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AP UTF Karimnagar INCOME TAX PREPARATION FILE FOR FY 2010-11

PERSONAL DETAILS PAY PARTICULARS PAY BILL DEDUCTIONS


Provident Fund Monthly in
Employee Name G. ASHOK Old Pay as on Jan-2010
10030 39 March-10 1000
If P.F Change 1
Designation SA (M) RPS Pay in Feb-2010
18520 37 No Change 3000
If P.F Change 1
School/OfficeName ZPHS DURSHED Annual Increment
Oct-10 8 No Change 5000
Mandal KARIMNAGAR 8/16/24 AAS Inc Year & Date
Not Applicable
8 10 P.F. A/c No 6968
District KARIMNAGAR PP APGLI.Monthly

PAN No. AQTPP2949L FP 50 If APGLI Change 1


No Change
Sex 1
Male H.M. Allowance
Not1Applicable APGLI A/c No
Whether Living in 1
Rented House
P.H.C Allowance
Not1Applicable G.I.S……….. 60 3
Address H.NO. 10-2-6, Special C.A 1
Not Applicable If GIS Change 1
No Change 4
Vidya Nagar, C.C.A 4
Other corporationLIC Monthly deduction
Karimnagar Reader Allowance
Not Applicable
1 If LIC Change
No Change
1
Rent Paid Monthly 6500
with undertaking
Edu.Concession EWF & SWF
20 & 20
Pension service
Pensionable H.R.A 3
20 YOUR TAX DETAILS
DDO DETAILS A.H.R.A Not1Applicable YOUR TAX ON INCOME 10158
DDO Name J.GOPAL RAO Surender Leave 2
15 days Dec-10 ENHANCE HOUSE RENT
10 6470
Designation HEAD MASTER OTHER SOURCES OF INCOME DATA FORM 16 (1)
Working Place ZPHS DURSHED Income from Capital Gains STATEMENT FORM 16 (2)
D.D.O. PAN No. Other sources of income if any RETURN 1 ADV TAX
Income OR Loss from house Property
D.D.O. TAN No. (U/s.24L(vi)) RETURN 2 HRA EXM
PRC ARREARS OF FEBRUARY 2010

PAY PP DA HRA CCA TOTAL P.TAX GPF

2031 -51 1698 70 3748 3748


DEDUCTIONS UNDERS SECTION 80D, 80DDD, 80DDB, 80E,
DEDUCTIONS UNDER SECTION 80C, 80CCC, 80CCD, 80CCF
80G, 80L
a) Medical Insurance Premiam U/S 80-D upto 15000/- or
a) GPF Deductions 31428 Rs.20000/- in case of senior citizen
b) APGLI Deductions 0 Below 65 years
1 of age
c) Group Insurance 720 b) Treatment of Handicapped Dependent U/S 80-DD
(Rs.50000 above 40% disability OR Rs.100000 above 80%
d) LIC Policies Premium (Yearly) disiability)

e) Subscription to NSC VIII issue


Above 80% desability
2
c) Expenditure on Medical Treatment of Dependent U/S 80-
f) Tution fee for 2 children DDB (Rs.40000 or Actual expenditure whichever is less OR
Rs.60000 or actual expenditure whichever is less if the
g) Repayment of HBA instalments. dependent is above 65 years of age)

h) LIC Annuity Plan (Jeevan Dhara etc.)


Below
1 65 years of age

i) UTI Retirement Benefit Pention fund. d) Donation to Charitable institution 80-G

j) ULIP i) Approved institutions 50% of qualifying amount.

