Name of Employer :

Financial Year :
Status of Employer : Domestic Company
Nature of Business :
S
Item of Expenditure Nature of Business Value Quarter 1
.No.
Expenditure (
Total

Free or concessional ticket provided by employer

1 for private journeys of its employees or their family 100%
members (See Note 5)

2 Employer’s contribution to superannuation fund 100%

3 Entertainment 100%
Provision of hospitality of every kind by the
4 Others 20%
employer to any person (See Note 6)
Conference including expenditure on conveyance,
5 tour and travel hotel, or boarding and lodging (See 20%
Note 7)
6 Sales promotion including publicity (See Note 8) 20% 234,413
7 Employees’ welfare (See Note 9) 20% 70,942
Conveyance, tour and travel (including foreign Manufacture/Productio
8 5% 242,727
travel) n of Pharmaceuticals
Manufacture/Productio
9 Use of hotel, boarding and lodging facilities 5%
n of Pharmaceuticals
Repair, running (including fuel), maintenance of
10 Others 20% 128,936
motor cars and depreciation thereon
Repair, running (including fuel), maintenance of
11 Others 20%
aircrafts and depreciation thereon
Use of telephone including Mobile Phone excluding
12 20% 38,593
Leased Lines
Maintenance of guest house other than
13 20%
accommodation used for training purposes
14 Festival celebrations 50%
15 Use of health club and similar facilities. 50%
16 Use of other club facilities 50%
17 Gifts 50%
18 Scholarships 50%

Total Fringe Benefits

Fringe Benefits Tax 30%

Add: Surcharge 10.0%
Total
Add: Education
Cess 3%
Total FBT Payable
 Quarter 1 (April - June)
penditure (Rs.) Value of FB
Less :
Net (Rs.)
Exempt

- - -

- - -
- - -
- - -

- - -

- 234,413 46,883
- 70,942 14,188
- 242,727 12,136

- - -

- 128,936 25,787

- - -

- 38,593 7,719

- - -
- - -
- - -
- - - 106293
- - -
- -

106,713.15

32,013.95
3,201.39
35,215.34

1,056.46
36,271.80
 Name of Employer :
Financial Year :
Status of Employer : Domestic Company
Nature of Business :
S Nature of
Item of Expenditure Value Quarter 2 (July - September)
.No. Business
Expenditure (Rs.) Value of FB
Less :
Total Exemp Net (Rs.)
Free or concessional ticket provided by t
employer for private journeys of its
1 100% - -
employees or their family members (See
Note 5)
Employer’s contribution to superannuation
2 100% - -
fund
3 Entertainment 20% - -
Provision of hospitality of every kind by the
4 Others 20% - -
employer to any person (See Note 6)
Conference including expenditure on
5 conveyance, tour and travel hotel, or 20% - -
boarding and lodging (See Note 7)
Sales promotion including publicity (See
6 20% 182,943 182,943 36,589
Note 8)
7 Employees’ welfare (See Note 9) 20% 50,072 50,072 10,014
Manufacture/Produ
Conveyance, tour and travel (including
8 ction of 5% 349,138 349,138 17,457
foreign travel)
Pharmaceuticals
Manufacture/Produ
9 Use of hotel, boarding and lodging facilities ction of 5% - -
Pharmaceuticals
Repair, running (including fuel),
10 maintenance of motor cars and depreciation Others 20% 161,162 161,162 32,232
thereon
Repair, running (including fuel),
11 maintenance of aircrafts and depreciation Others 20% - -
thereon
Use of telephone including Mobile Phone
12 20% 70,796 70,796 14,159
excluding Leased Lines
 Maintenance of guest house other than
13 20% - -
accommodation used for training purposes
14 Festival celebrations 50% - -
15 Use of health club and similar facilities. 50% - -
16 Use of other club facilities 50% - -
17 Gifts 50% - -
18 Scholarships 50% - -

Total Fringe Benefits 110,451.50

Fringe Benefits Tax 30% 33,135.45

Add: Surcharge 10.0% 3,313.55
Total 36,449.00
Add: Education Cess 3% 1,093.47
Total FBT Payable 37,542.46
 Name of Employer :
Financial Year :
Status of Employer : Domestic Company
Nature of Business :
S.No. Item of Expenditure Nature of Business Value Quarter 3 (October - December)
Expenditure (Rs.) Value of FB
Less :
Total Exemp Net (Rs.)
t
Free or concessional ticket provided by
employer for private journeys of its
1 100% - -
employees or their family members (See
Note 5)
Employer’s contribution to superannuation
2 100% - -
fund
3 Entertainment 20% - -
Provision of hospitality of every kind by the
4 Others 20% - -
employer to any person (See Note 6)
Conference including expenditure on
5 conveyance, tour and travel hotel, or 20% 20,000 20,000 4,000
boarding and lodging (See Note 7)
Sales promotion including publicity (See
6 20% 752,916 752,916 150,583
Note 8)
7 Employees’ welfare (See Note 9) 20% 56,221 56,221 11,244
Conveyance, tour and travel (including Manufacture/Productio
8 5% 517,012 517,012 25,851
foreign travel) n of Pharmaceuticals
Manufacture/Productio
9 Use of hotel, boarding and lodging facilities 5% - -
n of Pharmaceuticals
Repair, running (including fuel),
10 maintenance of motor cars and depreciation Others 20% 133,469 133,469 26,694
thereon
Repair, running (including fuel),
11 maintenance of aircrafts and depreciation Others 20% - -
thereon
Use of telephone including Mobile Phone
12 20% 72,443 72,443 14,489
excluding Leased Lines
Maintenance of guest house other than
13 20% - -
accommodation used for training purposes
14 Festival celebrations 50% - -
15 Use of health club and similar facilities. 50% - -
16 Use of other club facilities 50% - -
17 Gifts 50% - -
18 Scholarships 50% - -

