INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-2A, ITR-3, ITR-4S (SUGAM),
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted electronically with digital signature]
2016-17
Name PAN
MOOSA ARCPM2201J
PERSONAL INFORMATION AND THE

Flat/Door/Block No Name Of Premises/Building/Village Form No. which

DHEERWALI has been
DATE OF ELECTRONIC

electronically ITR-4
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

JWALAPUR
Individual
Status
Town/City/District State Pin Aadhaar Number
HARIDWAR UTTARAKHAND
249407 XXXX XXXX 4115

Designation of AO(Ward/Circle) INCOMETAX OFFICER WARD-1 HARDWAR Original or Revised ORIGINAL

E-filing Acknowledgement Number 506524981171016 Date(DD/MM/YYYY) 17-10-2016

1 Gross total income 1 560317
2 Deductions under Chapter-VI-A 2 396
3 Total Income 3 559920
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 38094
AND TAX THEREON

4 Net tax payable

5 Interest payable 5 3605
6 Total tax and interest payable 6 41699
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 74
c TCS 7c 4238
d Self Assessment Tax 7d 37390
e Total Taxes Paid (7a+7b+7c +7d) 7e 41702
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture 10
10 Exempt Income
Others

This return has been digitally signed by MOOSA in the capacity of

having PAN ARCPM2201J from IP Address 116.202.34.75 on 17-10-2016 at Haridwar

1964193912910278453CN=SafeScrypt sub-CA for RCAI Class 2 2014,OU=Sub-CA,O=Sify Technologies Limited,C=IN

Dsc Sl No & issuer

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

Name of Assessee MOOSA
Father's Name SHABBIR
Address DHEERWALI,JWALAPUR,HARIDWAR,UTTARAKHAND,249407
Status Individual Assessment Year 2016-2017
Ward INCOMETAX OFFICER WARD-1 Year Ended 31.3.2016
HARDWAR ()
PAN ARCPM2201J Date of Birth 31/12/1988
Residential Status Resident Sex Male
Nature of Business Trading-Wholesalers(0203)
A.O. Code KNP-W-028-01
Filing Status Original
Last Year Return Filed On 29/09/2015 Serial No.: 834097101290915
Aadhaar No: 644607034115 Passport No.: J9488418
Bank Name PNB, SECTOR 4 BHEl ,MICR:, A/C NO:1074002100070907 ,Type: Current
,IFSC Code: PUNB0107400
Tele: Mob:9897301476

Computation of Total Income

Income from Business or Profession (Chapter IV D) 559921

Profit as per Profit and Loss a/c 559921

Add:
Depreciation Debited in P&L A/c 195159
Total 755080
Less:
Depreciation as per Chart u/s 32 195159
195159
559921

Income from Other Sources (Chapter IV F) 396

Interest From Saving Bank A/c 396

Gross Total Income 560317

Less: Deductions (Chapter VI-A)

u/s 80TTA (Interest From Saving Bank Account.) 396
396
Total Income 559921
Round off u/s 288 A 559920
Adjusted total income (ATI) is not more than Rs. 20 lakh hence AMT not applicable.

Tax Due 36984

Educational Cess @ 3.00% 1110
38094
T.D.S. 4312
33782
Interest u/s 234 A/B/C 3605
37387
NAME OF ASSESSEE : MOOSA A.Y. 2016-2017 PAN : ARCPM2201J Code :362

Round off u/s 288B 37390

Deposit u/s 140A 37390
Tax Payable 0

Tax calculation on Normal income

Exemption Limit :250000
Tax on (500000 -Exemption Limit) @10% = 25000
Tax on 500001 to 559921 @20% = 11984

Interest Charged (Rs.) T.D.S./ T.C.S. From (Rs.)

u/s 234B (7 Month) 2359 Non-Salary(as per Annexure) 74
u/s 234C 1246 T.C.S.(as per Annexure) 4238
(303+606+337)
Interest calculated upto October,2016, Due Date for filing of Return September 30, 2016
Due date extended to 17/10/2016 F.NO.225/195/2016/ITA.II DT. 09.09.2016

Prepaid taxes (Advance tax and Self assessment tax)26 AS Import Date:13 Oct 2016
Sr.No. BSR Code Date Challan No Bank Name & Branch Amount
1 0302275 17/10/2016 00347 PUNJAB NATIONAL BANK PEETH 37390
BAZAAR
Total 37390