k) PLI ii) National calmaties & PM/CM Relief fund (100%)

e) Maintenance of Totally Blind or PHC U/S 80-U Upto


l) Public Provident Fund Rs.50000 & Rs.75000 if the disiability is more than 80% for
self
m) Subscriptions made to Equity Shares/Debentures
Above
2 80% desability
n) Subscription made to any Mutual Fund (ELSS) f) Interest of House Building Advance 80 L

o) Subscription to Deposit Scheme of National Housing Bank g)Interest of Educational Loan 80 E

p) Fixed Deposits in Bank More Than (5) years. h) EWF and SWF 40
q) LIC Pension fund U/S 80 CCC (Max. Rs. 10000) i) Others if any

r) Contribution to any Pension Scheme U/S 80 CCD (Max. 10% of salary) 0 Prepared by: G. ASHOK ,SA(M)
ZPHS DURSHED, Mdl&Dt: KARIMNAGAR, A.P.
s) Infrastructure Bonds (ICICI/IDBI etc)U/s 80CCF (Up to Rs.20000)
505001
Note: Savings (a) to(r) Max.Rs 1,00,000 and (s) Rs.20,000 Total Rs.1,20,000 Mail: aputfknr@gmail.com; Ph: 9490300725
INSTRUCTIONS: 1.Fill up the data in the light pink colour only. 3. Send your valuable suggesions and modifications.
2.verify with experts before submission. 4.You may change in the STATEMENT using password 12345.

THIS FILE IS AVAILABLE AT www.utfknr.9f.com, Call 9490300725


You may change in this SALARY PARTICULARS of Sri / Smt/Kum G. ASHOK , SA (M) , ZPHS DURSHED For the Financial year 2010-2011
statement
USING PASSWORD 12345
PAY PARTICULARS DEDUCTIONS
S.N SWF Net
Month APG Adv
O PAY PP DA HRA IR HMA PHA CCA RA SCA AHRA TOTAL GPF GIS PT & LIC TOTAL Amount
LI Tax
EWF
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
1 Mar/10 18520 50 1744 3704 - - 140 - - - 24158 1000 0 60 200 20 0 ---- 1280 22878
2 Apr/10 18520 50 1744 3704 - - 140 - - - 24158 1000 0 60 200 0 ---- 1260 22898
3 May/10 18520 50 1744 3704 - - 140 - - - 24158 1000 0 60 200 0 ---- 1260 22898
4 Jun/10 18520 50 1744 3704 - - 140 - - - 24158 1000 0 60 200 0 ---- 1260 22898
5 Jul/10 18520 50 3012 3704 - - 140 - - - 25426 1000 0 60 200 0 ---- 1260 24166
7 Aug/10 18520 50 3012 3704 - - 140 - - - 25426 1000 0 60 200 0 ---- 1260 24166
8 Sep/10 18520 50 3012 3704 - - 140 - - - 25426 1000 0 60 200 0 ---- 1260 24166
9 Oct/10 19050 50 3098 3810 - - 140 - - - 26148 1000 0 60 200 0 ---- 1260 24888
10 Nov/10 19050 50 3098 3810 - - 140 - - - 26148 1000 0 60 200 0 ---- 1260 24888
11 Dec/10 19050 50 4729 3810 - - 140 - - - 27779 1000 0 60 200 20 0 ---- 1280 26499
12 Jan/11 19050 50 4729 3810 - - 140 - - - 27779 1000 0 60 200 0 ---- 1260 26519
13 Feb/11 19050 50 4729 3810 - - 140 - - - 27779 1000 0 60 200 0 ---- 1260 26519
14 S.L. 9525 25 2364 1905 13819 0 13819
15 D.A.1/10 to 6/10 7663 7663 7663 7663 0
16 DA. 7/10 to 12/10 8017 8017 8017 8017 0
17 RPS PF Arrears 2031 0 -51 1698 70 3748 3748 - 3748 0
18 AAS Ar. 0 0 0 0 0 0
Notional Inc
19 0 0 0 0 0
arrears
20 Step up Arrears 0 0 0
Edu.Concessio
21 0 0 0 0
n
22 Other Arrears 0 0 0
TOTAL ### 625 ### 48581 0 0 0 1750 0 0 0 341790 31428 0 720 2400 40 0 0 34588 307202

