Indian Income Tax Return Verification Form: Form Itr-V Assessment Year

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INDIAN INCOME TAX RETURN VERIFICATION FORM Assessment

FORM Year
[Where the data of the Return of Income in Form ITR-1 (SAHAJ), ITR-2, ITR-3,
ITR-V ITR-4(SUGAM), ITR-5, ITR-7 filed but NOT verified electronically] 2021-22
(Please see Rule 12 of the Income-tax Rules, 1962)

Name JAGROOP SINGH

PAN JGMPS7826D Form Number ITR-4

139(4) Belated- Return filed after due date e-Filing Acknowledgement


Filed u/s Number 153040060100222

VERIFICATION

I, JAGROOP SINGH son/ daughter of GURDEEP SINGH , solemnly declare that to the best of my knowledge and belief, the
information given in the return which has been submitted by me vide acknowledgement number 153040060100222 is correct and
complete and is in accordance with the provisions of the Income-tax Act, 1961. I further declare that I am making this return in my
capacity as Self and I am also competent to make make this return and verify it. I am holding permanent account number JGMPS7826D

Signature >

Date of
submission 10-Feb-2022 Source IP address 10.1.36.239

System
Generated
Barcode/QR Code JGMPS7826D041530400601002225E518B6F1FFAB738C33B35E6FC9507DDB7C0442F

Instructions:
1. Please send the duly signed (preferably in blue ink) Form ITR-V to "Centralized Processing Centre, Income Tax Department,
Bengaluru 560500", by ORDINARY POST OR SPEED POST ONLY, so as to reach within 120 days from date of submission of
ITR. Alternatively, you may e-verify the electronically transmitted return data using Aadhaar OTP or Login to e-Filing account
through Net-Banking login or EVC generated using Pre-Validated Bank Account/Demat Account or EVC generated through Bank
ATM.

2. If Form ITR-V is received beyond the 120th day of electronic transmission of the return data or e-Verified beyond the 120th day of
electronic transmission of the return data, then the day on which the return is e-Verified or the Form ITR-V is received at Centralized
Processing Centre, Income Tax Department, Bengaluru would be treated as the date of filing the Income Tax Return and all
consequences of Income Tax Act, 1961, shall accordingly will be applicable.
3. 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 Id registered in the e-Filing account.
On successful verification, the return filing acknowledgement can be downloaded from e-Filing portal as a proof of
completion of process of filing the return of Income.

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