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SAVING PROFORMA OF INCOME TAX CALCULATION

FOR QUARTERLY

RETURN

Financial Year 2012-13 1. 2. 3. 4. Name of the Employee: Designation: Date of Birth: Residential Address'; S/o. % Branch PAN No.: Ph. No. -.,-

Assessment Year 2013-14 _ _ _ _

REBATE
1. Do you want to get the benefit of HRA from salary u/s 10 (13-A) INCOME FROM OTHER SOURCE 2. Do you have income from other sources, if yes please mention (i) Interest on NSC, N.SS, F.D, Bank and loan to friends & relatives: (ii) Family pension. (iii) Income from House Property DEDUCTIONS FROM SALARY Do you want to avail the rebate on HBL interest? If yes, please mention the amount of interest (approximately) Yes No

Rs Rs. .. Rs ;

. . .

3.

Yes Rs

No .

4.

Do you want to avail the rebate for, handicapped dependent or yourself being handicapped u/s 8800 and eou
f!.. ..
1.

Yes __

No __

Disability 5.

Rs. 50,000 _.__

Severe Disability Rs. 1,00,000 __ Yes . Rs Yes . Rs No __ ~ No __ ~ . .

Do you want to deduct Entire amount of interest paid on a loan taken for higher Education U/s 80E, please mention the amount of interest Tapproximately) if yes Have you do'nated to relief funds u/s 80G; Please mention the amount of donation, if yes (attach the documentary proof) .

6.

SAVINGS UNDER SECTION SOC & SOCCF Maximum savings u/s aoc is Rs. 1,00,0001- and aOCCF is Rs. 20,0001- How much saving will you make for the assessment year 2013-14 Please mention the amount Rs . (Includes GPF, GIS, L1C HBL Installment, New NSC, ICICI Bonds, Tuitions Fee. (Jeevan Suraksha Plan, etc.)

Signature of Employee .........................

Note: All columns are mandatory

For Salary Section

Total Salary Less HRA Income from other sources Gross Total Incomes Saving u/s aoc Total Taxable Income Dealing Hand Rs : Rs................. Rs Rs... Rs , Rs . Tax Due Edu. Cess @ 3% Total Tax Three Months Salary Tax to be deducted per month Rs Rs Rs Rs Rs . . . . : .

Superintendent AlC-I