with best compliments from APUTFKNR Copy available at www.utfknr.9f.com Signature of the Assessee
STATEMENT OF INCOME TAX for the Financial Year 2011-12
G. ASHOK
1 Name of the Government Servant & Address
ZPHS DURSHED
2 Permanent Account Number AQTPP2949L
3 Whether living in Own / Rented house (Address) Rented House at Karimnagar
4 Gross Pay & Allowences as indicated in the Statement enclosed Rs 341,790
5 Deductions towards H.R.A. U/s 10 (13-A) (Least of the following exempted) Rs 48,581
a) Actual H.R.A. received 48,581
b) Actual rent paid minus 10% of salary(PAY+DA) Rs 6,500 X 12 -- 10%S 48,917
c) 40% of salary (Salary means Basic Pay+DA) 116,334
6 Total Salary (4-5) Rs 293,209
7 Deductions from Salary Income Rs 2,400
a) Exemption from Conveyance Allowance U/s. 10(14) (i) 0
b) Profession Tax U/s 16 (3) B 2,400
8 Income from Salary(6-7) Rs 290,809
9 Income from Capital Gains ----
10 Other sources of income if any ----
11 Income OR Loss from house Property (U/s.24L(vi)) ----
12 Gross Total Income (8+9+10+11) Rs 290,809
13 Deductions Under Chapter VI A., U/s. 80C, 80CCC, 80CCD
a 1 GPF A/C No. 6968 31,428
2 APGLI No. ---- 0
3 Group Insurance 720
4 Lic Policies Premium ----
5 Subscription to NSC VIII Issue ----
6 Tution Fee for 2 Children ----
7 Repayment of HBA instalments Rs ----
8 UTI Retirement Benefit Pension Fund. ----
9 ULIP ----
10 PLI ----
11 Public Provident Fund ----
12 Subscriptions made to Equity shares/Debentures. ----
13 Subscriptions made to any Mutual Fund (ELSS) ----
14 Subscription to Deposit Scheme of National Housing Bank ----
15 Fixed Deposites in Banks for morethan 5 years ----
16 LIC Annuity Plan (Jeevan Dhara etc.) ----
b 17 LIC Pension fund U/s. 80CCC (Max. Rs. 10,000), LIC Annuity Plans ----
c 18 Contribution to any Pension Scheme U/s. 80 CCD (Max. 10% of Salary) ----
d 19 Infraustructure Bonds (ICICI/IDBI etc)U/s 80CCF 0

TOTAL QUALIFYING AMOUNT (upto Rs. 1,20,000/-) U/Sec. 80C, 80CCC & 80CCD Rs 32,148

14 TOTAL INCOME(After Deductions Under Section 80C,80CCC,80CCD&80CCE) (12 - 13) Rs 258,661


15 Other Deductions Under C hapter VIA U/s 80 D,DD,DDB,E,G,GG,U
20 Medical Insurance Premea U/s. 80.D upto Rs. 15,000/- or Rs. 20,000/- in
case of senior citizen ----

21 Treatment of Handicapped Dependent U/s. 80.DD (Rs. 50,000 above 40%


disability OR Rs.1,00,000 above 80% disability ----

22 Expenditure on Medical Treatment of Dependent U/s. 80.DDB (Rs.40,000 or


Actual expenditure whichever is less OR Rs. 60,000 or actual expenditure
----
which ever is less if the dependent is above 65 years of age)

23 Interest Paid on house building Advance (80 L) ----


24 Interest Paid on Edn. Loan(80E) ----
25 Donation to Charitable Institutions U/s. 80.G
i) National Calamaties & PM,CM Relief funds (100%) ----
ii)Approved Institutions 50% of qualifying amount. ----
iii)EWF/SWF 40
26 Mantenance of Totally Blind or Physically Handicapped U/Sec. 80.U (Upto
50,000 & 75,000 if the disability is more than 80% for self only) ----

27 Other if any ----

16 TAXABLE INCOME (14-15) (Round of to nearest multiple of Rs. 10.) Rs 258,621


17 Amount of Tax (as per rates given below)
a a) MALE ASSESSES
i) Up to 160000/-
II) Rs.1,60,001 to 5,00,000
(10% of the amount by which the total income exceeds Rs.160000)
iii) Rs.5,00,001 to 8,00,000
(Rs.34,000+20% of the amount by which the total income exceeds
Rs.500000)
iv) above Rs.8,00,000
(Rs.94,000+30% of the amount by which the total income exceeds
Rs.800000)
18 a Tax Payable
b Add Education Education 2%
c Add Secondary & Higher Education cess 1%
19 Net Tax Payable (18a+b+c)
20 Advance Tax Deduction
21 Net Tax Payable(19 - 20) (after relief U/s. 89)

UNDERTAKING CERTIFICATE

Certify that I have paid an amount of Rs. 78000 (Rupees seventy-eight thousands Only )
towards House Rent for the year 2010-11 @ Rs.6500.

