INCOME TAX STATEMENT FINANCIAL YEAR 2014-2015

Name
Designation
1

(Assessment year 2015-16)

PAN :

Below 60 Years
Gross Salary (excluding Festival allowance, Bonus,Leave Surrender)

(includes Salary, DA, HRA, CCA, Interim Relief, , DA Arrear, Pay Revision Arrear etc)

3
4
5

:
:
:
:

b Leave Surrender
c Festival Allowance / Bonus / Ex-gratia and incentive
d Total Salary Income (a+b+c)
Deduction towards rent paid
(not available)
i) Actual HRA Received
ii) Actual Rent paid in excess 1/10th of the salary
iii) 40% Salary ( For this salary means Basic + DA)

540,810
2,200
543,010

:
:
:
:
:

Balance ( 1- 2)
Less Allowance to the extent exempt u/s10

543,010

Less Profession tax paid

Net Salary Income (3-4-5)

Other Income :1. Income from house property (interst on Housing loan is a negative income)

2,500
540,510
Nil

2. Cpital gain income

3. Interest on bank deposits

Gross Total Income (6+7)

Deduction under chapter VI-A

TOTAL

A - Deduction under section 80C

a) Life Insurance Premia of self, spouse and children
b) Purchase of NSC VII issue
c) Tax saving Fixed deposits
c) State Life Insurance Policy (SLI)
d) Group Insurance Scheme (GIS)
e)
f) Contribution towards approved Provident Fund including PPF

540,510

:
:
:
:
:

6,000
4,500

145,716

g)
h) Other 80-C deductions
i) Contribution towards Ulip , Tax saving Mutual funds
j) Tuition Fees ( Paid t for full time education to any two children -only the tuition fee
portion-donations should be excluded)

k) Housing Loan Repayment (PRINCIPAL PORTION ONLY) for construction

loan only. Not for addition / repair loan etc. Stamp duty paid for purchase of property

:
:
:
:

can be included

B- Contribution to Pension Fund (80CCC)

C

:
156,216

Total investment under Sec. 80C, 80CCC, 80CCD, eligible amt. limited to 1.5 lakh

10

a)
b)

D. RAJIV GANDHI EQUITY SAVINGS SCHEME

investment (RGESS) 50% of investment gets excemption.
Maximum Rs. 50000 investment is allowed. ( 80CCG) .
50% of investment is:
Mediclaim ( Maximum of Rs.15,000 for self, spouse, children and Rs.15000
for Parents. if Parents are senior citizens Rs. 20,000)(80 D)

Expenditure on Medical treatment of mentally or physically handicapped

dependents (including Specified infestments there on). ( Max. Rs.50,000/- in

case of severe disability max. Rs.1,00,000) (80DD)

c)

For medical treatment of specified diseases of self/dependent . Actual exp. Or Rs.

40000/ 60000 which ever is less gets excemption depending on age. Should
submit Form-10-I. (80 DDB)

150,000