APPLICATION FORM (For Filing of Income Tax Return)
PROVIDE THE DETAILS AS PER PAN (BLOCK LETTERS) Full Name *
JAMMALLAMMADAKA VENKATA SOMASUNDARAM
Father's Name *
JAMMALAMADAKA VENAKTA SUBRAHMANYAM
Date of Birth * Address *
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PAN *
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J
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5-7-1/599, PLOT NO 599WP, HARIHARAPURAM, VANASTHALIPURAM
HYDERABAD.
PIN Code *
State
TELANGANA
Email *
[email protected]
Mobile No. * 8
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ANNUAL INCOME DETAILS (Please Attach form 16 Part A & B for Salaried Persons and Form 26AS / Form 16 for Non Salaried Persons with Valid TAN) AY 2014-15 o AY 2015-16 AY 2016-17 o Select Assessment Year. *
(01-04-2013 TO 31-03-2014) Late Return can be Filed Upto 31-03-2016
Select one or more Sources of Income
Income from Salary Income (As per Form 16) House Property
Rs. 3, 60,000/-
Annual Income (INR)
(01-04-2014 TO 31-03-2015) Late Return can be filed upto 31-03-2017.
Rs.
Business or Professional
(01-04-2015 TO 31-03-2016) Select This Column Only After 30-04-2016
Income
Income from
Capital Gains
Rs.
Other Sources Rs. 25,000/-
Rs.
DEDUCTIONS AND OTHER INFORMATION
Select one or more Deductions/ Exemptions
Medical / Health PF / PPF/ Life Insurance / Insurance Term Deposits NSC / TDR
Amount INR
Rs.
Select appropriate Head
Agricultural Income
Amount INR
Rs.25,000/-
Rs.
Housing Loan
Principal Paid
Rs.
Children School Fee
House Rent Paid
Rs. 50,000/-
Rs.
Interest On Housing Donations paid If Any
TDS or Advance Tax
Loan
Rs.
Rs.
Paid
Rs. 5,500/-
Rs.
AADHAAR AND BANK DETAILS Aadhaar Number Bank Account Number * Name of Bank *
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STATE BANK OF INDIA, VANASTHALIPURAM
IFSC CODE (Verify your Checkbook or Bank Passbook for this Code) *
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* Type of A/C
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Savings Bank A/C.
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Current Account 0
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Note: Tax Genius calls the Applicant for collecting required information necessary for processing the Application. Income Tax Return will be filed within 15 working days subject to receipt of required full information from Applicant. Tax Genius reserves the right to reject any Application on any grounds and refund the service charges collected. E-filing Acknowledgements will be send to Applicant's email ID or they can be collected from Concerned CSC Center. ** DECLARATION: I here by declare that the details furnished above are ture and correct to the best of my knowledge. Further I hereby authorize Tax Genius LLP to Register / Aleter my Profile at www.incometaxindiaefiling.gov.in for accesing TDS particulars and filing my Tax Return on behalf of me. **
Form 16 Attached. Planning for Housing Loan. Signed. (Remarks If any) (Signature of the Applicant) * Call Centre: M/s. Tax Genius LLP, Near Govt. Area Hospital , Beside Hetero Pharmacy, TV Colony, Vanasthalipuram, Hyderabad-500070. Email:
[email protected] www.taxgenius.co.in Customer Care: 08099800800
