| Assessment Year | | | |
| Tax Payer | | |
|
| Male / Female / Senior Citizen | | | |
| Residential Status | | | |
| Income from Salary | | | |
| Income From House Property | | | |
| Capital Gains | | | |
| Income From Other Sources | | | |
| Profits and Gains of Business or Profession (enter profit only) | | | |
| Agricultural Income | | | |
| Deductions | | | |
| Net Taxable Income | | | |
| Income Liable to Tax at Normal Rate — | | | |
| Short Term Capital Gains (Covered u/s 111A) 15% | | | |
| Long Term Capital Gains (Charged to tax @ 20%) 20% | | | |
| Long Term Capital Gains (Charged to tax @ 10%) 10% | | | |
| Winnings from Lottery, Crossword Puzzles, etc) 30% | | | |
| Income Tax | | | |
| Surcharge | | | |
| Education Cess | | | |
| Secondary and higher education cess | | | |
| Total Tax Liability | | | |
| Due date of submission of return | | | |
| Actual date of submission of return/date of completion of assessment | | | |
| Relief | | | |
| TDS/TCS/MAT (AMT) Credit Utilized | | | |
| Detail of tax paid | | | |
| Amount of interest u/s 234A | | | |
| Amount of interest u/s 234B | | | |
| Amount of interest u/s 234C | | | |
| | | |
| | | |
