Padasalai's IT Statement - 20

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ease Contact: 9942421195

blish without Password Protection Tax Form

Prepared by Padasalai Spe

Mr. S.M . Thomas Antony,
B.T.Asst.,
St. Britto Hr.Sec.School,
Madurai - 16

w;Wnfhs;syhk;

adasalai Special Reader,

as Antony, M.Sc., M.Ed.,

c.School,

INCOME - TAX CALCULATION STA

Enter your Name

Enter your Father 's Name :

Enter your Date of Birth

Enter your School / office Name :

Enter your School / office Address :
Enter your Designation

Enter your PAN NO

Enter your S/B Account No

Enter your S/B Account No IFSC Code :

Enter your S/B Account No MICR Code :

Enter your INCOME PAR

DUES

Month

Pay

PP

GP

Total

Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

DA
0
0
0
0
0
0
0
0
0
0
0
0

DA Arr
DA Arr
Surren
PCA Arr
Arrear

0
0

CCA
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

0
0

Arrear
Arrear
Bonus

Enter your Particulars

Policy No.

Amount insured

1
2
3
4
5
6
7

Enter your Deta

NSC No. & Name of the Post Office

Enter your Tuition Fees Paid for 2 Children of an individual

Rs.

Enter your Intrest on Housing Loan (Max. 2,00,000)

Rs.

. Deductions under chapter VI A:

Enter your Higher Education. Loan U/s. 80E
Enter your 80EE Home Loan Interste more then 1 laks those get loan the year of 2013 2014
Enter your Mediclaim insurance U/s/ 80D (Upto 15000)
Enter your Donations U/s. 80 G

(CM Public relief fund)

Enter your Medical Treatment U/s 80DD (attach M.B. Cert)

Enter your Housing Loan Principal

Rs.

Enter your Mutual Fund/ Life insurance (all private)

Rs.

Enter your Bank Fixed deposit (5yrs. Lock in period)

Rs.

Enter your Infrastructure Bonds (all private)

Rs.

LATION STATEMENT FOR THE YEAR 2014 - 2015

INCOME PARTICULARS FOR THE YEAR 2014 - 2015

ES

DEDUC

SA
I

HRA

0
0
0
0
0
0
0
0
0
0
0

SA
II
0
0
0
0
0
0
0
0
0
0
0

MA

0
0
0
0
0
0
0
0
0
0
0

Total

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PF/
CPS

CPS
ARR
0
0
0
0
0
0
0
0
0
0
0

SPF

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0

ter your Particulars of LIC Premium/ Mutual fund/ ICICI/ IDBI/ ULIP
Premium amount

unt insured

Installment

Amount

x
x
x
x
x
x
x

Enter your Details of NSC, UTI Interest accured on N.S.C.

Date of Issue Numberof the NSC

Rs.
Rs.

Rs.
Rs.
Rs.

Rate of Interest %

2015

2015
DEDUCTIONS

FBF

0
0
0
0
0
0
0
0
0
0
0

NHIS

PRO
TAX

SPF 2K

0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0

IT with IT
Cess
0
0
0
0
0
0
0
0
0
0
0

Amount of premum per PA

ate of Interest %

0
0
0
0
0
0
0

Amount Rs.

