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FORM NO.

16
{Vide 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 Employer
Visakha Institute of Engineering and Technology, R.V.S.Lakshmi Kumari
Narava, Visakhapatnam. Professor

PAN/GIR NO. TAN PAN/GIR NO.


AEIPR1332J
TDS Circle where Annual Return/Statement under section PERIOD ASSESSMENT YEAR
206 is to be filed FROM TO
2010-11
1/4/2009 31/3/2010
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs Rs Rs
1 Gross Salary 3,60,162
a.Salary as per provisions contained in sec.17(1)
b.Value of perquisits u/s 17(2)(as per Form No.12BA where ever
applicable)
c.Profits in lieu of Salary u/s as per Form No.12BA where ever
applicable)
d.Total 3,60,162
2 Less: Allowance to the extent exempt under section 10
a.House Rent Allowance
i) Rent Paid
ii)HRA Recd.
iii)Rent Paid over 10% of Basic+DA

Total of (2)
3 Balance (1-2) 3,60,162

4 Deductions
(a) Entertainment allowance
(b) Tax on Employment 2400

5 Aggregate of 4 (a & b) 2400

6 Income chargeable under the head "Salaries" (3-5) 3,57,762

7 Add: Any other income reported by the employee


From House Rent 30000
8 Gross Total Income (6+7) 387762

9 Deduction of Loss House Property (Interest on Home Loan) 123293

10 Total Income (8-9) 264469


11 Deductions under chapter VI-A Gross Qualifying Deductable
i) Under Section 80C,80CCC,80CCD (Please specify) Amount Amount Amount
9360 9360 9360
(a) PF 22916 22916 22916
(b) LIC 31855 10000 10000
(C) Principle Amount on House Loan
(d) TOTAL (a) to © 42276 42276
ii)Under Section 80D,80DD,80GG and 80U (Please Specify) Gross Qualifying Deductable
Amount Amount Amount
(a)
(b)
©
(d) TOTAL (a) to ©

12 Aggregate of deductible amount under chapter VI-A (11i+11ii) 42276

13 Taxable Income (10-12) 222193

14 Under Section 89 (attach details)

15 Tax Payable incl.surcharge and Education Cess there on 3316

16 Less: Tax deducted at source 5000

17 Tax Payable (15 - 16) 1704

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT


No. Amount Date of Payment Name of Bank and Branch where tax deposited

Tot:
I, Dr Ch.Divakar S/o working in the capacity of Principal do hereby certify that
a sum of Rs. /- (Rupees)
(in words) 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 book of accounts,
documents and other available records.

Signature of the person responsible


for deduction of tax
Place: Visakhapatnam Full Name: Dr Ch.Divakar
Date:10-03-2010 Designation:Principal
9360
22916
10000
42276

264469

42276

222193
190000
32193