Name of the Institution: Office of the Executive Engineer (R&B)

(R&B) .Division, Rajahmundry

INCOME TAX 2015-16.
ANNEXURE - I
1) Name and Designation of the Govt. Servant Sri. K. Suresh,
Asst. Exe. Engineer (R&B)
with the deatiled residential address Kunche Basu, Door No. 7-8-41

Samalkot,E.G.Dt.

Permanent Account No. :

Employee ID No : 0375960

2) Whether living in OWN HOUSE or rented house, : Rented Rs. 6000/PM

if rented house actual rent paid per annuam (A declaration
regarding payment of house rent shall be recorded)
3) Pay and allowances including HRA paid or payable
including value of rent free accommodation for the
year 2015-2016 (Salaries of March, 2015 to February, 2016)
including income from other sources and including arrears
shall be enclosed) : Rs.551,884

4) H.R.A. exemption U/S. 10 (13A)

A) Actual amount of HRA received during 2015-16 : Rs.61,074
B) Excess of rent paid over and above 10% of Basic pay i.e., : Rs.25,160
i) Actual rent paid per annum : Rs. -- ,72,000
ii) 10% Basic Pay per annum : Rs. -- 46,840 .
Excess rent paid (i - ii) Rs. 25,160 Rs.25,160
Deduct (A) or (B) whichever is less for HRA exemption :
5) Gross salary income for 2015-2016 (Col. 3-4) : Rs.526,724
(Note: No Standard deduction is allowed as per new I.T.Rules)
6) Less profession tax paid : 2,400
7) Loss on Self occupied house property.
Interest on housing loan where the house is self occupied
and HRA exemption is not claimed :
8) Income chargable under Head Salaries / Col.5-(6+7) : Rs.524,324

9) Add any other income received by the Employee.Specify

the details Interest on Previous NSCs :
Bank Deposits if any :
Income from house property :

10) Gross Total Income (Col. 8+9) : 5,24,324

11) Deduction under Chapter VI-A

A) U/Section 80-D :
B) U/Section 80-DD :
C) U/Sec.80.G (50% on donation to institutions recorgnised
by the IT Department (Subject to minimum of Rs.250/- : EWF Rs.20
(Donation to CM Relief Fund 100% exemption if any) SWF Rs.50
D) U/Section 80U :
E) U/Section 80 DDB :
F) U/Section 80 E - Interest on Education loan
G) U/S.80C (as furnished at Col.No.15 at Page No.2) : ,76,573
:
12) Aggregate of deductable amount under Chapter VI - A : Rs.76,643
:
13) Net taxable income (Col. 10-12) : Rs.447,681

14) INCOME TAX ON TOTAL INCOME AT COL.NO.13 : Rs.19,768

 Tax RebateU/S 97A

:: 2 ::

15) Aggregate of Savings under Section 80 - C

i) GPF/CPS : Rs.46,842
ii) APGLI : --
iii) PLI :
iv) LIC (General): :
:
v) LIC Jeevan Suraksha etc., U/s 80-CCC : Rs.28,591
vi) G.I.S. : Rs.1,140
vii) U.L.I.P :
viii) EHS :
ix) N.S.C's :
x) Interest on previous N.S.C's :
xi) Tution fee of children: :
xii) Repayment of house building loan :
xiii) Equity linked savings scheme :
xiv) ICICI Savings Bonds :
IDBI Flexi Bonds :
Any other deductions as specified by the IT Dept. :
(Total deduction amount subject to a maximum of
Rs.1.00 lakh only)
TO TAL : Rs.76,573

16) Income tax actually to be paid (at Col.14) : Rs.,17,768/-

17) Add Education cess @ 3% on income tax at Col.16 : Rs.,533/-
18) Total Income tax payable for the year 2015-16 : Rs.,18,301/-
19) Amount of Tax already paid if any upto January, 2016 : Rs.,7,500/-
20) Tax to be deducted from salary for the month of Feb.2016 : ---

TO TAL : Rs.,10,801/-

RENT DECLARATION

I, Sri.K.Suresh, A.E.E. (R&B) Buildings Section, Peddapuram

do here by declare that I am paying a monthly rent of Rs. 6000/-
(Rupees Six thousand only) towards my residential accomidation bearing
Door No. 7-8-41 balusula peta samalkot
E.G.Dstr.
Certified that the particulars furnished in this annexure are true and correct.

Signature & Designation

(K.Suresh)
Station Assistant Executive Engineer
O/o the Dy. Executive Engineer (R&B)
Date (R&B) Sub Division, Peddapuram
NCOME TAX 2015-16.
ANNEXURE - I
Sri. K. Suresh,
Asst. Exe. Engineer (R&B)
Kunche Basu, Door No. 7-8-41

Samalkot,E.G.Dt.
 Signature & Designation
(K.Suresh)
Assistant Executive Engineer
O/o the Dy. Executive Engineer (R&B)
(R&B) Sub Division, Peddapuram
 DETAILS OF INCOME DURING THE YEAR 2015 - 2016.
(From 01-03-2015 to 29-02-2016)
Name : SURESH KONKEY
Designation : Assistant Executive Engineer
Sl. EHF_SU
Month Year BPay DA HRA IR Gross GIS PT IT CPS Deductions NET
No BS
1 Mar 2015 16600 12931 2407 4482 36420 60 200 300 2953 120 3633 32787
2 Apr 2015 16600 12931 2407 4482 36420 60 200 300 2953 120 3633 32787
3 May 2015 16600 12931 2407 4482 36420 60 200 300 2953 120 3633 32787
4 Jun 2015 16600 12931 2407 4482 36420 60 200 300 2953 120 3633 32787
5 Jul 2015 16600 12931 2407 4482 36420 60 200 300 2953 120 3633 32787
6 Aug 2015 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
7 Sep 2015 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
8 Oct 2015 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
9 Nov 2015 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
10 Dec 2015 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
11 Jan 2016 38130 3397 5529 0 47056 120 200 1000 4153 120 5593 41463
12 Feb 2016 38130 3397 5529 0 47056 120 200 4153 120 5593 41463
13 PRC 2016 16468 13588 10336 0 40392 3006 37386
Arrears
Total 366378 102022 61074 22410 551884 1140 2400 7500 46842 1440 57316 491562

DETAILS OF PAY & ALLOWANCES FROM 1st MARCH, 2015 TO 29th FEBRUARY 2016.
01) Total Gross Salary including H.R.A. During the year 2015-16 (As per th Rs.551,884 /-
02) Amount if any received from other sources (other than salary) such as e NIL
paper valuation etc., during the year -----------------
Rs.551,884 /-
------------------

SIGNATURE OF THE GOVT. EMPLOYEE

(K.Suresh)
Assistant Exe. Engineer (R&B)
(R&B) Buildings Secion
Peddapuram