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10 Education Cess @ 3% 0
11 Total Tax 0
Less : T.D.S
12 Tax Deducted at Source November 0
13 Tax Deducted at Source December 0
14 Tax Deducted at Source January 0
15 Tax Deducted at Source February 0
16 Total T.D.S. (13 to 16) 0
Net Tax Payable 0
Refund 0
FORM NO. 16
[See
Certificate under section 203 of the Income-tax Act,rule 31(1)(a)]
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
PATEL JITENDRAKUMAR AMRUTLAL PATEL JITENDRAKUMAR AMRUTLAL
Smt.M.K.Patel High School&Smt A.S.J.Patel
ASST.TEACHER
H.S.School,Gozaria.
PAN/GIR NO. TAN
AGDPP3561E 1245
Period Assessment year
TDS Circle where Annual Return/Statement under section From To
206 is to be filed Mehsana Apr-09 31-Mar-10 2010-11
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1 Gross salary
(a) Salary as per provisions contained in sec. 17(1) 145200
(b) Value of perquisities u/s 17(2) (as per Form No. 12BA, wherever
applicable)
(c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA,
wherever applicable)
(d) Total 145200
2 Less : Allowance to the extent exempt under section 10
Proffesion Tax 10000
Home Rent Paid 10000
20000
3 Balance (1-2) 125200
4 Deductions :
(a) Entertainment allowance :
(b) Tax on Employment :
5 Aggregate of 4(a) and (b) 0
6 Income chargeable under the head ‘Salaries’ (3-5) 125200
7 Add : Any other income reported by the employee 258 258
8 Gross total income (6+7) 125458
9 Deductions under Chapter VIA Gross amount Deductible amount
(A) sections 80C, 80CCC and 80CCD
(a) section 80C
General Provident Fund u/s 80C 50000
State Government Insurance 0
Postal life insurance 0
LIC Premium u/s 80C 0
National Saving Certificates (NSC) u/s 80C 0
Accrued Interest on NSC u/s 80C 0
Group Insurance 0
Public Provident Fund u/s 80C 0
Filled Amount Of Home Loan 0
Education Fees 0
(b) section 80CCC
(c) section 80CCD
Total : 0 50000
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 (for e.g., 80E, 80G etc.) under Chapter VIA
Gross amount Qualifying amount Deductible amount
(a) section 80D (Mediclaim) Rs. Rs. Rs. 2400
(b) section 80G(Rilif Fund) Rs. Rs. Rs. 0
(c) section u/s 24(Home Loan interest) Rs. Rs. Rs. 10000
(d) section Rs. Rs. Rs.
(e) section Rs. Rs. Rs.
Total : Rs. 12400
10 Aggregate of deductible amounts under Chapter VI-A 62400
11 Total income (8-10) 63058
12 Tax on total income 0
13 Surcharge (on tax computed at S. No. 12)
14 Education Cess (on tax at S. No. 12 and surcharge at S. No. 13) 0
15 Tax payable (12+13+14) 0
16 Relief under section 89 (attach details)
17 Tax payable (15-16) 0
18 Less : (a) Tax deducted at source u/s 192(1) 0
(b) Tax paid by the employer on behalf of the employee u/s 192
(1A) on perquisites u/s 17(2)
19 Tax payable/refundable (17-18) 0
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
Education Total tax Cheque/DD BSR Code of Date of which tax
S. No. TDS Surcharge Cess Rs. deposited Rs. No. (if any) Bank branch deposited (dd/mm/yy)
0 0 0
Date:
10 Education Cess @ 3% 34
11 Total Tax 1183
Less : T.D.S
12 Tax Deducted at Source November 0
13 Tax Deducted at Source December 0
14 Tax Deducted at Source January 0
15 Tax Deducted at Source February
16 Total T.D.S. (13 to 16) 0
Net Tax Payable 1183
Refund -1183
FORM NO. 16
[See
Certificate under section 203 of the Income-tax Act,rule 31(1)(a)]
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
JITENDRAKUMAR AMRUTLAL PATEL JITENDRAKUMAR AMRUTLAL PATEL
Smt.M.K.Patel High School&Smt A.S.J.Patel
ASST.TEACHER
H.S.School,Gozaria.
PAN/GIR NO. TAN
AGDPP3561E 123456789
Period Assessment year
TDS Circle where Annual Return/Statement under section From To
206 is to be filed Mehsana Apr-09 31-Mar-10 2010-11
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs.
1 Gross salary
(a) Salary as per provisions contained in sec. 17(1) 275670
(b) Value of perquisities u/s 17(2) (as per Form No. 12BA, wherever
applicable)
(c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA,
wherever applicable)
(d) Total 275670
2 Less : Allowance to the extent exempt under section 10
0
0
0
3 Balance (1-2) 275670
4 Deductions :
(a) Entertainment allowance : (Home Rent Paid) 0
(b) Tax on Employment : PROFESSION TAX 2400
5 Aggregate of 4(a) and (b) 2400
6 Income chargeable under the head ‘Salaries’ (3-5) 273270
7 Add : Any other income reported by the employee 1150 1150
8 Gross total income (6+7) 274420
9 Deductions under Chapter VIA Gross amount Deductible amount
(A) sections 80C, 80CCC and 80CCD
(a) section 80C
General Provident Fund u/s 80C 66036
State Government Insurance 0
Postal life insurance 1536
LIC Premium u/s 80C 42397
National Saving Certificates (NSC) u/s 80C 0
Accrued Interest on NSC u/s 80C 0
Group Insurance 0
Public Provident Fund u/s 80C 0
Filled Amount Of Home Loan 0
Education Fees 0
(b) section 80CCC
(c) section 80CCD
Total : 109969 100000
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 (for e.g., 80E, 80G etc.) under Chapter VIA
Gross amount Qualifying amount Deductible amount
(a) section 80D (Mediclaim) Rs. Rs. Rs. 2928
(b) section 80G(Rilif Fund) Rs. Rs. Rs. 0
(c) section u/s 24(Home Loan interest) Rs. Rs. Rs. 0
(d) section Rs. Rs. Rs.
(e) section Rs. Rs. Rs.
Total : Rs. 2928
10 Aggregate of deductible amounts under Chapter VI-A 102928
11 Total income (8-10) 171492
12 Tax on total income 1149
13 Surcharge (on tax computed at S. No. 12)
14 Education Cess (on tax at S. No. 12 and surcharge at S. No. 13) 34
15 Tax payable (12+13+14) 1183
16 Relief under section 89 (attach details)
17 Tax payable (15-16) 1183
18 Less : (a) Tax deducted at source u/s 192(1) 0
(b) Tax paid by the employer on behalf of the employee u/s 192
(1A) on perquisites u/s 17(2)
19 Tax payable/refundable (17-18) 1183
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
Education Total tax Cheque/DD BSR Code of Date of which tax
S. No. TDS Surcharge Cess Rs. deposited Rs. No. (if any) Bank branch deposited (dd/mm/yy)
0 0 34
Date: ___/03/2010
65 Years of Age
NIL
10% of the amount by which total income exceeds Rs 1,60,000
Rs 14,000 plus 20% of the amount by which total income exceeds Rs 3,00,000
Rs 54,000 plus 30% of the amount by which total income exceeds Rs 5,00,000
NIL
10 per cent
20 per cent
30 per cent
ns
NIL
10 per cent
20 per cent
30 per cent