INCOME - TAX CALCULATION STATEMENT FOR THE YEAR 2014 - 2015

Name :
0
Designation :
0
Father's Name :
0
PAN
:
Date Of Birth :
12/30/1899
SB Account No
School: 0
IFSC Code
:
0
MICR No
:
0
1.. Total salary
2.. LESS HRA EXEMPTED U/S-10 (13A)
a) Actual rent paid
0
12 x -----Rs. OWN HOUSE
0
b) 10% of basic pay + DA
0
Rs.
0
c) Difference (a-b)
Rs.
0
d) HRA received
Rs.
0
Least of "c" or "d" exempted
Rs.
3. Salary after giving relief under the head "HRA" (1-2)
0
4. Less : Professional Tax
Rs.
0
5. Less : Int. on Housing Loan (Max. 2,00,000)
Rs.
0 Rs
Gross Total Income
0
6. Add : a) Interest on NSC
Rs.
b) income from other source
Rs.
Total Income
Rs.
0
7. Deductions under chapter VI A:
a) Higher Education. Loan U/s. 80E
Rs.
0
80EE Home Loan Interste more then 1 laks those get loan the Rs.
0
b) Mediclaim insurance U/s/ 80D (Upto 15000)
Rs.
0
(Tax payer, spouse&Childred)+15000 (Parents)
c) Donations U/s. 80 (CM Public relief fund)
Rs.
0
0
d) Medical Treatment U/s 80DD (attach M.B. Cert)
Rs.
0 Rs.
0
Total Eligible savings for deduction is restricted to Rs. 1,0
Rs.
e) Investments : U/s. 80 C
0
TPF / CPS
Rs.
0
SPF, FBF, HF, GI
Rs.
0
Life insurance Premium
Rs.
0
Housing Loan Principal
Rs.
0
Mutual Fund/ Life insurance (all private)
Rs.
0
NSC, PLI
Rs.
0
Tuition Fees Paid for 2 Children of an individual
Rs.
0
Bank Fixed deposit (5yrs. Lock in period)
Rs.
0
Infrastructure Bonds
(all private)
Rs.
0 Rs.
0
Total (Maxi. Rs. 1,50,000)
Rs.
f) Investments : 80 C (Maxi Rs. 20,000)
Rs.
0 Rs.
0
8. Total Taxable income rounded off to nearest ten
9. Tax on Total Taxable income
0
NIL
i) On the First Rs. 2,50,000
:
----ii) Rs.2,50,001 - 5,00,000 @ 10% : (300000)
x
10%
Rs.
------iii)Rs. 5,00,001 - 10,00,000 @ 20% (500000)
x
20%
Rs.
--iv) above 10,00,001 @ 30%
:
x
30%
Rs.
10. Total Tax Payable
Less Tax Relief U/s, 87A - Rs 2000 (only net total income below 500000 allowed)
Net Total Tax
11. Education Cess at 3% of income tax
12. Net Tax Payable
13. Less: Relief U/s 89(i)
14. Less: Tax already recovered
15. Less: Tax Paid by Challan

Particulars of LIC Premium/ Mutual fund/ ICICI/ IDBI/ ULIP

Amount insured
Installment
0
0
x
0
0
0
x
0
0
0
x
0
0
0
x
0
0
0
x
0
0
0
x
0
0
0
x
0
Total
Details of NSC, UTI Interest accured on N.S.C.
Date of Issue Numberof the NSC
0

Policy No.
0
0
0
0
Rs.

1
2
3
4
5
6
7

0
0
0
0
0
0
0

NSC No. & Name of the Post Office

0
Rs.

Rs.

Rs.

Certificate:
1. Certified that I am occupying a rental house paying monthly rent of Rs.
-----2. Certified that I am paying a sum of Rs
-----towards Life Insurance Premium and the Policies are kept alive.
3. Certified that I am paying a sum of Rs
-----/-towards Tuition fees for my son & / daughter

INCOME PARTICULARS FOR THE YEAR 2014 - 2015

DUES

Rs.

Rs.
Rs.

0
0

Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.

0
0
2000
-2000
-60
-2060
0

Month
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Total
DA Arr
DA Arr
Surren
PCA Arr
Arrear
Arrear
Arrear
Bonus

Total

Pay
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PP
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

GP

Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

DA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

CCA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

SA
I

HRA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

SA
II
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

MA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PF/
CPS

Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

16. Balance Tax to be recovered

Rs.

-2060

www.Padasalai.Net

0
-2060

IP
Amount of premum per PA
0
0
0
0
0
0
0
0
Rate of Interest %
0

LESS: HRA Exempted IT rules sec 10(13A)

0 a)Actual
Nil
OWN HOUSE
b)10% ----c)Diff (a-b)
--d)HRA Received
e)40% of (pay --HRA Exempted whichever is less(c)or (d
0
0
0

Amount Rs.
0

Signature of the employee

5
DEDUCTIONS
CPS
ARR

SPF
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

FBF
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

NHIS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

SPF 2K
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PRO
TAX

0
0
0
0
0
0
0
0
0
0
0
0
0

IT with IT
cess
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0

0
0
0

12 Tax on Taxable income

on the first Rs. NIL
income exceed--on the next R ---on the next R --Total Tax on Taxable Inc
13 NET TAX PAYABLE

0
-----Rs
Rs

15 Add : Education cess @ 3%

0
14 SURCHARGE ( Taxable income exceed
16 TOTAL TAX TO BE RECOV
Rs
17 TAX ALREADY
0
-

0
0

0
NIL
0
NIL

Signature of the employee

2000
0

INCOME - TAX CALCULATION STATEMENT FOR THE YEAR 2014 - 2015

0

Name :

Designation :

0
Father's Name :
12/30/1899
Date Of Birth :
12/30/1899
School:

PAN

SB Account No

###

IFSC Code

MICR No

:
0

1.. Total salary

2.. LESS HRA EXEMPTED U/S-10 (13A)
Rs.

