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Deductor Details

Tan Number
Pan Number
Name of Deductor
Address of Deductor Line-1
Line-2
Pin No:-
Place
Date of Issue
Authorised Person
Designation
Ack. No. Q1
Ack. No. Q2
Ack. No. Q3
Ack. No. Q4
Dedcutor Details
Page 1
Deductor Details
RTK
AAAO
Jain
ROHTAK
ROHTAK
124001
Rohtak
4/15/2010
RAJIV
Prop.
1
2
3
4
Dedcutor Details
Page 2
Calculator
EMPNO PAN NAME Sex M=Man
W=Woman
S=Sr. Citizen
Gross Others Total 80C
1 PANNOTAVBL REEMA W 1000000 152 1000152 10000
2 PANNOTAVBL DAMODAR S 500000 0 500000 0
3 PANNOTAVBL JAIN M 1500000 0 1500000 0
4 PANNOTAVBL DHALL M 600000 0 600000 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
Financial year 2009-2010
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Calculator
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
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M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
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M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
M 0
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Calculator
M 0
M 0
M 0
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Calculator
Other deductionTotal Income Income Tax Surcharge Cess Relief 89 Total Tax payable
with
Surcharge+Cess
200 989952 197986 0 5940 -1 203925
0 500000 46000 0 1380 0 47380
0 1500000 354000 0 10620 0 364620
0 600000 84000 0 2520 0 86520
0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
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Calculator
TDS Balance Tax
225000 21075.4 Refundable
48000 620 Refundable
400000 35380 Refundable
0 -86520 Payable
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Form 16
1
(a) Rs. 600,000
(b) Rs.
(c ) Rs.
(d) Rs. 600,000 600,000
2
Rs
Rs Rs. -
3
Rs. -
4
(a ) Rs.
(b ) Rs.
5 Rs. -
6 Rs. 600,000
7
Rs.
Rs. Rs. -
Aggregate of 4 (a) and (b )
Income Chargeable under the head "Salaries " (3 - 5)
Add: Any Other Income reported by the employee
Balance ( 1- 2 )
Deductions u/s 16
Entertainment allowances
Tax on Enployment
Value of perquisites u/s 17 (2)
(as per Form No.12BA,wherever applicable)
Profit in lieu of salary under section 17(3)
(as per Form No. 12BA,wherever applicable )
Total
Less:Allowances to the extent exemt u/s 10
2009-2010
Q4 4
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Gross Salary
Salary as per provision containing in section 17 (1)
From To
Q2 2
Q3 3
4/1/2008 3/31/2009
AAAO RTK
PANNOTAVBL
Acknowledgement Nos. of all quarterly statements of TDS under sub-section (3) of
section 200 as provided by TIN Facilitation Centre or NSDL web-site
Quarter Acknowledgement No. Period
Assessment Year Q1 1
ROHTAK
Pin No:-124001 Sex M
PAN No. of the Deductor TAN No. of the Deductor PAN No. of the Employee
Name and address of the Employer Name and designation of the Employee
Jain
Address:-ROHTAK
DHALL
Certificate Number 4
FORM NO. 16
[See rule 31(1)(a)]
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source
from income chargeable under the head Salaries
Page 18
Form 16
8 Rs. 600,000
9
(A)
Rs.
Rs.
Rs.
Rs.
Rs.
Rs. Rs. - Rs. -
Rs. Rs. -
Rs. Rs. Rs. -
(B)
(a) Rs. Rs. Rs.
(b) Rs. Rs. Rs.
( c) Rs. Rs. Rs.
(d) Rs. Rs. Rs.
(e) Rs. Rs. Rs. Rs. -
10 Rs. 0
11 Rs. 600,000
12 Rs.
84,000
13 Rs. -
14 Rs. 2,520
15 Rs. 86,520
16 Rs. -
17 Rs. 86,520
18
(a) Rs. -
(b) Rs.
Rs. -
19
Rs. (86,520)
S.No TDS Rs
Surcharge
Rs
Education
Cess
Rs
B S R Code of
Bank branch
1
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
Total tax
deposited
Rs
Cheque / DD No.
( if any)
Date on which tax
deposited dd/mm/yy
Transfer Voucher /
Challan
Identification No.
-
Tax Payable (15 - 16)
Less:
Tax deduction at source u/s 192(1)
Tax paid by the employer on behalf of the
employee u/s 192(1A) on perqusites u/s 17(2)
Tax Payable (17 - 18 )
Total Income ( 8 - 10 )
Tax on Total Income
Surcharge (on tax computed at S .No. 12)
Education Cess (on tax at S. No.12 and surcharge at S. No.13)
Tax payable (12+13+14)
Relief under section 89 (attach details)
Aggregate of deductible amounts under chapter VI- A
( c ) section 80CCD
Page 2
Other sections (for e.g. 80E, 80G etc)under Chapter VIA
Section Gross Amount Qualifying Amount Deduction Amount
(ii)
(iii)
(iv)
(v)
(vi)
( b ) section 80CCC
Deduction under Chapter VI-A
Section 80C, 80CCC, and 80CCD
(a) section 80C Gross Amount Deductible Amount
(ii) Providend Fund
Gross total Income ( 6 + 7 )
Page 19
Form 16
2
3
4
5
6
7
8
9
10
11
12
son of
- /- {Rupees in words}
Place Rohtak
Date: 4/15/2010 Full Name:
Designation :
For further updates visit at www.fastworking.blogspot.com
given above is true and correct based on the books of account, document and other available records
Signature of the person responsible for deduction of tax
RAJIV
Prop.
I working in the capacity of Accounts Manager designation
do hereby certify that a sum of Rs
has been deducted at source and paid to the credit of the Cental Government. I further certify that the information
Total -
-
-
-
-
-
-
-
-
-
-
Page 20

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