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EMPLOYEE PERSONAL DETAILS
DESIGNATION TYPIST
MANDAL/DISTRICT ELLANTHAKUNTA
Employee ID No 123456
KARIMNAGAR
KARIMNAGAR
SALARY DETAILS
Basic Pay on
10300
Jan-2011
Spl 210
FP/PP 0
15 days
Aug-11
MONTHLY DEDUCTIONS
b) APGLI Deductions 0
g) Repayment of HBA
0
instalments.
h) LIC Annuity Plan (Jeevan
0
Dhara & Jeevan Aksay etc.)
j) ULIP 0
TAX EXEMPTIONS
a) Medical Insurance premia
U/S. 80-D upto 10000/- or
Rs.15000/- in case of senior
citizen
b) Treatment of Handicapped
Dependent U/S.80-DD
(Rs.50000 above 40% disability
OR Rs.100000 above 80%
disiability)
c) Expenditure on Medical
Treatment of Dependent U/S.80-
DDB
(Rs.40000 or Actual expenditure
whichever is less OR Rs.60000
or actual expenditure whichever
is less if the dependent is above
65 years of age)
d) Donation to Charitable
institution U/S.80-G
i) Approved institutions 50% of
qualifying amount.
ii) Kargil,National calmaties &
PM/CM Relief fund (100%)
e) Maintenance of Totally Blind
or P.H. U/S.80-U
(upto Rs.50000 & Rs.75000 if the
disiability is more than 80% for
self)
f) Interest of House Building
Advance.
g)Interest of Educational Loan
h)
f) EWF and SWF 40
DDO PARTICULARS
DESIGNATION MPDO
OFFICE MPP.ELLANTHAKUNTA
PAN NUMBER
TAN NUMBER
ELETE THIS SHEET
E PERSONAL DETAILS
HRA 12%
SEX Male
PHC No
LARY DETAILS
RPS-2010
Arrears
GIS 30 TOTAL 0
20
Sainik Welfare Fund 20 PT
HLY DEDUCTIONS
k) PLI 0
TOTAL 19480
0 0
SALARY PARTICULARS OF Sri/Smt/Kum MOHD JAWAD, TYPIST , MPP. ELLANTHAKUNTA
1 Mar-11 10300 0 210 2557 1030 14097 1000 30 100 20 0 1150 12947
2 Apr-11 10300 0 210 2557 1236 14303 1000 30 100 0 1130 13173
3 May-11 10300 0 210 2557 1236 14303 1000 30 100 0 1130 13173
4 Jun-11 10300 0 210 3090 1236 14836 1000 30 100 0 1130 13706
5 Jul-11 10300 0 210 3090 1236 14836 1000 30 100 0 1130 13706
6 Aug-11 10600 0 210 3180 1272 15262 1000 30 150 0 1180 14082
7 Sep-11 10600 0 210 3180 1272 15262 1000 30 150 0 1180 14082
8 Oct-11 10600 0 210 3180 1272 15262 1000 30 150 0 1180 14082
9 Nov-11 10600 0 210 3180 1272 15262 1000 30 150 0 1180 14082
10 Dec-11 10600 0 210 3992 1272 16074 1000 30 150 20 0 1200 14874
11 Jan-12 10600 0 210 3992 1272 16074 1000 30 150 0 1180 14894
12 Feb-12 10600 0 210 3992 1272 16074 1000 30 150 0 1180 14894
13 SL 5450 0 105 1635 654 7844 0 7844
RPS 2011
14 0 0 0 0 0 0 0 0
Arrears
Notional Inc
15 0 0 0 0 0 0 0 0 0 0
Arrears
Others
16 0 0 0 0 0 0 0 0
Arrears
(Jan-11 to
17 DA Arrears May-11) 2665 2665 2665 2665 0
(July-11 To
18 DA Arrears Nov-11 ) 4455 4455 4455 4455 0
Child Edn
19 0 0 0 0
Concession
20 8/16/24 Arrears 200 50 24 274 0 274
TOTAL 131350 0 2625 47352 0 15556 0 0 0 0 196883 19120 0 360 1550 20 20 0 0 21070 175813
MPP.
ELLANTHAKUNTA
2 Permanent Account No 1245+247
3 Whether living in Own/Rented House Rented House
b) APGLIF No : 0 0
j) ULIP 0
k) PLI 0
t)
18 a) TAX PAYABLE 26
Up to Nov-2010 : NIL
Dec-2010 : NIL
Jan-2011 : NIL
Feb-2011 : NIL
TOTAL : 0
Signature of the
Signature Of the Assessee
Drawing & Disbursing Officer
PAN No. of the deductor TAN No. of the deductor PAN/GIR No. of the Employee
0 0 1245+247
Acknowledgement Nos. of all Quarterly Statements of TDS under sub-section(3) of section 200 as provided
by TIN Facilitation Centre of NSDL Web-site
Period
Quarter Acknowledgement No. Assessment Year
From To
01.04.2011 31.03.2012 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) 196883.00 196883.00
b) Value of perquisites under section 17(2) (as per Form No.
12 BA, wherever applicable)
c) Profit in lieu of Salary under section 17(3) (as per Form
No. 12 BA, wherever applicable)
d) TOTAL 196883.00 196883.00
2 Less: Allowance to the extent exempted under section 10 176.00 176.00
3 BALANCE (1-2) 196707.00 196707.00
4 DEDUCTIONS
a) Exemption conveyance allowance 0.00 0.00
a) Entertainment allowance:
Transfer
Secendory
Total Tax Date on which Voucher/
TDS Education & Higher Cheque/DD BSR Code of
Sl.No Deposited tax deposited Challan
No. Cess Rs. Education No. (if any) Bank Branch
Rs. (DD/MM/YY) Identification
Cess Rs.
No.
I, M. RAJU working in the capacity of MPDO do here by certify that a sum of Rs.27.00 (in words Twenty seven
rupees only) has been deducted at source and paid to the credit of the central Government. I further certify that the
information given above is true and correct based on the books of accounts, documents and other available records.
Designation : MPDO
Designation : TYPIST
KARIMNAGAR
KARIMNAGAR
(Rupees only)
I here by conform that I have actually incurred expenditure/Amount incurring expenditure as payment of rent in
respect of the residential accommodation occupied by me and the amount of HRA exempted from tax as above is
calculated as per the relevant provisions of the income tax Act.
Place : ELLANTHAKUNTA
Date: Signature
(1) For purpose of the above deductions "Salaries" means only basic pay, personal allowance and special allowance
ranking for the purpose of RP deductions, if any.
(2) Attachment receipt if HRA exceeds Rs. 600/- per month
Mar-10 0.00
Apr-10
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
TOTAL 0.00
BACK
Sl No Month GPF APGLIF GIS
1 Mar-10 1000 0 30
2 Apr-10 1000 0 30
3 May-10 1000 0 30
4 Jun-10 1000 0 30
5 Jul-10 1000 0 30
6 Aug-10 1000 0 30
7 Sep-10 1000 0 30
8 Oct-10 1000 0 30
9 Nov-10 1000 0 30
10 Dec-10 1000 0 30
11 Jan-11 1000 0 30
12 Feb-11 1000 0 30
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