INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment Year

[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3, 2017-18
ITR-4 , ITR-5, ITR-6,ITR-7 transmitted and verified electronically]

Name PAN
ARTHANARI
A CHETIYAR KUPPUSAMY MANIKANDAN
K MANIKANDAN ARJPM0629F
PERSONAL INFORMATION AND THE

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

67 / 103 has been
DATE OF ELECTRONIC

electronically ITR-4
transmitted
TRANSMISSION

Road/Street/Post Office Area/Locality

EAST CAR STREET THIRUCHENGODE
Status Individual
Town/City/District State Pin/ZipCode Aadhaar Number/Enrollment ID
THIRUCHENGODE TAMILNADU
637211 977390450761

Designation of AO(Ward/Circle) WARD 5 NAMAKKAL Original or Revised ORIGINAL

E-filing Acknowledgement Number 188084080260817 Date(DD/MM/YYYY) 26-08-2017

1 Gross total income 1 493010
2 Deductions under Chapter-VI-A 2 150000
3 Total Income 3 343010
COMPUTATION OF INCOME

3a Current Year loss, if any 3a 0

4 4430
AND TAX THEREON

4 Net tax payable

5 Interest payable 5 44
6 Total tax and interest payable 6 4474
a Advance Tax 7a 0
7 Taxes Paid
b TDS 7b 0
c TCS 7c 0
d Self Assessment Tax 7d 4470
e Total Taxes Paid (7a+7b+7c +7d) 7e 4470
8 Tax Payable (6-7e) 8 0
9 Refund (7e-6) 9 0
Agriculture 10
10 Exempt Income
Others

The return has been electronically uploaded on 26-08-2017 from IP address 157.50.8.136 and has been electronically

verified by ARTHANARI CHETIYAR KUPPUSAMY MANIKANDAN

in the capacity of having PAN ARJPM0629F

on 26-08-2017 17:25:41 from IP address 157.50.8.136 at THIRUCHENGODE using

Electronic Verification Code 5G8XKCKARI generated through Aadhaar OTP mode.

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU