SUMMARY OF PERQUISITE DETAILS

NAME OF COMPANY:

Page 1

LOCATION:

CODE:

NAME:

(As appears on the Pay Slip)

NATURE OF PERQUISITE

01. Accommodation
02. Cars
03. Sweeper, Gardener,
.
Watchman, Personal Attendant

04. Gas, Electricity, Water

05. Interest Free or Concessional .
. Loans
06. Holiday Expenses
07. Free or Concessional Travel
08. Free Meals
09. Education
10. Gifts, Vouchers etc.
11. Credit Card Expenses
12. Club Expenses
13. Use of Movable assets by the . .
employee
14. Transfer of Assets to Employee
15. Stock Options (Non-qualified .
. options)
16. Other Benefits or Amenities
17. Profits in Lieu of Salary
TOTAL VALUE OF PERQUISITES Rs.

VALUE OF
PERQUISITE AS PER
RULE

AMOUNT, IF ANY PAID BY

EMPLOYEE

AMOUNT OF
TAXABLE
PERQUISITE

Rs.

Rs.

Rs.

PERQUISITE DETAIL SHEET

CODE:

Page 2

NAME:

COMPANY ACCOMMODATION:

RENT PAID BY EMPLOYER PER

MONTH Rs.

RENT RECOVERY FROM

EMPLOYEE PER MONTH

2016
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER

2017
JANUARY
FEBRUARY
MARCH
TOTALS Rs.
Period of Stay
in Hotel:
From .. To..
& Total No. of
Days

ACCOMMODATION PROVIDED AT A HOTEL

@ 2% of
Salary p.m.

ACTUAL
AMOUNT OF
RENT Rs.

Actual amount of hotel rent or 24% of salary, whichever, is lower

Other than Rent Expenses during Hotel Stay

>>>>>>>>>>>>>>>>>>>>> >>>>>>Rs.

COMPANY CAR

RATE pm

LESS THAN 1.6 LITRES

1,800

MORE THAN or EQUAL TO 1.6 LITRES

2,400

900

DRIVER
DRIVER PROVIDED

Months

AMOUNT Rs.

PERQUISITE DETAIL SHEET

CODE:

Page 3

NAME:

DATE OF USE

ORIGINAL
COST OF
ASSET

NUMBER
OF
MONTHS

PERQ. VALUE

DATE OF USE

ORIGINAL
COST OF
ASSET

NUMBER
OF
MONTHS

PERQ. VALUE

FIXED ASSETS
RESIDENTIAL FURNITURE
1.
2.
3.
4.
5.
6.
7.
8.
9.
TOTALS Rs.

FIXED ASSETS
RESIDENTIAL EQUIPMENT
1.
2.
3.
4.
5.
6.
7.
8.
9.
TOTALS Rs.

PERQUISITE DETAIL SHEET

CODE:

Page 4

NAME:

HIRE PURCHASE ASSETS

DATE OF HIRE

ASSET ON HIRE PURCHASE

ELECTRICITY / GAS / WATER

AMOUNT Rs.

SALARY PAID TO SWEEPER /

GARDENER / WATCHMAN /
PERSONAL ATTENDANT, ETC.

AMOUNT Rs.

EXPENDITURE INCURRED AT
CLUB WHICH IS TAXABLE

AMOUNT Rs.

PREPARED BY:

CHECKED BY:

DATED:

HIRE
PURCHASE
COST PER
MONTH

NUMBER
OF
MONTHS

PERQ. VALUE