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INSTRUCTIONS
1. Go to DATA Sheet 2. You see 6 Fields You can make changes in Table Sheet. (1.Personal Details, 2.Pay Particulars, 3.Deductions, 4.Other Deductions, 5. DDO Particulars,

3. Enter your Particulars in 1 to 5 Fields (Only in yellow colour cells) 4. See your Tax Details in 6th Field 5. After your satisfaction go to all Sheets and Print it. 6. Now they are ready to submission. Join in My SMS Group

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Note: After self check, If you are Satisfy Use this Programme. Any Mistakes in this Programme, I am personally Not Responsible.
Further Any queries and Passwords, Plz mail to ramesh.koora@gmail.com Yours.. RAMESH KOORA, Karimnagar email: ramesh.koora@gmail.com visit: www.rameshkoora.8m.com Mobile No. 9948841000

This Programme Run in MS Office 2003 only

Basic Pay on Jan-08 is 13750

271277

make changes in Table Sheet. Protection Password is 12345

eductions, 5. DDO Particulars, 6. Tax Details)

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esponsible.

PARTICULARS FOR INCOME TAX ASSESSMEN

This is Only for our State Govt Teachers 1.PERSONAL DETAILS
NAME DESIGNATION WORKING PLACE MANDAL Post Type PAN NUMBER HRA code CCA code SEX PHC P.EMELYA SGT PS INDIRANAGAR AMBALA KAMALAPUR 1

2.PAY PARTICULARS
Basic Pay on Jan-2008 Increment Month PP/FP/Spl Pay Allowances Surrender Leave Claimed Month Surrender Leave Claimed Days

13750 Feb-09

Dec-08 15 1

1 1 F N

Pension Service GPF Monthly Deduction GPF A/C No APGLIF Monthly Deduction APGLIF A/C No

LIVING HOUSE

1
H.NO.3-721/1

GIS Edn Consession E.W.F S.W.F

60 400 20 20 3500

Res. Address GOPALPUR HNK

13750

10 5.DDO PARTICULARS
(for Form 16 only)

House Rent Paid

DDO NAME FATHER'S NAME DESIGNATION OFFICE PAN NUMBER

14175

14175 Designed by

TAN NUMBER

6.TAX DETAILS
TAXABLE INCOME a) TAX PAYBLE b)Surcharge NET TAX PAYBLE In Words

244980 6498 195 6693 Six Thousand Six Hundred and Ninety three rupees only
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ME TAX ASSESSMENT 2008-2009

3.DEDUCTIONS Under Chapter VI A..U/s. 80C
a) GPF Deductions b) APGLI Deductions c) Group Insurance d) LIC Policies Premium (Yearly) e) Subscription to NSC VIII issue f) Tution fee for 2 children g) Repayment of HBA instalments. h) LIC Annuity Plan (Jeevan Dhara & Jeevan Aksay etc.) i) UTI Retirement Benefit Pention fund. j) ULIP k) PLI l) Public Provident fund m) Subscriptions made to equity shares/Debentures n) Subscription made to any Mutual fund (ELSS) o) Subscription to Deposit Scheme of National housing Bank p) Infrastructure Bonds (ICICI/IDBI etc) q) Fixed Deposits in Bank More Than (5) years. r) LIC Pension fund U/s. 80 CCC (Max. Rs. 10000) s) Contribution to any Pension scheme U/s. 80 CCD (Max. 10% of salary) t)

our State Govt Teachers

5959 0 720

4.OTHER DEDUCTIONS UNDER CHAPTER VI A.

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.75000 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

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SALARY PARTICULARS OF Sri/Smt/Kum P.EMELYA, SGT PS INDIRANAGAR AMBALA, Mdl:KAMALAPUR