Total Fringe Benefits 232,860.40

Fringe Benefits Tax 30% 69,858.12

Add: Surcharge 10.0% 6,985.81
Total 76,843.93
Add: Education Cess 3% 2,305.32
Total FBT Payable 79,149.25
 Name of Employer :
Financial Year : 2007- 2008
Status of Employer : Domestic Company
Nature of Business :
S.No. Item of Expenditure Nature of Business Value Quarter 4 (January - March)
Expenditure (Rs.) Value of FB
Less :
Total Net (Rs.)
Exempt
Free or concessional ticket provided by
employer for private journeys of its
1 100% - -
employees or their family members (See
Note 5)
Employer’s contribution to superannuation
2 100% - -
fund
3 Entertainment 20% - -
Provision of hospitality of every kind by the
4 Others 20% - -
employer to any person (See Note 6)
Conference including expenditure on
5 conveyance, tour and travel hotel, or 20% 6,000 6,000 1,200
boarding and lodging (See Note 7)
Sales promotion including publicity (See
6 20% 159,451 159,451 31,890
Note 8)
7 Employees’ welfare (See Note 9) 20% 53,487 53,487 10,697
Conveyance, tour and travel (including Manufacture/Productio
8 5% 838,292 838,292 41,915
foreign travel) n of Pharmaceuticals
Manufacture/Productio
9 Use of hotel, boarding and lodging facilities 5% - -
n of Pharmaceuticals
Repair, running (including fuel),
10 maintenance of motor cars and depreciation Others 20% 122,411 122,411 24,482
thereon
Repair, running (including fuel),
11 maintenance of aircrafts and depreciation Others 20% - -
thereon
Use of telephone including Mobile Phone
12 20% 107,934 107,934 21,587
excluding Leased Lines
Maintenance of guest house other than
13 20% - -
accommodation used for training purposes
14 Festival celebrations 50% - -
15 Use of health club and similar facilities. 50% - -
16 Use of other club facilities 50% - -
17 Gifts to Customers 50% - -
18 Scholarships 50% - -

Total Fringe Benefits 131,771.20

Fringe Benefits Tax 30% 39,531.36

Add: Surcharge 10.0% 3,953.14
Total 43,484.50
Add: Education Cess 3% 1,304.53
Total FBT Payable 44,789.03
 Name of Employer :
Financial Year : 2007-2008
Status of Employer : Domestic Company
Nature of Business :
S.No. Item of Expenditure Nature of Business Value Total (April - March) 2007- 08
Expenditure (Rs.)
Less :
Total Net
Exempt
Free or concessional ticket provided by
employer for private journeys of its
1 100% - - -
employees or their family members (See
Note 5)
Employer’s contribution to superannuation
2 100% - - -
fund
3 Entertainment 20% - - -
Provision of hospitality of every kind by the
4 Others 20% - - -
employer to any person (See Note 6)
Conference including expenditure on
5 conveyance, tour and travel hotel, or 20% 26,000 - 26,000
boarding and lodging (See Note 7)
Sales promotion including publicity (See
6 20% 1,329,723 - 1,329,723
Note 8)
7 Employees’ welfare (See Note 9) 20% 230,722 - 230,722
Conveyance, tour and travel (including Manufacture/Productio
8 5% 1,947,169 - 1,947,169
foreign travel) n of Pharmaceuticals
Manufacture/Productio
9 Use of hotel, boarding and lodging facilities 5% - - -
n of Pharmaceuticals
Repair, running (including fuel),
10 maintenance of motor cars and depreciation Others 20% 545,978 - 545,978
thereon
Repair, running (including fuel),
11 maintenance of aircrafts and depreciation Others 20% - - -
thereon
Use of telephone including Mobile Phone
12 20% 289,766 - 289,766
excluding Leased Lines
Maintenance of guest house other than
13 20% - - -
accommodation used for training purposes
14 Festival celebrations 50% - - -
15 Use of health club and similar facilities. 50% - - -
16 Use of other club facilities 50% - - -
17 Gifts 50% - - -
18 Scholarships 50% - - -

Total Fringe Benefits

Fringe Benefits Tax 30%

Add: Surcharge 10.0%
Total

Add: Education Cess 3%

Total FBT Payable
ch) 2007- 08
Value of FB
(Rs.)

-
-
-

5,200

265,945
46,144
97,358

109,196

57,953

-
-
 -
-
-
-

581,796

174,538.88
17,453.89
191,992.76

5,759.78
197,752.55
ADVANCE FRINGE BENEFIT TAX SCHEDULE

Total Tax as per Consolidation Sheet: 197,753

PARTICULARS % PAYABLE PAID DIFFERENCE

Payable upto 15th July, 2007 15% 29,663 56500 (26,837)
Payable upto 15th October, 2007 30% 59,326 55000 4,326
Payable upto 15th Jan, 2008 30% 59,326 60000 (674)
Payable upto 15th April 2008 25% 49,438 70000 (20,562)
TOTAL 100% 197,753 241,500 (43,747)

DETAILS OF PAYMENT

SL. NO.
DATE OF OF CHEQUE
PARTICULARS BSR CODE PAYMENT CHALLAN NO.
Quarter I
Quarter II
Quarter III
Quarter IV

Working Notes:
a. Fill in amount paid as FBT advance in Column E - (PAID).
b. Fill in details of payment.