FORM NO.

16

(See rule 31 (1) (a) if the

Certificate under section 203 of Income Tax, 1961 for the tax deduc

Name and Adress of the Employer

PAN/GIR NO.

TDS Circle where Annual Return / Statement

Under Section 206 is to filed

1
a
b

TAN
HYDI01534B
PERIOD

FROM
Mar-01
DETAILS OF SALARY PAID AND ANY O
Gross Salary
Salary as per provisions contained in Section 17(1)
Value of perquisites under Section 17(2)

c
d

Profits in lieu of Salary under Section 17(3) (as per From No.12BA
Where applicable)
Total

2
3
4
a
b
5

Less:Allowance to the extent exempt under Section 10 HRA U/S (10 13

(A))
Less
Intrest on housing Loan
BALANCE (1-2)
DEDUCTIONS
Entertainment Allowance
Tax on Employment
Aggregate of 4(a) and 4(b)

6
7

INCOME CHARGEBALE UNDER THE HEAD SALARIES (3-5)

Add: Any other Income Reported by Employee
Gross Total Income

DEDUCTIONS UNDER CHAPTER VI-A

(A) Section 80C,80CCC and 80CCD

Section 80C
GPF A/C No.
APGLI Policy No.
GIS
Housing Loan Principle
Section 80CCD
Note 1.Aggegate amount deductable U/S
2.Aggegate amount deductable U/S 80C,80CCC

a
b
c
d
e
10
11
12
13

(B) OTHER SECTIONS (for eg.80E to 80G ) UNDER Chapter VI-A

Section 80G RS.
Section 80G RS.
Section 80G RS.
Section 806 RS.
Section 80D RS.

14
15
16
17
18
19
a

Aggregate of deductions amounts under Chapter VI-A

Total Income (8-10)
TAX ON TOTAL INCOME
Deduct: Tax Credit
Tax Payable
Primary Eduction Cess (on tax @2%)
Secondary Education Cess (on tax @1%)
Tax Payable (12+13+14)
Relief Under Section 89 (Attach details)
Tax Payable (15+16) Round (288 b )
Less :
Tax deducted at source U/S 192 (1)

b
20

Tax Paid by the Employer on behalf of the employee U/S 192(1 A) on

perquisites U/S 17 (2)
Tax Refundable (17-18)

CHEQUE/D
D NO.if any

TOTAL TAX
DEPOSITED

EDUCATIO
N CESS

SURCHARGE

TDS

MONTH

SL.NO.

DETAILS OF TAX DEDUCTED AND DEPOSITE

1
2
3
4
5
6
7
8
9
10
11
12

Apr-01
May-01
Jun-01
Jul-01
Aug-01
Sep-01
Oct-01
Nov-01
Dec-01
Jan-01
Feb-01
Mar-14
TOTAL
I,Sri. S/o Sri. ,Working in the capacity of Executive Engineer(Designation) do here by Certify
to the credit of the Central Government I further certify that the information given above is true a
available records
Place:
Date:
Full Name:
Designation:
TRUE COPY
Engineer

H
Division,Anantapur

e rule 31 (1) (a) if the Income Tax Rules, 1962)

1961 for the tax deducted At Source from Income Chergable,Under the head "SALARIES"

Name and Designation

TAN

PAN/GIR NO.

DI01534B
PERIOD

Assessment year

TO
201 -201
Feb-01
Y PAID AND ANY OTHER INCOME AND TAX DEDUCTED

GROSS AMOUNT

DEDUCTABLE AMOUNT

mount deductable U/S 80C shall not exceed on one lakh rupees
table U/S 80C,80CCC & 80CCD shall not exceed on one lakh rupees
Qualifying Amount

Deductable Amount

TRANSFER
VOUCHER /
CHALLAN
IDENTIFICA
TION NO.

DATE ON
WHICH TAX
DEPOSITED
(DD/MM/YY
)

BSR CODE
OF BANK
BRANCH

ED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

By book adjustment between Account General & Zonal Officer Central

Board Direct Taxes (Pay and Accounts office ,TBPHLC,Stage II,Anantapur

on) do here by Certify that a sum of RS.NIL/-has been deducted at source and paid
n given above is true and correct based on the books of accounts,documents and other

Sd/Executive Engineer
HLC(LOC) Division,Anantapur

Executive

HLC(LOC)
ision,Anantapur

"