Professional Documents
Culture Documents
ANNEXURE - II
Assessment year
2014-2015
2 3
Gross Salary
H.R.A. Exemption as per eligibility U/s. 10(13-A) Actual HRA received a) b) c)
Actual House Rent paid minus 10% of Salary(Rent: @ 4600/-PM)
Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.
4 5
23,682 286,457
2,200 -
6 7 8 9 10 11
12 13
7,081
14 15
Total Savings Net Taxable Income (12-13) rounded to nearest Rs.10/Tax on Income
Up to Rs. 200000 a) b) Rs.200001 To 500000 (@ 10%) Tax rebate -Rs.2000/Tax Rebate U/s 87 A [Rs.2000/-up to taxble income Rs.5,00,000/-] Rs.500001 To 1000000 (@ 20%) c)
45,135
45,135 238,834
16 17 18 19 20
Above Rs.1000000 (@ 30%) d) Tax on total income Education Cess @ 1% Secondary & Higher Education Cess @ 2%
21
Rs.
1,940
FORM No. 16
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source from income chargeable under the head "Salaries"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
PIN-521 333 PAN oF Employee TAN No. of DDO BFQPD9876M Acknowledgement Nos. of all quarterly statements of TDS under sub-section 200 as provided by TIN Facilitation Center or NSDL website. AMOUNT Quarter Period Assessment Acknowledgement No. 1 From To Year 2 3 Apr,13 Mar,14 2014-2015 4
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary
a) b) c) Salary as per provisions contained in section 17 (1) Value of percuisites under section 17(2) (As Per Form No. 12BA, Wherever applicable) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, Wherver applicable)
Rs. Rs. Rs. Rs. Rs. Rs. Rs.
d) Total Less: Allowance to the extent exempted U/s 10 & 17 a) b) House Rent Allowence Other Allowance
3 4
2,200
Rs. Rs. Rs. Rs. Rs. Rs. Rs.
5 6 7
Aggreate of 4 (a)&(b)
INCOME CHARGEABLE UNDER THE HEAD SALARIES (3-5)
Add: Any other income reported by the employee Add: Income of Capital Gains Add:Income from House Property
Loss from House Property(H.B.Loan Int u/s 22 (B) Gross Total Income (6+7) 8 Deductions Under Chapter VI-A 9 A) UnderSection 80C,80CCC,80CCD. a) Section 80C,80CCC&80CCG
i CPS ii A.P.G.L.I iii G.I.S iv LIC Premium Deducted in SSS v Children Tution Fee vii Life insurance viii SBI Life insurance ix Public Provident Fund Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.
Gross Amount
Deductible
Rs. Rs. Rs. Rs. Rs. Rs.
44,693
x Rajiv Gandhi Equity Savings Scheme-80CCG Rs. xi Interest on Savings account-80TTA Rs. (Others) Rs.
b)
Section 80CCD
i Contribution to Pension Fund
Rs.
Rs.
Rs.
Signature of the person responsible for deduction of tax Full K.VIJAYAKUMAR Name-DesignationHM Gr-II
laries"
2014-2015
AX DEDUCTED
310,139
23,682 286,457
68,544 68,544
Gross Amount Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. -
Qualifying Deductible
Amount 40 -
Amount 40 -
260 50,000
260 50,000 Rs. Rs. Rs. Rs. 50,300 68,544 165,413 706 Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Nil
Nil Nil -
19
Nil
TDS Rs.
Surcharge Rs.
Transfer
vocher/chalana Identification No
I Sri C.DAYAKAR working as do M.E.O. hereby certify that the sum of Rs.Nil /-Rupees in Words()deducted at source and paid to the credit of the central Government. I further certify that the Informtion givin above is true and correct based on the books of account, documents and other available records.
Signature of the person responsible for deduction of tax Full Name--C.DAYAKAR Designation-M.E.O.