Itr-V: Indian Income Tax Return Verification Form - .
Itr-V: Indian Income Tax Return Verification Form - .
Itr-V: Indian Income Tax Return Verification Form - .
FORM ITR-V [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-7 transmitted electronically without digital signature] . 2016.-17.
(Please see Rule 12 of the Income-tax Rules, 1962)
Name PAN
Chandiran Sampath
PERSONAL INFORMATION AND THE
CXCPS0139R
221
electronically
transmitted
Road/Street/Post Office Area/Locality
guduvanchery mahalakshmi nagar,chenglepet Individual
Status
I, Chandiran Sampath son/ daughter of Chandrin , holding Permanent Account Number CXCPS0139R
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 2016-17. I further declare that I am making this return in my capacity as
and I am also competent to make this return and verify it.
Sign here Date 27-07-2016 Place CHENNAI
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP
Date
Seal and signature of CXCPS0139R01312712250270716BCC36902EF8C454CEFE03AD514C20E632BCE9B2F
receiving official
Please send the duly signed Form ITR-V to “Centralized Processing Centre, Income Tax Department, Bengaluru 560500”, by ORDINARY
POST OR SPEED POST ONLY, within 120 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 e-mail
address subbu_1973@yahoo.com