Sl No 1 Salary & Other particulars 2 PAY & ALLOWANCES Pay 3 13750 13750 13750 13750 13750 13750 13750 13750 13750 13750 13750 14175 6875 EPI/PP 4 0 0 0 0 0 0 0 0 0 0 0 0 0 DA 5 4145 4922 4922 4922 4922 4922 4922 4922 5829 5829 5829 6009 2914 2331 3628 2063 2063 2063 2063 2126 0 IR 6 CCA 7 HRA 8 1375 1375 1375 1375 1375 1375 1375 1375 1375 1375 1375 1418 688 AHRA 9 Others 10 TOTAL 11 19270 20047 20047 20047 20047 20047 20047 22110 23017 23017 23017 23728 10477 2331 3628 400 400 TOTAL 172700 0 70968 10378 0 17231 0 0 271277 5959 0 720 2350 0 20 9049 262228 0 2331 3628 GPF 12 APLIF 13 DEDUCTIONS GIS 14 60 60 60 60 60 60 60 60 60 60 60 60 PT 15 150 200 200 200 200 200 200 200 200 200 200 200 Others 16 EWF/SWF 17 20 TOTAL 18 230 260 260 260 260 260 260 260 260 260 260 260 0 2331 3628 0 NET AMOUNT 19 19040 19787 19787 19787 19787 19787 19787 21850 22757 22757 22757 23468 10477 0 0 400

1 March-08 2 April-08 3 May-08 4 June-08 5 July-08 6 August-08 7 September-08 8 October-08 9 November-08 10 December-08 11 January-09 12 February-09 13 Surrender Leave 14 DA Arrears 15 DA Arrears 16 17 Child Edn Concession

(Jan-08 to Mar-08) (July-08 To Oct-08 )

Signature Of the Assessee

Signature of the Drawing & Disbursing Officer

Prepared by Ramesh Koora, Karimnagar 9948841000

STATEMENT OF INCOME TAX FOR THE YEAR 2008-2009

1 Name of the Government Servant & Address P.EMELYA, SGT PS INDIRANAGAR AMBALA Mdl:KAMALAPUR 2 Permanent Account No 3 Whether living in Own/Rented House 4 Gross Pay & Allowances as indicated in the Statement Enclosed 5 Deductions towards HRA U/s. 10(13-A) (least of the following exempted) a) Actual HRA received b) Actual Rent paid minus of 10% of salary (Rent: @3500 PM) c) 40% of salary (salary means Basic pay) 6 TOTAL SALARY (4-5) 7 DEDUCTIONS FROM SALARY INCOME Exemption from conveyance allowance u/s.10(14)(i) PROFESSIONAL TAX 8 Income from Salary (6-7) 9 Income from Capital Gains 10 Other Sources of income if any 11 income OR Loss from House Property (U/s.24(vi)) 12 Gross total income (8+9+10+11) 13 DEDUCTIONS Under Chapter VI A..U/s. 80C a) GPF Account No : b) APGLIF No : c) Group Insurance d) LIC Policies Premium e) Subscription to NSC VIII issue f) Tuition fee for 2 children g) Repayment of HBA installments. (Principle Amount) h) LIC Annuity Plan (Jeevan Dhara & Jeevan Aksay etc.) i) UTI Retirement Benefit Pension fund. j) ULIP k) PLI l) Public Provident fund m) Subscriptions made to equity shares/Debentures n) Subscription made to any Mutual fund (ELSS) o) Subscription to Deposit Scheme of National housing Bank p) Infrastructure Bonds (ICICI/IDBI etc) q) Fixed Deposits in Bank More Than (5) years. r) LIC Pension fund U/s. 80 CCC (Max. Rs. 10000) s) Contribution to any Pension scheme U/s. 80 CCD (Max. 10% of salary) t) TOTAL QUALIFYING AMOUNT (UP TO Rs.1,00,000/-) U/Sec. 80C,80CCC & 80CCD 14 TOTAL INCOME (12-13) 5959 0 720 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6679 245017 17231 17633 69080 254046 0 0 2350 251696 0 0 0 251696 Rented House 271277

15

OTHER DEDUCTIONS UNDER CHAPTER VI A. a) Medical Insurance premium U/S. 80-D up to 15000/- or Rs.20000/- in case of senior citizen b) Treatment of Handicapped Dependent U/S.80-DD (Rs.50000 above 40% disability OR Rs.75000 above 80% disability) 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 calmatives & PM/CM Relief fund (100%) e) Maintenance of Totally Blind or P.H. U/S.80-U (40% and above disability up to Rs.50000 & more than 80% disability up to Rs.75000 for self) f) Interest of House Building Advance. g) Interest of Educational Loan h) i) EWF and SWF 0 0 0 0 0 0 0 0 0 0 40
(Round off to nearest multiple of Rs.10)