OWN HOUSE

Rs.

c) Difference (a-b)

Rs.

d) HRA received

Rs.

Rs.

4. Less : Professional Tax

Rs.

5. Less : Int. on Housing Loan (Max. 2,00,000)

Rs.

a) Actual rent paid

12 x ------

b) 10% of basic pay + DA

Least of "c" or "d" exempted

3.

Salary after giving relief under the head "HRA" (1-2)

0 Rs

Gross Total Income

6. Add : a) Interest on NSC

Rs.

b) income from other source

Rs.

Total Income

Rs.

Rs.

Rs.

Rs.

Rs.

7. Deductions under chapter VI A:

a) Higher Education. Loan U/s. 80E
80EE Home Loan Interste more then 1 laks those get loan the year of 2013 - 2014
b) Mediclaim insurance U/s/ 80D (Upto 15000)
(Tax payer, spouse&Childred)+15000 (Parents)
c) Donations U/s. 80 G

(CM Public relief fund)

d) Medical Treatment U/s 80DD

(attach M.B. Cert)

Rs.

Rs.

TPF / CPS

Rs.

SPF, FBF, HF, GI

Rs.

Life insurance Premium

Rs.

Housing Loan Principal

Rs.

Mutual Fund/ Life insurance (all private)

Rs.

NSC, PLI

Rs.

Tuition Fees Paid for 2 Children of an individual

Rs.

Bank Fixed deposit (5yrs. Lock in period)

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Total Eligible savings for deduction is restricted to Rs. 1,00,000.

Rs.

e) Investments : U/s. 80 C

Infrastructure Bonds

(all private)

Total (Maxi. Rs. 1,50,000)

f) Investments : 80 CCF

(Maxi Rs. 20,000)

8. Total Taxable income rounded off to nearest ten

9. Tax on Total Taxable income

i) On the First Rs. 2,50,000

ii) Rs.2,50,001 - 5,00,000 @ 10%

(300000)

iii)Rs. 5,00,001 - 10,00,000 @ 20%

iv) above 10,00,001 @ 30%

NIL

(500000)

10. Total Tax Payable

Less Tax Relief U/s, 87A - Rs 2000 (only net total income below 500000 allowed)
Net Total Tax
11. Education Cess at 3% of income tax
12. Net Tax Payable
13. Less: Relief U/s 89(i)
14. Less: Tax already recovered

---

10%

Rs.

---

----

20%

Rs.

----

--

30%

Rs.

15

Particulars of LIC Premium/ Mutual fund/ ICICI/ I

Rs.

Policy No.

Amount insured

Installment

0
0
0

Details of NSC, UTI Interest accured on N.S

Rs.

NSC No. & Name of the Post Office

Date of Issue Numberof the NSC

Certificate:
1. Certified that I am occupying a rental house paying monthly rent of Rs.

Rs.

Rs.

------

2. Certified that I am paying a sum of Rs

------

towards Life Insurance Premium and the Policies

3. Certified that I am paying a sum of Rs

------

/-towards Tuition fees for my son & / daughter

INCOME PARTICULARS FOR THE YEAR 201

DUES
Pay

PP

GP

Total

DA

CCA

SA
I

HRA

SA
II

MA

Month
0

Rs.

Mar-14

Apr-14

May-14

Jun-14

Jul-14

Aug-14

Sep-14

Oct-14

Nov-14

Dec-14

Jan-15

Feb-15

Total

Rs.

DA Arr

Rs.

DA Arr

Surren

PCA Arr

---

Arrear

----

Arrear

--

Rs.

Arrear

Rs.

Bonus

Rs.

2000

Rs.

-2000

Rs.

-60

Rs.

-2060

Rs.
Rs.

Total

und/ ICICI/ IDBI/ ULIP

Installment

Amount of premum per PA

x

0
Total

cured on N.S.C.

erof the NSC

Rate of Interest %

Amount Rs.

the Policies are kept alive.

daughter

Signature of the employee

E YEAR 2014 - 2015

DEDUCTIONS
PF/
CPS

Total

SPF

FBF

SPF
2K

NHIS

PRO
TAX

IT with IT
cess

CPS
ARR

15. Less: Tax Paid by Challan

16. Balance Tax to be recovered

Rs.
Rs.

-2060

www.Padasalai.Net

0
-2060

Signature of the employee