APPLICATION FORM FOR FILING INCOME TAX / SERVICE TAX RETURNS/IT NOTICE Common Details need to be filled for filing Income Tax / Service Tax Name* Father’s Name Mobile

Address : PIN*

Email: PAN*

For Filing of Annual Income Tax Return Please tick here and fill the below details DOB D D M M

Please Select the Assessment Year * (tick)

Y

Y

Y

Y

AY 2013-14

AY 2014-15

AY 2015-16

(01-04-2012 to 31-03-2013)

(01-04-2013 to 31-03-2014)

(01-04-2014 to 31-03-2015)

I

Annual Income Details for the relevant Assessment Year selected above (Note: Attach Form 16 for Salaried Employees. For Self Employed not required.)

Income Particulars (Per Year) Rs. Chapter VI A and Other Deductions (Per Year) Rs. Net Income From Salary Insurance Premium Rental Income (HP) Medical Insurance Net Income -Business or Profession School Fee / Housing Loan Principal Capital Gains (Sale of Capital Assets) PF / PPF/ 5 years Term Deposit Income From Other Sources School Tuition Fee Agricultural Income Housing loan Interest sec 24 Bank Account No. Bank Name IFSC Code: Note: Salaried Persons should attach Form 16. Other than salaried not required. Application for Reply for Income Tax Notice received under Sec 139(9) or Sec 142(1) or 143(1)

Name PAN Date of Notice Notice Section Any Remarks

DOB

D

D

M

M

Y

N C O M E T A X

Y

Y

Y

Notice Reference No.

Note: Please Attach the Scanned Copy of Notice Received Along with this Application For filing of Half Yearly Service Tax Return please tick here and fill the below details

Name of the Assessee * STC Number * Constitution of Assessee * Place *

S

IND

Firm

Financial Year*

LLP YYYY - YYYY

HUF Pvt. Ltd. Name of Taxable Service*

AOP

TRUST

SOCIETY

APRIL – SEPTEMBER OCTOBER - MARCH APR / OCT MAY / NOV JUNE / DEC JULY / JAN AUG / FEB SEP / MAR TOTAL Net Taxable Value : BSR Code Challan Date Challan Number Service Tax EC SHEC Signature of Applicant: Date: Head Office: 5-7-1/599, Plot No. 599WP, Hariharapuram, Vanasthalipuram, Hyderbad-500070. Customer Care: 08019448888 or Email: [email protected] visit us : www.taxgenius.co.in

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