16 17

TAXABLE INCOME (14-15)

244980

Amount of Tax (as per rates given below) a) Male Assesses i) Up to 150000/II) Rs.150001 to 300000 (10% of the amount by which the total income exceeds Rs.150000) iii) Rs.300001 to 500000 (Rs.15000+20% of the amount by which the total income exceeds Rs.300000) iv) above Rs.500000 (Rs.55000+30% of the amount by which the total income exceeds Rs.500000) a) Female Assesses i) Up to 180000/II) Rs.180001 to 300000 (10% of the amount by which the total income exceeds Rs.180000) iii) Rs.300001 to 500000 (Rs.12000+20% of the amount by which the total income exceeds Rs.300000) iv) above Rs.500000 (Rs.52000+30% of the amount by which the total income exceeds Rs.500000) 0 0 0 0 0 244980 0 6498 0 0 6498 130 65 6693

18

a) TAX PAYABLE b) Add: Education Cess @ 2% on Tax payable c) Add: Secondory & Higher Education cess @ 1% on Tax payable

19 20

NET TAX PAYABLE (18 a + b ) Relief U/S.89(I) if arrears paid NET TAX PAYABLE (19-20) (after relief U/S.89)

6693

DETAILS OF TAX DEDUCTIONS Up to Nov-2008 : Dec-2008 Jan-2009 Feb-2009 TOTAL : : : :

Signature of the Drawing & Disbursing Officer

Signature Of the Assessee

Prepared By Ramesh Koora, Karimnagar 9948841000

FORM NO. 16
(Vide rule 31(1)(a) of Income Tax Rules, 1962)

Certificate under Section 203 of the Income Tax Act, 1961 for Tax Deducted at Source from Income Chargeable under the Head "Salaries".
Name and Address of The Employer ,, PAN No. of the deductor Name and Designation of the Employee P.EMELYA, SGT PS INDIRANAGAR AMBALA, Mdl:KAMALAPUR TAN No. of the deductor PAN/GIR No. of the Employee

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 Quarter Acknowledgement No. Period From 01.04.2008 To 31.03.2009 Assessment Year 2009-2010

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) Profit in lieu of Salary under section 17(3) (as per Form No. 12 BA, wherever applicable) d) TOTAL 2 3 4 Less: Allowance to the extent exempted under section 10 BALANCE (1-2) DEDUCTIONS a) Exemption conveyance allowance a) Entertainment allowance: b) Tax on Employment: 5 6 7 8 9 Aggregate of 4 (a&b) INCOME CHARGEABLE UNDER THE HEAD SALARIES (3-5) Add: Any other income reported by the employee. GROSS TOTAL INCOME (6+7) Deductions under Chapter VI A A, (a) Under 80CC Gross Amt i) ii) iii) iv) v) vi) vii) viii) Note : a) GPF Account No : b) APGLIF No : c) Group Insurance d) LIC Policies Premium j) ULIP f) Tuition fee for 2 children g) Repayment of HBA installments h) Subscription to NSC VIII issue 5,959.00 720.00 Qualifying Amt 5,959.00 720.00 6,679.00 Qualifying Amt 40.00 0.00 0.00 0.00 0.00 0.00 0.00 Deductible Amt 40.00 0.00 0.00 0.00 0.00 0.00 0.00 6679.00 Deductible Amt 5,959.00 720.00 0.00 2350.00 2350.00 2350.00 2350.00 251696.00 0.00 251696.00 0.00 0.00 17231.00 271277.00 17231.00 254046.00 254046.00 271277.00 271277.00 271277.00

Aggregate amount deductible under the three sections i.e.80C,80CCC,80CCD shall not exceed One Lakh Rupees

B. Deductions under other sections (80D,80DD,80DDB,80E,80G etc.) Under Chapter VI A Section_ _ _ _ _ _ _ _ _ _ EWF&SWF Section U/S. 80-DD Section U/S. 80-DDB Section U/S. 80-U Section U/S. 80-G Section U/S. 80-E Section Interest of HBA Gross amount Rs_ _ _ _ _ _ _40.00 _ Gross amount Rs Gross amount Rs Gross amount Rs Gross amount Rs Gross amount Rs Gross amount Rs 0.00 0.00 0.00 0.00 0.00 0.00

