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ID No.

M/F

Name

Designation

Office

Gazetted / Non-Gazetted

Pay Card No.

PAN

A B C D

Handicapp Yes / No

3454 1974 Gazetted Non-Gazetted

Date of Birth (For Sr. Citizen Slab)

IT Calculation required upto Retirement / Death / Vol. Ret.

No

Ashish Kr. Gupta, Cashier, AFFPD (9873100176, Email: ashish100176@gmail.com)

CDA Gp

Post Group Like A, B, C & D

Basic Pay as on 1-Jan-11

Basic Pay as on 1-Feb-11

Basic Pay as on 1-Mar-11

Incr. Date (1st Change) (dd-mm-yyyy)

New Basic after earning Inc.

Incr. Date (2nd Change) (dd-mm-yyyy)

New Basic after 2nd Change

Misc. Income Monthly Rs.

Post Group If Subs. Change from Jan. 2012

Grade Pay as on 1-Feb-11

Grade Pay as on 1-Mar-11

Jul 2011

3.00%
New GP after changing

0.00%
Misc Income (Pay Arrears) Date Pay Arrear Rs.

Grade Pay as on 1-Jan-11

1st Change in Grade Pay (dd-mm-yyyy)

2nd Change in Grade Pay (dd-mm-yyyy)

New GP after changing

Incr. Date (3rd Change) (dd-mm-yyyy)

New Basic after 3rd Change

Misc Income (RTF) Date RTF Rs.

Misc Income (Pay Arrears) if any Date Pay Arrear Rs.

Govt. Accomm. Yes / No at the Beginning of the Year

If Govt. Accomm. allotted during the Year Date of Allotment

HRA Rebate Yes / No

Residence in Delhi Yes / No

Monthly Average Rent

No 01-1-1900 31-12-2010
Recovery Leave Encashment (if any) Pay & Allow. Date Amount Rs. Rs. If Govt. Accomm. Additional Rebate on Transport Amount surrendered during the Year Date of Surrender Rs.

No 1/Jan/1900 -1

1 Total Loan Sanctioned Rs.

1900

If HBA No. of Instts. Paid upto Feb 2011

01-1-1900 31-12-2009

1/Jan/1900 0

If HBA Released during the FY 1 1900

1-2-1900

PF Deduction as on 31-Mar-11

PF Ded. 1st Change (dd-mm-yyyy)

New PF Deduction after 1st Change

PF Ded. 2nd Change (dd-mm-yyyy)

New PF Deduction after 2nd Change

Taxable Income Mar. Apr. May

1-2-1900 Equal Monthly Instalment (EMI) Rs. #VALUE! Rate of Interest as per Govt. Letter Rs. Accrued Interest Rs. No
PF Arrear 2nd Change PF Arrear (1st Amt.)

If HBA taken from Bank / Fin. Inst. Actual Int. Paid as Prin. Part Paid per Bank Letter during F.Y. 11-12 Rs. Rs.

Inco Annual R Val Rs

New Pension Scheme (NPS) #VALUE! #VALUE!


PF Arrear 1st Change PF Arrear (1st Amt.)

Income Tax Paid

Jun.

Jul.

Aug.

Sept.

Oct.

Income other than Salaries Medical Reimb. Taxable Amount Exceeding Rs. 15,000/of Interest

Payment of Tuition Fee Other Misc. Income

NSC

ome from House Property Mun. Taxes Paid alue upto March 2012 Rs. Rs.

Recovery

PPF

LIC Premium

PLI

ULIP

Long Term Infrastructure Bonds u/s 80 CCF

LIC Jeevan Suraksha 80-CCC

Mediclaim 80-D

Donation 80-G

Other Ded.

Relief u/s 89 CGHS Deduction Transport Allow. Yes Yes

INCOME TAX STATEMENT FOR THE YEAR 2011-12


1 ID No. 0 Name: Desig: 0 GPF of Individual Contribution to NPS (j) Pay Card No. HBA / Housing Loan Refund (l) 0 CDA Gp: 0

Month

Basic Pay

Grade Pay (b) -

DA (45%, 51% & HRA (30%) 58%) (c) (d) -

Transport Allowance (e) -

GPF of Govt. Contribution to NPS (f) -

Misc. Allow.* (g) -

Total

CGEIS

CGHS Cont. (m) -

Mar 2011 Apr 2011 May 2011 Jun 2011 Jul 2011 Aug 2011 Sep 2011 Oct 2011 Nov 2011 Dec 2011 Jan 2012 Feb 2012 Total

(a) -

(h)

(k) -

Education Cess Income (3% of Tax Paid Income Tax) (n) (o) -

Remarks

(p)
DA Arrear

DA Arrear

Notes:- * Misc - Bonus, RTF, OTA, Honorarium, Arrears, Cash Handling Allowance etc. should be shown in this column)

(a) (b) (c) (d) (e) (f) (g)

