FORM NO.

16A
[See rule 31(1)(b)]
Certificate of deduction of tax at source under section 203 of the Income-tax Act, 1961
For interest on securities; dividends; interest other than “interest on securities”; winnings from lottery or crossword puzzle ; winnings from horse race; payments to contractor
commission; payments to non-resident sportsmen/sports associations; payments in respect of deposits under National Savings Scheme; payments on account of repurchase of units b
India; commission, remuneration or prize on sale of lottery tickets; commission or brokerage; rent; fees for professional or technical services; royalty and any sum under section 28
payment of compensation on acquisition of certain immovable property; other sums under section 195; income in respect of units of non-residents referred to in section 196A; income
196B; income from foreign currency bonds or shares of an Indian company referred to in section 196C; income of Foreign Institutional Investors from securities referred to in section 19

Name and Address of the Person Acknowledgement Nos. of all Quarterly Statements of TDS under Name and address of the person to whom p
Deducting Tax sub-section (3) of section 200 as provided by TIN or NSDL web- made or in whose account it is credite
site Facilitation Centre

Quarter Acknowledgement No.

TAX DECDUCTION A/C NO. OF THE NATURE OF PAYMENT PAN NO. OF THE PAYEE
DEDUCTOR

PAN NO. OF THE DEDUCTOR FOR THE PERIOD

__________ TO ___________

DETAILS OF PAYMENT, TAX DEDUCTION AND DEPOSIT OF TAX INTO CENTRAL GOVERNMENT ACCOUN
(The Deductor is to provide transaction-wise details of tax deducted and deposited)
S. No. Amount paid / Date of Payment TDS Rs. Surcharge Rs. Education Cess Total Tax Cheque / DD No. (if BSR Code of
credited / credited Rs. Deposited Rs. any) Bank Branch

1
2
3
4
5
6
7
8
9
10
11
12

Certified that a sum of Rs. (in words) __________________________ has been deducted at source and paid to the credit of the Central Government

Place : Signature of the person respon

Date : Full Name
Designation
61
ents to contractors and sub-contractors; insurance
purchase of units by Mutual Fund or Unit Trust of
m under section 28(va); income in respect of units;
tion 196A; income from units referred to in section
red to in section 196D

son to whom payment

ount it is credited

HE PAYEE

ERIOD
___________

NT ACCOUNT

Date on which Tax Transfer Voucher /

deposited Challan Identification
(dd/mm/yy) No.

al Government as per details given above.

e person responsible for deduction of Tax

 Certificate No:
FORM NO. 16A
[See rule 31(1)(b)]
Certificate of deduction of tax at source under section 203 of the Income-tax Act, 1961
For interest on securities; dividends; interest other than “interest on securities”; winnings from lottery or crossword puzzle ; winnings from
horse race; payments to contractors and sub-contractors; insurance commission; payments to non-resident sportsmen/sports associations;
payments in re-spect of deposits under National Savings Scheme; payments on account of repurchase of units by Mutual Fund or
Unit Trust of India; commission, remuneration or prize on sale of lottery tickets; rent; fees for professional or technical services;
income in respect of units; other sums under section 195; income of foreign companies referred to in section 196A(2); income
from units referred to in section 196B; income from foreign currency bonds or shares of an Indian company referred to in section 196C;
income of Foreign Institutional Investors from securities re-ferred to in section 196D

Acknowledgement Nos. of all Quarterly

Name and address of the person Statements of TDS under sub-section (3) of Name and address of the person to wh
deducting tax section 200 as provided by TIN Facilitation payment made or in whose account it is c
Centre or NSDL web-site

Quarter Acknowledgement No.

TAX DEDUCTION A/C NO. OF THE DEDUCTOR NATURE OF PAYMENT PAN/GIR NO. OF THE PAYEE

PAN/GIR NO. OF THE DEDUCTOR FOR THE PERIOD

DETAILS OF PAYMENT, TAX DEDUCTION AND DEPOSIT OF TAX INTOCENTRAL GOVERNMENT ACCOUNT

Date on
Date of Education Total tax Cheque/D BSR Code of
Sr Amount TDS Surcharge which tax
payment/ Cess deposited D No. (if Bank
No. paid/credited (Rs.) Rs Rs. deposited
credit Rs. Rs any) branch
(dd/mm/yy)

- -
1 - -
2 - -
3 - -
4 - -
5 - -
6 - -
7 - -
8 - -
9 - -
10 - -
11 - -
12 - -
13 - -
14 - -
15 - -
16 - -
17 - -
18 - -
19 - -
20 - -

0 0 0 0 0

Certified that a sumUse

of Rs. (inour
here words)
num2text addin if you don't know then download it from Files area of our group. All the help on ho
has been deducted at source and paid to the credit of the Central Government as per details given above.