10

Aggregate of Deductible amount under Chapter VI A (9A+9B)

6719.00 244980.00 6498 130 65 6693 0 6693

11 Total Income (8-10) 12 TAX ON TOTAL INCOME 13 Education Cess (on Tax at S.No.12) 14 Secendory&Higher Education Cess (on Tax at S.No.12) 15 Tax Payable (12+13+14) 16 Relief U/Sec.89 attach details. 17 Tax payable (15-16) 18 Less :(a) Tax deducted at Source U/S.192(1) (b) Tax paid by the employer on behalf the employee U/Sec.192(IA) on prerequisites U/Sec.17(2) 19 Tax payable/refundable (17-18)

6693

Details of Tax Deducted and Deposited into Central Government Account

Sl. No

TDS No.

Secendory Total Tax Education & Higher Cheque/DD Deposited Cess Rs. Education No. (if any) Rs. Cess Rs.

BSR Code of Bank Branch

Date on which tax deposited (DD/MM/YY)

Transfer Voucher/ Challan Identification No.

I, working in the capacity of do here by certify that a sum of Rs.6693.00 (in words Six Thousand Six Hundred and Ninety three 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.

Place: Dated :

Signature of The person responsible for deduction of tax

Full Name: Designation :

0 ,

Prepared by Ramesh Koora, Karimnagar 9948841000.

ANNEXURE
Name of the Employee : P.EMELYA

Designation

SGT

Office/Branch

PS INDIRANAGAR AMBALA, Mdl:KAMALAPUR

HOUSE RENT ALLOWANCE EXEMPTION Amount of allowance being received from the Bank. Address of the House occupied.

H.NO.3-721/1 GOPALPUR HNK

a) Amount of H.R.A. b) Actual Rent paid Less 1/10th of Salary c) 40% of Salary Least of above (a),(b) and ( c ) i.e.

: : : :

17231.00 17633.00 69080.00 17231.00

(Rupees Seventeen Thousand Two Hundred and Thirty one 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 : PS INDIRANAGAR AMBALA 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

3850 3950 4050 4150 4260 4370 4480 4595 4710 4825 4950 5075 5200 5335 5470 5605 5750 5895 6040 6195 6350 6505 6675 6845 7015

7200 7385 7570 7770 7970 8170 8385 8600 8815 9050 9285 9520 9775 10030 10285 10565 10845 11125 11440 11755 12070 12385 12700 13030 13390 13750 14175

14600 15025 15500 15975 16450 16925 17475 18025 18575 19125 19675 20300 20925 21550 22175 22800 23500 24200 24900 25600 26300 27000 27750 28500 29250 30000 30765

INDIAN INCOME TAX RETURN

FORM [ For Individuals having Income from Salary/Pension/Family pension & Interest ]

Assessment Year

ITR-1

( Please see Rule 12 of the Income-tax Rules,1962 ) ( Also see attached instructions )
Middle Name Last Name

First Name

PAN

PERSOSNAL INFORMATION

Flat/Door/Block No.

Name of Premises/Building/Village

Date of Birth ( DD/MM/YY )

Road/Street/Post Office

Area / Locality

Employer Category ( Tick )

Govt. PSU
Others

Town/ City / District

State

PIN Code

Sex ( Tick ) Male

Female

E-mail Address
Designation of the Assessing Officer (Ward/Circle) FILING STATUS

(STD Code- Phone Number Return filed under Section[Please see instruction number-9(i)] Original Revised

Whether Original or Revised return?Tick If revised, enter Receipt No. and date of filing original return ( DD/MM/YYYY ) Residential Status ( Tick ) 1 2 Resident

Non-Resident

Resident but Not Originally Resident.

