Name of the Assessee: Address

COMPUTATION SHEET OF INCOME TAX for the Financial Yr 2012-13, Assessment yr 2013-14 DOB Gender E-mail Phone No.

Particulars 1. Gross Annual Income/Salary 2. Less: Allowances exempt u/s 10 3. Income under the head salaries 4. Add: Any other income from other sources 1. Interest received from following Investments a. Bank/Post Office (Saving A/C ) xxx b. Bank FD/REC xxx c. N.S.C. (accrued/ Recd ) xxx c. Post Office M.I.S (6 yrs.) xxx d. Post Office Recurring Deposit (5 yrs.) xxx e. Term Deposit (1 to 5 yrs.) xxx f. Saving Bonds (6yrs.) xxx Any other Income ie., Income 2 Any other Income ie., Income 3 5. Income from house property 6. Gross Total Income 7. Less: Deduction under chapter VI A a1. Less: Deduction under Sec 80CCE 1. PF & VPF Contribution xxx 2. Life Insurance/ ULIP premiums xxx 3. PPF a/c Contribution xxx 4. N.S.C (Investment +accrued Int first five year) xxx 5. Housing. Loan Principal Repayment/ Regn / Stamp Duty xxx 6. Tuition fees for 2 children xxx 7. E.L.S.S ( Mutual Fund ) xxx 8. FD (5 Years and above) xxx 9. Senior Citizen Saving Scheme xxx 10. 80CCC - Pension Plan xxx 11. 80CCD - New Pension Sheme ( Employee/ Self Employed Contribution) xxx 12. 80CCF -Tax Savings Infrastructure Bonds xxx a2. 80CCD - New Pension Sheme ( Employer Contribution) xxx a3. 80CCG - Rajiv Gandhi Equity Scheme xxx b 1. 80 D - Medical Insurance premiums (for Self ) xxx b 2. 80 D - Medical Insurance premiums (for Parents) xxx c. 80 E - Int Paid on Education Loan xxx d. 80G - Donation to approved fund xxx

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80TTE-

Interest received in Saving Account

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Total Income Total Taxable Income (Round off to nearest 10 rupees) Tax on Total Income Add; Edn Cess @ 3% Total Tax Payable Tax Deduction at Source Balance Tax

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