Details of Depreciation
Particulars Rate Opening More Less Total Sales Sales Balance Depreciation WDV
Than 180 Than 180 Less Than (Short Gain) Closing
Days Days 180 days
Furniture and Fitting 10% 3034 0 0 3034 0 0 3034 303 2731
including electric Fitting
PLANT AND 15% 10257 0 0 10257 0 0 10257 1539 8718
MACHINARY
MOTOR CAR 15% 0 1288780 0 1288780 0 0 1288780 193317 1095463
Total 13291 1288780 0 1302071 0 0 1302071 195159 1106912

Details of T.D.S. on Non-Salary(26 AS Import Date:13 Oct 2016)

S.No Name of the Deductor Tax deduction A/C No. Total Tax deducted Amount out of (4) Section
of the deductor claimed for this year
1 RADHEYSHYAM GOLD INDIA OPC PRIVATE RTKR08195F 74 74 194H
LIMITED
TOTAL 74

Details of T.C.S.(26 AS Import Date:13 Oct 2016)

S.No Name of the Collector Tax Deduction and Tax Total tax collected Amount out of (4)
Collection Account claimed during the year
Number of the Collector
1 ALUDECOR LAMINATION PRIVATE LIMITED CALA06799C 81 81
2 ALUDECOR LAMINATION PRIVATE LIMITED CALA06799C 120 120
3 KAANE PACKAGING PRIVATE LIMITED DELK07126A 206 206
4 KAANE PACKAGING PRIVATE LIMITED DELK07126A 285 285
5 KAANE PACKAGING PRIVATE LIMITED DELK07126A 136 136
6 KAANE PACKAGING PRIVATE LIMITED DELK07126A 62 62
7 KAANE PACKAGING PRIVATE LIMITED DELK07126A 5 5
8 KAANE PACKAGING PRIVATE LIMITED DELK07126A 263 263
9 KAANE PACKAGING PRIVATE LIMITED DELK07126A 198 198
10 KAANE PACKAGING PRIVATE LIMITED DELK07126A 55 55
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NAME OF ASSESSEE : MOOSA A.Y. 2016-2017 PAN : ARCPM2201J Code :362

11 KAANE PACKAGING PRIVATE LIMITED DELK07126A 201 201

12 KAANE PACKAGING PRIVATE LIMITED DELK07126A 174 174
13 M/S SHREEJI PROPACK PVT LTD MRTM01627D 249 249
14 M/S SHREEJI PROPACK PVT LTD MRTM01627D 78 78
15 M/S SHREEJI PROPACK PVT LTD MRTM01627D 44 44
16 GRAHAM BLOWPACK PRIVATE LIMITED MUMP09577B 481 481
17 GRAHAM BLOWPACK PRIVATE LIMITED MUMP09577B 851 851
18 GRAHAM BLOWPACK PRIVATE LIMITED MUMP09577B 275 275
19 UNITED ENGINEERS INDIA RKTU00625C 153 153
20 UNITED ENGINEERS INDIA RKTU00625C 140 140
21 UNITED ENGINEERS INDIA RKTU00625C 100 100
22 UNITED ENGINEERS INDIA RKTU00625C 71 71
23 UNITED ENGINEERS INDIA RKTU00625C 10 10
TOTAL 4238

Interest Calculation u/s 234C

S. No. Installment Period Total Tax Due To Be To Be Deposit Remaining Tax Int Rate Interest
Deposited Deposited Amount Due(Round off in (In %)
(In %) (In Amount) 100 Rs.)
1. First (Up to Sep) 33782 30.00 10135 0 10100 3 303
2. Second (Up to Dec) 33782 60.00 20269 0 20200 3 606
3. Third (Up to March) 33782 100.00 33782 0 33700 1 337
Total 1246

Interest Calculation u/s 234B

Interest u/s 234C : 1246
S. No. Month Principal Int. 234B Int. 234A/F Deposit Int Adjusted Int Remain Principal Adj
1 April-2016 33782 337 0 0 0 1583 0
2 May-2016 33782 337 0 0 0 1920 0
3 June-2016 33782 337 0 0 0 2257 0
4 July-2016 33782 337 0 0 0 2594 0
5 August-2016 33782 337 0 0 0 2931 0
6 September-2016 33782 337 0 0 0 3268 0
7 October-2016 33782 337 0 37390 3605 0 33785
Total 2359 0

Bank Account Detail

S. No. Bank Address Account No MICR NO IFSC Code Type
1 PNB SECTOR 4 BHEl 107400210007090 PUNB0107400 Current(Primary)
7
2 Punjab National Bank 250600210070737 PUNB0250600 Current
0
3 Oriental Bank of Commerce 09512191023887 ORBC0100951 Saving

Signature
(MOOSA )
CompuTax : 362 [MOOSA]

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