Advance Tax Deducted in Monthly Bills


Sl No Month Amount
Q1 Mar-May 09 0
Q2 Jun-Aug 09 0
Q3 Sep-Nov 09 0
Q4 Dec-Feb 10 0
Total 0
SIGNATURE OF DDO SIGNATURE OF ASSESSEE

with best compliments from APUTFKNR


Rs 40

Rs 258,620

Nil

Rs 9,862

----

----

Rs 9,862
Rs 197
Rs 99
Rs 10,158
Rs 0
Rs 10,158

DERTAKING CERTIFICATE

t of Rs. 78000 (Rupees seventy-eight thousands Only )


Rs.6500.

SIGNATURE OF ASSESSEE

with best compliments from APUTFKNR


FORM NO. 16
(Vide rule 31(1)(a) of Income Tax Rules, 1962)
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
J.GOPAL RAO G. ASHOK SA (M)
PAN No. of the deductor TAN No. of the deductor PAN/GIR No. of the Employee
0 0 AQTPP2949L
Acknowledgement Nos. of all Quarterly Statements of TDS under sub-section(3) of section 200 as provided
by TIN Facilitation Centre of NSDL Web-site
Period
Quarter Acknowledgement No. A.Y.
From To
01.04.2010 31.03.2011 2011-2012

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary
a) Salary as per provisions contained in Section 17(1) 341790.00 341790.00
b) Value of perquisites under section 17(2) (as per Form No. 12 BA, wherever
applicable)
c) Profit in lieu of Salary under section 17(3) (as per Form No. 12 BA, wherever
applicable)
d) TOTAL 341790.00 341790.00
2 Less: Allowance to the extent exempted under section 10 48581.00 48581.00
3 BALANCE (1-2) 293209.00 293209.00
4 DEDUCTIONS
a) Exemption conveyance allowance 0.00
a) Entertainment allowance:
b) Tax on Employment: 2400.00 2400.00
5 Aggregate of 4 (a&b) 2400.00 2400.00
INCOME CHARGEABLE UNDER THE
6 290809.00
HEAD SALARIES (3-5)
7 Add: Any other income reported by the employee. 0.00 0.00
8 GROSS TOTAL INCOME (6+7) 290809.00
9 Deductions under Chapter VI A
A, (a) Under 80C 32148.00
Gross Amount Qualifying Amount Deductible Amount
1 GPF A/C No. 6,968 31,428.00 31,428.00 31,428.00
2 APGLI No. ---- - - -
3 Group Insurance 720.00 720.00 720.00
4 Lic Policies Premium ---- ---- ----
5 Subscription to NSC VIII Issue ---- ---- ----
6 Tution Fee for 2 Children ---- ---- ----
7 Repayment of HBA instalments Rs ---- ---- ----
8 UTI Retirement Benefit Pension Fund. ---- ---- ----
9 ULIP ---- ---- ----
10 PLI ---- ---- ----
11 Public Provident Fund ---- ---- ----
12 Subscriptions made to Equity shares/Debentures. ---- ---- ----
13 Subscriptions made to any Mutual Fund (ELSS) ---- ---- ----
14 Subscription to Deposit Scheme of National Housing Bank ---- ---- ----
15 Fixed Deposites in Banks for morethan 5 years ---- ---- ----
16 LIC Annuity Plan (Jeevan Dhara etc.) ---- ---- ----
b 17LIC Pension fund U/s. 80CCC (Max. Rs. 10,000), LIC Annuity Plans ---- ---- ----

c 18Contribution to any Pension Scheme U/s. 80 CCD (Max. 10% of Salary) ---- ---- ----

19 Infraustructure Bonds (ICICI/IDBI etc)U/s 80CCF - - -

Note: Aggregate amount deductible under the three sections


32,148.00 32148.00
i.e.80C,80CCC,80CCD shall not exceed One Lakh Rupees and 80CCF Rs.20000

