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(i)G.P.F./CPF Rs 48000
(iii) P.L.I. Rs 0
(iv)U.LIP Rs 5000
(vi)N.S.C. Rs 25000
Section80U Rs. 0
Section80DD Rs. 0
Section80D Rs. 0
Section80CC Rs. 0
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C I T ( T D S )
CIT Address Chitpur,
Kolkata
This
Software's Some Cell
Are Locked (As
Sample)
st Rs. 250/-
055
Rs. 1,500
No.
5
A 1st Qurtr
Rs. 1,500
No.
6
A 2nd Qurtr
Rs. 1,000
No.
8
6A 3rd Qurtr
Rs. 4,018
No.
10
6A 4th Qurtr
FORM NO.16
[See rule 31(1)(a)]
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on Salary
PART- A
Name and address of the Employer Name and designation of the employee
D.N.SINHA,45 Gopal Nagar Rd.Kolkata 30 Pranab Kumar Bandyopadhyay U.DC.
PAN NO.of Deductor TAN No.of the Deductor PAN NO. of From
the Employee To
AABB 0022 L KPSR 00335 K AJKP 0059 L
CIT (TDS) Assessment Year Period
Address Chitpur,
2011 2012
Kolkata 1/4/2010 31/3/2011
City Kolkata Pin Code 44558822
Summary of tax deducted at source
Receipt Numbers of original
Amount of tax deducted in respect Amount of tax deposited remitted in
Quarter statements of TDS under sub-
of the employee respect of the employee
section (3) of section 200
Q1 5 1,500 1,500
Q2 6 1,500 1,500
Q3 8 1,000 1,000
Q4 10 4,018 4,018
TOTAL 8,018 8,018
PART- B (Refer Note 1)
Details of Salary paid and any other income and tax deducted
1 Gross Salary IN RUPEES IN RUPEES IN RUPEES
(a) Salary as per provisions contained in section 17(1) 489000
Value of perquisites under section 17(2)(as per
(b) Form No. 12BA,wherever applicable) 0
Profits in lieu of salary under section 17(3)(as per
(c) Form No. 12BA, wherever applicable) 0
(d) TOTAL Rs. 489000
2 Less: Exempted Allowance u/s 10
Allowance Rs.
(i) H.R.A Exemption 25000
(ii) Convences Allowances Exemp 9600
(iii) Childr Edu Allownc Exemp 1200
(v) Medical Reimbursment Exemp 15000
3 Balance(1-2) Rs. 438200 ###
4 Deductions : U/ 16
H.B.Loan Int.(Max-1,50,000/-) u/s
(a) 24(B) 75000
(b) Tax on employment 500
(e) Leave Travel Allowances 15000
(f) Intertainment Allowances 5000
5 Aggregate of 4(a) to (f) 95500
Income chargeable under the head 'salaries'
6 342700
(3-5)
7 Add: Any other income reported by the employee
a)Income form N.S.C./Bank int.etc. Rs. 0
8 Gross total income (6+7) Rs. 342700
ANNEXURE-A
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENT5RAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY
(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Book Identification Number (BIN)
Tax Deposited in respefct on of DDO Sequence Number in the Date on which
Sl.No Receipt Numbers of
the employee (Rs. Book Adjustment Mini tax deposited
Form No 24G
Statement (dd/mm/yy)
Note:-
1. In the column for TDS, give total amount for TDS,Surcharge(if applicable) and education cess.
ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to employee)
Challan Identification Number ( C I N )
Tax Deposited in respect on of
Sl.No BSR Code of the Bank Date on which tax deposited Challan Serial
the employee (Rs.)
Branch (dd/mm/yy) Number
1 Rs. 500 055 28/4/2010 5
2 Rs. 500 055 28/5/2010 6
3 Rs. 500 055 28/6/2010 7
4 Rs. 500 055 28/7/2010 8
5 Rs. 500 055 28/8/2010 9
6 Rs. 500 055 28/9/2010 1
7 Rs. - 055 28/10/2010 2
8 Rs. 500 055 28/11/2010 3
9 Rs. 500 055 28/12/2010 4
10 Rs. 500 055 28/1/2011 11
11 Rs. 500 055 28/2/2011 12
12 Rs. 3,018 055 28/3/2011 13
Total 8,018
1 In the column for TDS, GIVE TOTAL AMOUNT FOR TDS, Surcharge(if applicable) and Education Cess