Total D 0 0 0 0

E. Total Amount of Donations (A + B + C+ D) 0 0 0 0

Schedule 80GGA: Details of donations for scientific research or rural development

S Relevant Name Address City or State Pin code PAN Amount of donation Eligible Amount of
No. Clause of the Town Code of the Donation
under Donee or Donee
which District Donation in cash Donation in other Total Donation
deduction mode
is claimed

Total Donation 0 0 0 0

Schedule 80GGC: Details of contributions made to political parties

Sl. Date Amount of Contribition Eligible Amount of Transaction Reference IFSC code of Bank
No. Contribution number for UPI transfer /
Cheque
Contribution in Contribution in Other Total number/IMPS/NEFT/RTGS
Cash Mode Contribution reference number
 Total 0 0

Schedule-IT Details of Advance Tax and Self-Assessment Tax payments

Sl. BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Tax paid
No.

Col (1) Col (2) Col (3) Col (4)

1 6754324 05-Feb-2024 00765 2,50,000

Total 2,50,000

Schedule TDS1 - Details of Tax Deducted at Source from Salary [As per form 16 issued by Employer(s)]

Sl. No. TAN of the Deductor Name of the Deductor Income chargeable under salaries Total Tax Deducted

1 2 3 4

Total 0

Schedule TDS2 - Details of Tax Deducted at Source from Income Other than Salary [As per form 16A issued by Deductor(s)]

Sl. No. TAN of the Name of the Gross receipt which is Year of tax deduction Tax Deducted TDS Credit out of (5)
Deductor Deductor subject to claimed this year
tax deduction

1 2 3 4 5 6

Total 0

Schedule TDS3 - Details of Tax Deducted at Source [As per Form 16C furnished by the Payer(s)]

Sl. PAN of the Aadhaar Number Name of the Gross receipt which is Year of Tax TDS Credit out of
No. Tenant of Tenant subject to tax Deducted (6)
the Tenant tax deduction deduction claimed this year

1 2 3 4 5 6 7

Total 0

Schedule TCS - Details of Tax Collected at Source [As per form 27D issued by the Collector(s)]

Sl. Tax Collection Account Number Name of the Gross payment which is subject Year of Tax TCS Credit out of
No. of Collector to tax Collected (5)
the Collector tax collection collection claimed this year

1 2 3 4 5 6

Total 0

VERIFICATION
I, KOMAL son/ daughter of HARI OM KHANDELWAL 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 NJWPK3419M

Place: delhi

Date: 24-Sep-2024

If the return has been prepared by a Tax Return Preparer (TRP) give further details below:

Identification No. of TRP Name of TRP Counter Signature of TRP

If TRP is entitled for any reimbursement from the Government, amount thereof 0