INDIAN INCOME TAX RETURN VERIFICATION FORM

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1 FORM THE PERSONAL INFORMATION AND DATE OF ELECTRONIC TRANSMISSION ITR-V Name Flat/Door/Block No Road/Street/Post Office Town/City/District INDIAN INCOME TAX RETURN VERIFICATION FORM [Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, ITR-4(SUGAM), ITR-5, ITR-7 transmitted electronically without digital signature]. (Please see Rule 12 of the Income-tax Rules, 1962) HIMALAYAN INSTITUTE FOR ENVIRONMENT, ECOLOGY AND DEVELOPMENT (HIFEED) HIFEED CAMPUS RANICHAURI TEHRI GARHWAL Designation of AO (Ward / Circle) Name Of Premises/Building/Village RANICHAURI Area/Locality CHAMBA State UTTARAKHAND EXEMPTION WARD, DEHRADUN Pin/ZipCode PAN AAAAH1191E Form No. which has been electronically transmitted Status AOP/BOI Original or Revised Assessment Year ITR-7 Aadhaar Number/ Enrollment ID ORIGINAL COMPUTATION OF INCOME AND TAX THEREON E-filing Acknowledgement Number Gross Total Income 1 2 Deductions under Chapter-VI-A 2 3 Total Income 3 a Current Year loss, if any 3a 4 Net Tax Payable 4 5 Interest Payable 5 6 Total Tax and Interest Payable 6 7 Taxes Paid a Advance Tax 7a b TDS 7b c TCS 7c d Self Assessment Tax 7d e Total Taxes Paid (7a+7b+7c +7d) 7e 8 Tax Payable (6-7e) 8 9 Refund (7e-6) 9 1 Exempt Income Agriculture Others 1 VERIFICATION Date(DD-MM-YYYY) I, Kamal Bahuguna son/ daughter of Yogesh Chandra Bahuguna, holding Permanent Account Number AHFPB3252P solemnly declare to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmitted electronically by me vide acknowledgement number mentioned above is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the assessment year I further declare that I am making this return in my capacity as Director and I am also competent to make this return and verify it. Sign here If the return has been prepared by a Tax Return Preparer (TRP) give further details as below: Date Identification No. of TRP Name of TRP Counter Signature of TRP Place RANICHAURI For Office Use Only Receipt No Filed from IP address Date Seal and signature of receiving official AAAAH1191E DEB27E84DCDCFD9585C6666F91E9FFB6998C Please send the duly signed Form ITR-V to Centralized Processing Centre, Income Tax Department, Bengaluru 565, by ORDINARY POST OR SPEED POST ONLY, within 12 days from date of transmitting the data electronically. Form ITR-V shall not be received in any other office of the Income-tax Department or in any other manner. The confirmation of receipt of this Form ITR-V at ITD-CPC will be sent to the address gvkindia@gmail.com

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5 .1:HfL."=.,<..-.1,..,i'-i.,*..:..,.F.}.iffi**..'...-*'..re INDIFS.I INCOME TAX FRETURN For persons including conryanies required ad to fumish return under section 139{4A) or section 139{48}or section 139i 139{4C} or section 139(4D} 'n (Please see Rule 12 of the lncome{a see attached nme{at Rules,'1962) 2 I 3 Itr I\} '/ Assessment Year PERMANETUT ACCOUNT NUMBER (PAN) NAMH (As mentioned in dqqd_ql_qgdlon/ forination) ATJDRESS (Ftat No./DoorlHouse No., Premises, ticraci, Locality) Date of formation ld: net-[] Tetbphone [-T]l-f-f:f]-i-Il Fax,if any ls there any change in Address? (DD-MM-YYYY) ti t]j - [tn 5. Status (Pteasesee insrrucfions) litumber and Date of registration under section 12Ll12AATl*i:[:I:f]-I] lf claiming exemplion under section 1: (i) Mention the clause(s) and subclause(s) (ii) Date of notification/ approval, if any (iii) Period of validity a 1. Whether liable to tax at maximum marginal rate under section " Ward/ Circle/ Range 1'>: Assessment Year Effi{ M9 14. lf there is change in jurisdiction, state old Vilard/ Circle/ Range 15. $ection under which this return is being filed ' lf revised, Receipt No. and ciate of filing original return. 17. ls this your first return? -. r:']6 ot Office Use Only Mrrq,ffi Yes tl andm [-] t:-l iri =5 rtr-7 lr- GENERA}- ur- ut- Yes J- ul ul T TTTTI 13. Residential Status (Pteasesee rnsfrucflons) El l?-<t, rjir4sl r?.eiurn of lncome f f- 1 / *r Revised Return LIIIII and mm Yes tl 3 sep It3!o Whether orisinal >-W- s{r331-

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