Basic Pay Grade Pay D.A. H.R.A. Transport GPF of Govt. Cont. to NPS Misc. Total Emoluments Exempted Amount of Transport Recovery P&A Net Emoluments

45% 51% 58%

6% 7%

Less: Less:

Ashish Kr. Gupta, Cashier, AFFPD, ashish100176@gmail.com

Office of JS (Trg) & CAO Income Tax Statement (2011-12)


ID No: 1. 2. NAME: PAN No: : ) Rs. -

Total Salary Income (Excluding Transport Allowance of Less: Rebate on HRA (u/s 10) (a) HRA Received (b) 40% of Salary (c) HRA Paid excess of 10% Salary Rent Receipt - Rs. Gross Income under the head 'Salaries' (1-2) Income under any head other than 'Salaries'

Rs. Rs. Rs. Rs.

: : : : : :

Rs. Rs. Rs.

3. 4. 5.

Income from House Property Annual Rateable Value Rs. Less: Municipal Taxes Paid upto March 2012 Rs. Net Annual Rateable Value Rs. (i) Less: 30% of Net Annual Rateable Value Rs. (ii) Less: Accrued Interest of HBA or Actual Interest Rs. Paid to Bank for Housing Loan (u/s 24 (b)) Net Income from House Property Gross Total Income [ (3+4+5 ] Deductions under Chapter VI A:(a) Deductions under Section 80-C (i) Subscription to GPF (ii) CGEIS Contribution (iii) Principal Comp. of HBA / Housing Loan Rec. (iv) Payment of Tuition Fees (Ltd. to two children) (v) NSC (vi) PPF (vii) LIC Premium (viii) PLI (ix) ULIP Total of the above (Limited to Rs. 100,000/-) (b) Under Section 80-CCC (Maximum Rs. 10,000/-) LIC Jeevan Suraksha or equivalent plan of any other Insurer (c) Under Section 80-CCD (i) Individual Contribution to New Pension Scheme (d) Under Section 80-CCF (Maximum Rs. 20,000/-) Long Term Infrastructure Bond
Page 1 of 2

Rs. Rs. Rs.

6. 7.

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

: : Rs. Rs. -

: :

Rs. Rs.

Ashish Kr. Gupta, Cashier, AFFPD, ashish100176@gmail.com

8.

Aggregate of 7(a) + 7(b) + 7(c) + 7(d) (U/s 80-CCE) (Maximum limited to Rs. 1,20,000/-) Govt.'s Contribution to New Pension Scheme (Under Section 80-CCD (ii)) Additional Deductions under Chapter VIA- under Section 80D, 80DD, 80DDB, 80E, 80G & 80U) (i) Mediclaim / Cont. to CGHS (80D) Rs. (ii) Donations (80G) Rs. (iii) Others (Please specify) Rs. Total Deductions under Chapter VI A (8+9) Net Taxable Income (6-10) (Rounded off to nearest multiple of Rs. 10/-) Tax on Net Taxable Income Educational Cess (3% of Ser 12) Tax payable (12+13) Rebate u/s 89 Tax payable (14-15) Income Tax already recovered upto Oct 2011 Education Cess already recovered upto Oct 2011 Balance Income Tax to be deducted Balance Education Cess to be deducted

Rs.

9.

: : : :

Rs. Rs.

10.

11. 12.

Rs. Rs.

13. 14. 15. 16. 17. 18.

: : : : : : : : :

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

19.

20.

Rate of Recovery of Balance Tax due: Nov-11 Dec-11 Jan-12 Feb-12 Rs. Rs. Rs. Rs. Income Tax Nil Nil Nil Nil Education Cess Nil Nil Nil Nil

() 0 Date: January 13, 2012 Office: 0

Page 2 of 2

Ashish Kumar Gupta, Cashier, AFFPD, 9873100176

Certificate under section 203 of the Income - Tax Act, 1961

FORM NO. 16
[ See rule 31 (1) (a)]

for Tax Deducted at Source from Income Chargeable under the Head "Salaries"

Name and Address of the Employer

Name and Designation of the Employee

Office of JS (Trg) & CAO Ministry of Defence New Delhi - 110 011

PAN/GIR NO.

TAN

DELO02574F

PAN/GIR NO.

TDS Circle where Annual Return/Statement under section 206 is to be filed

40 (1)

PERIOD FROM 01-04-2011 TO 31-03-2012

ASSESSMENT YEAR 2012-2013

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

1.

GROSS SALARY* (a) Salary as per provisions contained in section 17 (1) (b) Value of perquisites under section 17(2) (as per Form No. 12 BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No. 12 BA, wherever applicable) Rs. (d) Total Less: Allowance to the extent exempt under Section 10 Rebate on HRA

Rs. Rs.

Rs.

2.

Rs.

Rs. -

3. 4.