B. Deductions under other sections (80D,80DD,80DDB,80E,80G etc.) Under


40.00
Chapter VI A Qualifying Amount Deductible Amount
Section_ _ _ _ EWF/SWF Gross amount Rs_ _ _ _ _ _ _ _ 40.00 40.00
Section U/S. 80-D Gross amount Rs ----
Section U/S. 80-DD Gross amount Rs ---- ----
Section U/S. 80-DDB Gross amount Rs ---- ----
Section U/S. 80-E Gross amount Rs ---- ----
Section U/S. 80-G Gross amount Rs 0.00 0.00
Section U/S. 80-U Gross amount Rs ---- ----
Section Interest of HBA Gross amount Rs ---- ----
Aggregate of Deductible amount under Chapter
10
VI A (9A+9B)
11 Total Income (8-10)
12 TAX ON TOTAL INCOME
13 Education Cess (on Tax at S.No.12)

14 Secendory&Higher Education Cess (on Tax at S.No.12)

15 Tax Payable (12+13+14)

16 Relief U/Sec.89 attach details.

17 Tax payable (15-16)

18 Less :(a) Tax deducted at Source U/S.192(1)

(b) Tax paid by the employer on behalf the employee


U/Sec.192(IA) on prerequisites U/Sec.17(2)

19 Tax payable/refundable (17-18)

Details of Tax Deducted and Deposited into Central Government Account

Secendory &
Total Tax Date on which tax
Education Higher Cheque/DD BSR Code of Bank
Sl.No TDS No. Deposited deposited
Cess Rs. Education No. (if any) Branch
Rs. (DD/MM/YY)
Cess Rs.

I J.GOPAL RAO working in the capacity of HEAD MASTER do here by certify that a sum of Rs 10158 of IT (in words
Rupees ten thousands, one hundred fifty-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 accounts, documents
and other available records)

Place: ZPHS DURSHED Signature of The person responsible for


Dated : deduction of tax

Full Name: J.GOPAL RAO

Designation : HEAD MASTER


32188.00

258621.00
9,862
197

99

10,158

10,158

10158

ount
Transfer
Voucher/
Challan
Identification
No.

0158 of IT (in words


credit of the central
of accounts, documents

sponsible for
ENTER THE DETAILS OF ADVANCE TAX
PAID MONTH WISE
Sl No. Month Amount
1 Mar-10
2 Apr-10
3 May-10
4 Jun-10
5 Jul-10
6 Aug-10
7 Sep-10
8 Oct-10
9 Nov-10
10 Dec-10
11 Jan-11
12 Feb-11
ANNEXURE
Name of the Employee :
Designation :
Office/Branch :

HOUSE RENT ALLOWANCE EXEMPTION

Amount of allowance being received


:
from the Bank.

Address of the House occupied. :

a) Amount of H.R.A. :
b) Actual Rent paid Less 1/10th of Salary :
c) 40% of Salary :
Least of above (a),(b) and ( c ) i.e. :
( Rupees ten thousands, one hundred fifty-eight Only only)

I here by conform that I have actually incurred expenditure/Amount incurring expenditure as paymen
of rent in respect of the residential accommodation occupied by me and the amount of HRA exempted from
tax as above is calculated as per the relevant provisions of the income tax Act.

Place : ZPHS DURSHED


Date :

(1) For purpose of the above deductions "Salaries" means only basic pay, personal allowance and special
allowance ranking for the purpose of RP deductions, if any.
(2) Attachment receipt if HRA exceeds Rs. 3000/- per month
ANNEXURE
G. ASHOK
SA (M)
ZPHS DURSHED

H.NO. 10-2-6,
Vidya Nagar,
Karimnagar

48581.00
48917.00
116334.00
48581.00
ousands, one hundred fifty-eight Only only)

lly incurred expenditure/Amount incurring expenditure as payment


mmodation occupied by me and the amount of HRA exempted from
vant provisions of the income tax Act.

Signature

"Salaries" means only basic pay, personal allowance and special


eductions, if any.
s. 3000/- per month