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Caution : Please do not try to modify / tamper with the Salary Certificate enclosed. Any alteration
will render your Salary Certificate invalid and unauthenticated.
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V1724-VIJAY ANAND A.
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"
Name and Address of the Employer Name and Designation of the Employee
PAN No. of the Deductor: TAN No. of the Deductor: PAN No. of Employee :
Q2 070370200333005
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Allowance Amount
Exemption U/s 10 ( 13A ) HRA 43,226
Exemption U/s 10 (14) Conveyance Allowance 9,600
52,826
3. Balance(1-2) 3,08,830
4. Deductions:
(a) Entertainment Allowance 0
(b) Tax on Employment 1,770
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V1724-VIJAY ANAND A.
9. Deduction Under Chapter VIA Deductible
Gross Amount Amount
(A) Section 80C,80CCC and 80CCD
(a) Section 80C
ELSS 15,000
PF on Salaries 19,404
ULIP / Mutual Fund 20,000
54,404 54,404
(b) Section80CCC 0 0
(c) Section80CCD 0 0
(B) Other Sections (e.g.80E,80G,etc) under Chapter Deductible
Gross Amount Qualifying Amount
VIA Amount
Section 80D 10,698 10,698 10,698
Section 80E 20,880 20,880 20,880
Section 80G 456 456 456
Section 80GG 2,000 2,000 2,000
18. Less
(a) Tax Deducted at source u/s 192(1) 7,068
(b) Tax paid by the Employer on behalf of the Employee 0
u/s 192(1A) on perqisites u/s 17(2)
(c) Tax deducted by Previous Employer 0 7,068
0
19. Tax Payable / (Refundable ) (17-18)
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V1724-VIJAY ANAND A.
Sr TDS Surcharge Education Higher Total Tax Cheque/D BSR Date on Transfer
No (Rs.) (Rs.) Cess Education Deposited D No. Code of Which Voucher/
(Rs.) Cess (Rs.) (If Any) Bank Tax Challan ID
(Rs.) Branch Deposited No.
(dd/mm/yy)
1 3,398 0 102 0 3,500 0 0510308 07/Mar/2009 5926
2 3,464 0 104 0 3,568 0 0510308 06/Apr/2009 11605
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
13 0 0 0 0 0
14 0 0 0 0 0
15 0 0 0 0 0
6,862 0 206 0 7,068
I, Ajit A.Kadam, son / daughter of, Ambaji Kadam, working in the capacity of Asst. Vice President, do hereby certify that a sum of
Rs. 7,068 [ Rupees Seven Thousand Sixty Eight Only ] has been deducted at source and paid to the credit of the Central
Government. I further certify that the information given above is true and correct, based on the books of account, documents and
other available records.
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V1724-VIJAY ANAND A.
FORM NO.12BA
{See Rule 26A(2)(b)}
Statement showing Particulars of Perquisites, Other Fringe Benefits or Amenities and Profits in lieu of Salary with Value thereof
Declaration By Employer
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