BALANCE (1-2) DEDUCTIONS : (a) Entertainment Allowance (b) Tax on Employment AGGREGATE OF 4 (a) and (b) INCOME CHARGEABLE UNDER THE HEAD SALARIES (3-5) ADD : Any other income reported by the Employee (a) Taxable amount of Interest Rs. (b) Income/Loss from House Property Rs. (c) Other Misc. Income Rs. GROSS TOTAL INCOME (6+7)

Rs.

Rs. Rs.

Rs. Rs. -

5. 6.

7.

Rs.

Rs. Rs.

8.

Page (1 of 2)

Ashish Gupta, Cashier, AFFPD, 9873100176

9.

DEDUCTIONS UNDER CHAPTER VI-A (A) Sections 80C, 80CCC and 80CCD
GROSS AMOUNT DEDUCTIBLE AMOUNT

a. SECTION 80C (i) GPF (ii) CGEIS (iii) HBA Principal / Housing Loan (iv) NSC / Mutual Fund / Bonds (v) LIC Premium (vi) Tuition Fee (vii) PPF (viii) ULIP / PLI (ix) Interest on NSC b. SECTION 80CCC c. SECTION 80CCD (i) d. SECTION 80CCF Total of the above (Limited to Rs. 1,20,000/-) Note: 1.Aggregate amount deductible u/s 80C shall not exceed one lakh rupees. 2. Aggregate amount deductible under the three sections, i.e., 80C, 80CCC and 80CCD (i) shall not exceed one lakh rupees. (B) SECTION 80CCD (ii) - Govt. Contribution to NPS (C) Other Section (for e.g. 80E, 80G etc under Chapter VI-A

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs.

Rs.

Rs.

GROSS AMOUNT

QUALIFYING AMOUNT

DEDUCTIBLE AMOUNT

(i) (ii) (iii) (iv)

Section - 80D Mediclaim / Cont. to CGHS Section - 80G Donations Section Section Total of the above
AGGREGATE OF DEDUCTIBLE AMOUNT UNDER CHAPTER VI-A

Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs.

10. 11. 12. 13. 14. 15. 16. 17.

TOTAL INCOME (8-10) TAX ON TOTAL INCOME


EDUCATION CESS (on Tax at S.No.12)

TAX PAYABLE (12+13) RELIEF u/s 89 (attach details) TAX PAYABLE (14-15) LESS: (a) Tax deducted at Source u/s 192 (1) (b) Tax Paid by the Employer on behalf of the Employee u/s 192 (1A) on perquisites u/s 17(2)

18.

TAX PAYABLE / (REFUNDABLE) (16-17)

Rs.

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT Nil Through Book adjustment by CDA (HQ), New Delhi.

#N/A

4/1/2012 1-4-2012 Date: Jan 2012 .................................................................................................... Signature of the person responsible for deduction of tax Full Name ..................................................................................... Place: NEW DELHI Designation ....................................................................................
Ashish Gupta, Cashier, AFFPD, ashish100176@gmail.com

Page (2 of 2)

CALCULATION OF INTEREST ACCRUED ON HBA DURING THE YEAR 2011-2012


1 House Building Advance Released 2 Rate of HBA Recovery 3 Number of Instalment Paid till Feb. 2011 4 Outstanding HBA as on Mar 2011 5 Rate of Interest (%) : : : : : 0 0 0 0 0.00% Recovery 0 0 0 0 0 0 0 0 0 0 0 0 Total I.B.B. Total I.B.B. during the year 2011-2012 Interest accrued during the Current Year (Total I.B.B. x Rate of Interest x 1/12) : : 0x0x1 100 x 12 0 1,200 Interest Bearing Balance -

Month 31 30 31 30 31 31 30 31 30 31 31 29 0 March 2011 April 2011 May 2011 June 2011 July 2011 August 2011 September 2011 October 2011 November 2011 December 2011 January 2012 February 2012

Amount Balance 0 0 0 0 0 0 0 0 0 0 0 0

: :

Created by: Ashish Kumar Gupta, Cashier, AFFPD, 9873100176

CALCULATION OF ACTUAL INTEREST PAID ON HBA DURING THE YEAR 2011-2012 1 Outstanding HBA as on March 2011 2 Rate of HBA Recovery : :

Month March 2011 April 2011 May 2011 June 2011 July 2011 August 2011 September 2011 October 2011 November 2011 December 2011 January 2012 February 2012

Amount Balance 0 0 0 0 0 0 0 0 0 0 0 0 Total :

Interest 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Interest Rate 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Misc. Charges

Total 0 0 0 0 0 0 0 0 0 0 0 0

Insttalment 0 0 0 0 0 0 0 0 0 0 0 0 0

Total Amount Paid during the Financial Year 2011-12 Actual Interest Paid during the Financial Year 2011-12 Misc. Charges Paid during the Financial Year 2011-12 Principal Part of HBA Paid during the Financial Year 2011-12

Created by: Ashish Kumar Gupta, Cashier, AFFPD, 9873100176