Signature of person responsible for deductio

Place : HYDERABAD. Full Name

Date : Designation

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FORM NO. 16A
[See rule 31(1)(b)]
source under section 203 of the Income-tax Act, 1961

Name and address of the person to whom

payment made or in whose account it is credited

PAN/GIR NO. OF THE PAYEE

FOR THE PERIOD

DEPOSIT OF TAX INTOCENTRAL GOVERNMENT ACCOUNT

Transfer
voucher/ Challan
Identification
No.

know then download it from Files area of our group. All the help on how to use and install is given with it.

Signature of person responsible for deduction of tax

 Certificat
FORM NO. 16
[See rule 31(1)(a)]
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at sourc
chargeable under the head “Salaries”
Name and address of the Employer Name and designation of the E

PAN No. of the Deductor TAN No. of the PAN No. of the Employe
Deductor

Acknowledgement Nos. of all quarterly statements of Period

TDS under sub-section (3) of section 200 as provided
by TIN Facilitation Centre or NSDL web-site
Quarter Acknowledgement No. From To

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTE
1 Gross salary
(a) Salary as per provisions contained in
section 17(1) Rs.
(b) Value of perquisites under section 17(2) (as per
Form No. 12BA, wherever applicable) Rs.
(c) Profits in lieu of salary under section
17(3) (as per Form No. 12BA,
wherever applicable) Rs.
(d) Total Rs.

2 Less : Allowance to the extent exempt under section 10

Allowance Rs.

Rs.
3 Balance (1 – 2) Rs.
4 Deductions :
(a) Entertainment allowance Rs.
(b) Tax on Employment Rs.
5 Aggregate of 4(a) and (b) Rs. -
6 Income chargeable under the head 'Salaries' (3 - 5) Rs.

5/14
 7 Add : Any other income reported by the
employee
Rs.

Rs.
8 Gross total income (6 + 7)
9 Deductions under Chapter VI-A
(A) sections 80C, 80CCC and 80CCD
Gross amount
(a) section 80C
(i) Rs.
(ii) Rs.
(iii) Rs.
(iv) Rs.
(v) Rs.
(vi) Rs.
Rs. -
(b) section 80CCC Rs.
(c) section 80CCD Rs.
Note :1. aggregate amount deductible under section 80C shall not exceed one lakh rupees
2. aggregate amount deductible under the three sections , i.e., 80C, 80CCC and 80CCD, shall not exceed one lakh rupees

(B) other sections (e.g., 80E, 80G etc.)

Under Chapter VIA
Gross Amount Qualifying Amount
(a) section Rs. Rs.
(b) section Rs. Rs.
(c) section Rs. Rs.
(d) section Rs. Rs.
(e) section Rs. Rs.
10 Aggregate of deductible amounts
under Chapter VI-A
11 Total income (8—10) Rs.

12 Tax on total income Rs.

13 Surcharge (on tax computed at S. No. 12) Rs.
14 Education Cess @ 2% on (tax at S. No. 12 plus surcharge at S. No. 13) Rs.
15 Tax payable (12+13+14) Rs.
16 Relief under section 89 (attach details) Rs.
17 Tax payable (15-16) Rs.
18 Less : (a) Tax deducted at source u/s 192(1) Rs.
(b) Tax paid by the employer on behalf of the
employee u/s 192(1A) on perquisites u/s 17(2)
Rs.

19 Tax payable/refundable (17-18)

6/14
 DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCO
(The Employer is to provide transaction-wise details of tax deducted and deposited)
S. No. TDS Surcharge Education Total tax Cheque/DD BSR Code of Bank
Cess deposited No. (if any) branch

Rs. Rs. Rs. Rs.

1
2
3
4
5
6
7
8
9
10
I _________________, son/daughter of ____________________ working in the capacity of ___________________ (des
certify that a sum of Rs. _______________ [Rupees _________________ (in words)] has been deducted at source
credit of the Central Government. I further certify that the information given above is true and correct base
account, documents and other available records.

Place

Date
Signature of the person responsib
Full Name

Designation

556600 #MACRO?

7/14
 Certificate No.

ed at source from income

ation of the Employee

the Employee

Assessment year

X DEDUCTED

-
-

8/14
 -
Rs. -

Deductible amount

Rs. -
Rs.
Rs.

ne lakh rupees

Deductible Amount
Rs.
Rs.
Rs.
Rs.
Rs.
Rs. -

Rs. -

Rs.
Rs. -
Rs. -
Rs. -
Rs.
Rs. -

Rs. -
Rs. -

9/14
NMENT ACCOUNT
nd deposited)
Date on Transfer
which tax voucher/
deposited Challan
(dd/mm/yy) Identification
No.

