This document is an application form for filing an income tax return. It requests information such as the applicant's name, PAN, address, sources of income, annual income amounts, deductions, and bank details. Fields marked with an asterisk are mandatory. Once submitted, a Tax Genius professional will call the applicant to collect full information and file the return within 10 working days upon receiving the required information.

1. / /
₹
DEDUCTIONS AND OTHER INFORMATION
Select one or more
Deductions/ Exemptions 
Medical / Health
Insurance 
Life Insurance /
Term Deposits 
PF / PPF/
NSC / TDR 
House Rent
Paid 
Email *
Select Assessment Year. *
AY 2014-15 
(01-04-2013 to 31-03-2014)
AY 2015-16 
(01-04-2014 to 31-03-2015)
ANNUAL INCOME DETAILS
(If not sure about particulars, leave this Section blank. Our Professional will Call You for full Information)
Mobile No. *State
PIN Code *
Name *
Father's Name *
Date of Birth * PAN *
Address *
Regd. Office: M/s. Tax Genius LLP, 5-7-1/599, Plot No. 599WP,First Floor, Hariharapuram, Vanasthalipuram, Hyderabad-500070.
Email: info@taxgenius.co.in www.taxgenius.co.in IVRS: 08099800800
* Type of A/C

Amount INR ₹ ₹ ₹ ₹
(Remarks If any)
IFSC CODE (Verify your Checkbook or Bank Passbook for this Code) *
Salaried Employees shall attach the copy of the Form 16 to this Application. After submission of Application at CSC Center, Tax Genius
Professional calls the Applicant for collecting full information for further processing. Income Tax Return will be filed within 10 working
days subject to receipt of required information from Applicant. E-filing Acknowledgements will be send to Applicant's email ID or they
can be collected from Concerned CSC Center.
(Signature of the Applicant) *
NOTE
VLE Mobile No:
Bank Account Number *
BANK DETAILS
Housing Loan
Principal Paid 
Business or
Professional 
Income
Capital Gains 
Savings Bank A/C. Current Account 
₹
₹ ₹
Name of Bank *
Salary Income
(As per Form 16) 
Income from
House Property 
Select one or more
Sources of Income 
Annual Income (INR)
Attach Form 16 Part B for Salaried
APPLICATION FORM
(For Filing of Income Tax Return)
Customer Care Numbers:
08019448888 / 08096158888 / 09550083131 / 09550083232
(Incase of any queries call our Customer Care Number) Fields marked with * are Mandatory
Interest On Housing
Loan 
Donations
paid If Any 
TDS or Advance Tax
Paid 
Amount INR ₹ ₹
Children
School Fee 
₹
Select appropriate
Head 
Agricultural
Income 
Income from
Other Sources 