Name of assesse :Assessement year :Previous year :Legal status :computation income from salary

------2013-2014 2012-2013 individual

Particulares 1. Salary (gross) a. Basic salary (including advance and arrers) b. Fees c. Commiossion d. Pension (computed) (-) exempted under section 10 (10A) e. Gratuity (-) exempted f. Leave salary (-) exempted under section 10 (10) g. Annuity uncommuted pension h. Uncommuted pension i. Bouns(taxable on receipt basis) j. Ex gratia 2. Allowancces a. DA allowances, TA, conveyance allowances (-) exempted under section 10 (14) b. House rent allowence (-) exempted under section 10 (13A) c. City compensitive allowance d. Lunch allowance e. Special allowance f. Medical allowance g. Service allowance h. Entertainment allowance 3. PERQUISITES (Taxable) a. Rent free accomodation b. Benefits and aminities c. Life insurance premium paid by employer d. Fringe benefits 4. PROFIT LIEU OF SALARY a. Compensation received from employe b. Employer contribution unrecognised fund with intrest received

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c. Employer contribution to recognised provident fund in excess of 12% of basic salary ( upto 12% exempted) d. Amount received under key man 5. GROSS SALARY 6.(-) Deduction under section (16) a. Entertainment allowance ( list of the ) following amount 1. Rs. 5000 p.a 2., 1/5 of the basic salary 3. Actual entertainment allowance received during the year (only for government employee) b. Profession tax or tax on employement under section 16 (iii) Amount paid by assessse as a professional tax fully deducted 7. NET TAXABLE SALARY

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