_________ (designation) do hereby

cted at source and paid to the
d correct based on the books of

son responsible for deduction of tax

10/14
 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

Shri./Smt.

PAN No. of the Deductor TAN No. of the Deductor PAN No. of the Employee

Acknowledgement Nos. of all quarterly statements of TDS under sub-section (3) of section 200
as provided by TIN Facilitation Centre or NSDL web-site
Quarter Acknowledgement No. Period
Assessm
From To

1/4/2007 31/03/2008 200

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary
(a) Salary as per provision containing in section 17 (1) Rs.
(b) Value of perquisites u/s 17 (2) Rs.
(as per Form No.12BA,wherever applicable)
(c ) Profit in lieu of salary under section 17(3) Rs.
(as per Form No. 12BA,wherever applicable )
(d) Total Rs. -

2 Less:Allowances to the extent exemt u/s 10

Rs
Rs Rs. -
3 Balance ( 1- 2 ) Rs. -
4 Deductions u/s 16
(a ) Entertainment allowances Rs.
(b ) Tax on Enployment Rs.
5 Aggregate of 4 (a) and (b ) Rs. -
6 Income Chargeable under the head "Salaries " (3 - 5) Rs.
7 Add: Any Other Income reported by the employee
Rs.
Rs. Rs.
8 Gross total Income ( 6 + 7 ) Rs.
9 Deduction under Chapter VI-A
(A) Section 80C, 80CCC, and 80CCD
(a) section 80C Gross Amount Deductible Amount
(ii) Providend Fund Rs.
(ii) Rs.
(iii) Rs.
(iv) Rs.
(v) Rs.
(vi) Rs. Rs. - Rs. -
( b ) section 80CCC Rs. Rs. -
( c ) section 80CCD Rs. Rs. Rs.
 Page 2
(B) Other sections (for e.g. 80E, 80G etc)under Chapter VIA
Section Gross Amount Qualifying Amount Deduction Amount
(a) Rs. Rs. Rs.
(b) Rs. Rs. Rs.
( c) Rs. Rs. Rs.
(d) Rs. Rs. Rs.
(e) Rs. Rs. Rs. Rs.
10 Aggregate of deductible amounts under chapter VI- A Rs.
11 Total Income ( 8 - 10 ) Rs.
12 Tax on Total Income Rs.
13 Surcharge (on tax computed at S .No. 12) Rs.
14 Education Cess (on tax at S. No.12 and surcharge at S. No.13) Rs.
15 Tax payable (12+13+14) Rs.
16 Relief under section 89 (attach details) Rs.
17 Tax Payable (15 - 16) Rs.
18 Less:
(a) Tax deduction at source u/s 192(1) Rs. -
(b) Tax paid by the employer on behalf of the Rs.
employee u/s 192(1A) on perqusites u/s 17(2) Rs.

19 Tax payable /(refundable) (17 - 18 ) Rs.

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

Education Total tax Transfer

Cheque / DD No. ( B S R Code of Date on which tax
S.No TDS Rs Surcharge Rs Cess deposited Challan Id
if any) Bank branch deposited dd/mm/yy
Rs Rs N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12
Total -

Use here our num2text addin if you don't know the

I son of working
download in itthefrom
capacity
Filesof Accounts
area Manager
of our group. Alldesign
the h
do hereby certify that a sum of Rs - /- {Rupees in words} to use and install is given with it.
has been deducted at source and paid to the credit of the Cental Government. I further certify that the information
given above is true and correct based on the books of account, document and other available records

Place: HYDERABAB. Signature of the person responsible for deduction

Date: Full Name:
Designation :

Fields coloured grey are fomula driven For comments send mail to: mallik_ca@yahoo.com
ORM NO. 16
See rule 31(1)(a)]
Income-tax Act, 1961 for tax deducted at source
geable under the head “Salaries”
Name and designation of the Employee

PAN No. of the Employee

###
###
Assessment Year ###

2008-09

ANY OTHER INCOME AND TAX DEDUCTED

-
-

-
 Page 2

-
-
-

-
-
-
-

-
-

POSITED INTO CENTRAL GOVERNMENT ACCOUNT

Transfer Voucher /
Challan Identification
No.

Use here our num2text addin if you don't know then

working
download in itthefrom
capacity
Filesof Accounts
area Manager
of our group. Alldesignation
the help on how
to use and install is given with it.
Government. I further certify that the information
document and other available records

Signature of the person responsible for deduction of tax

mallik_ca@yahoo.com