Income chargeable under the Head "Salaries" (Salary/Pension) Income chargeable under the Head "Other Sources" a Family Pension 2a 0.00 b Interest 2b 0.00 c Total ( 2a + 2b ) 0.00 3 Gross Total Income ( 1 + 3c ) 4 Deductions under Chapter VI A ( Section ) a 80C e 80DD i 80GG b 80CCC f 80DDB j 80GGA c 80CCD g 80E k 80GGC d 80D h 80G l 80U m Deductions (Total of a to i) 5 Total Income ( 3 - 4m ) 6 Net Agricultural Income(Enter only if greater than Rs.5000) 7 "Aggregate Income" ( 5 + 6 ) 8 a Tax Payble on "Aggregate Income" b Rebate in respect of Net Agricultural Income 9 a Net Tax payable 9a 0.00 b Surcharge on 9a 9b 0.00 c Education Cess on (9a+9b) 9c d Total Tax, Surcharge and Education Cess Payable(9a+9b+9c) 10 10 Relief under Section 89 11 11 Relief under Section 90/91 0.00 12 Balance Tax Payable (9d-10-11) Do not write or stamp in this area (Space for bar code) Interest Payable U/s 234 A 13 a Interest Payable U/s 234 B b Interest Payable U/s 234 C c d Total Interest Payable ( 13a+13b+13c ) 14 Total Tax and Interest Payble (12+13d)
INCOME & DEDUCTIONS TAX COPUTATION

2c 3

0.00 0.00

4m 5 6 7 8a 8b

0.00 0.00 0.00 0.00

9d

0.00

12 13a 13b 13c 13d 14

0.00

0.00 0.00

For Office Use Only Receipt No. Date:

Seal and Signature of the Receiving Official

15 Taxes Paid a Advance Tax ( from item 23 ) 15a b TDS (column 7 of item 21+column 7 of item 22) 15b c Self Assessment Tax (from item 23) 15c d Total Taxes Paid ( 15a+15b+15c) 15d 0.00 16 Tax Payable(14-15d)(Enter if 14 is greater than 15d, else leave blank) 16 0.00 17 Refund (15d-14)(Enter if 15d is greater than 14, also give Bank Account details below) 17 18 Enter your Bank Account number(mandatory in case of refund) 19 Do you want your refund by cheque, or deposited directly into your bank account?(tick as applicable 20 In case of direct deposit to your bank account give additional details; MICR Code: ) Savings Current Type of Account(tick as applicable

REFUND

TAXES PAID

21 Details of Tax Deducted at Source from Salary[ As per Form 16 issued by Employer(s)]

TDS ON SALARY

Sl. No.

Tax Deduction Account Number (TAN) of the Employer 2

1 I II

Name and Address of Income the Employer Chargeable under the head "Salaries 3 4 0.00

Deduction Under Chapter VI-A 5

Tax payable (Incl.surch.and edu.Cess

Total Tax deposited

Tax Payble/ refundable

6 0.00

7 0.00

8 0.00

TDS ON INTEREST

22 Details of Tax Deducted at Source on Interest [ As per Form 16 A issued by Deductor(s)] Tax Deduction Account Name and address of Date of Sl.N Amount Number (TAN) of the the Deductor Payment/C Total Tax Deposited o. Paid/Credited Deductor redit 1 i ii iii NOTE:
Enter the total of column ( 7 ) of 21 and column ( 7 ) of 22 in Sl.No.15b of TAXES PAID

Amount out of (6) claimed for this year 7

23 Details of Advance Tax and Self Assessment Tax Payments TAX PAYMENTS Sl.N Name of the Bank & Branch o. i ii iii iv v NOTE:
Enter the totals of Advance tax and Self Assessment Tax in Sl.No.15 a and 15 c of TAXES PAID

BSR CODE

Date of Despatch DD/MM/YY )

Serial Number of Challan

Amount (Rs.)

24 Other information ( Transactions reported through Annual Information Return ) ( Please see instruction number-9(ii) for code) Sl. Code Amount ( Rs ) Sl. Code Amount ( Rs. ) Sl. Code Amount ( Rs. ) a 001 d 004 g 007 b 002 e 005 h 008 c 003 f 006 25 26 Tax-exempt interest income ( for reporting purpose only ) E-filing Acknowledgement Number VERIFICATION son/daughter of 25 Date (DD/MM/YY)

I,

solemnly

declare that to the best of my knowledge and belief, the information given in the return, thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income Tax Act, 1961, inrespect of income chargeable to Income Tax for the previous year relevant to the Assessment Year 2007-08.

Place:

Date:

Sign here --->

27 If the return has been prepared by a Tax Return Preparer (TRP), give further details as below : Name of TRP Identification No. of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

28