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Name of the Employee & Designation : Address of the Office : Present Address: Phone No. (Off/Res.) /Mobile No: 1 2 3 4 . . . . Gross Salary from March/2011 to Feb./2012 Arrear Salary received during the year Total Salary received (1+2) Deduction for H.R.A U/s 10(13A) a) H.R.A received during the year Rs. b) H.R.A Paid in excess of 10 % of Salary Rs. c) 40 % of Salary Rs. ( Which ever is less amongst a) , b) , c) (-) Rs. Balance (3-4) Deduction for Conveyance Allowance U/s 10(14) (-) Rs. Deduction for any Other Allowance U/s 10 (-) Rs. Balance (5-6-7) Deduction for Profession Tax U/s 16 (-) Rs. Total Income from salary (8-9) Income from other Sources: (reported by the employee) a) income from house property U/s 22 Rs. b) interest on H.B.A U/s 24 (b) Rs. a) interest on N.S.C /dividend /bank deposit etc. Rs. Total of a) - b) + c)= Gross taxable income (10+11) Deduction from Gross taxable income a) Medical Insurance U/s 80D Rs. b) Medical expensesto handicapped dependent U/s 80DD Rs. c) Deduction in respect of medical treatment. U/s 80DDB Rs. d) Deduction in case of person with disability. U/s 80U Rs. Total of a) + b) + c) + d)= (-) Rs. [from 13a) to 13d) not to be allowed by D.D.O] Total Income (12-13) Less Deduction U/s - 80C /80CCC/80 CCD : Rs. i. G.P.F./C.P.F/P.P.F subscription only Rs. ii. G.I.S Rs. iii. Life Insurance Premium Rs. iv. P.O. Life Ins. /Post Office C.T.D. Account Rs. v. S.B.I Home loan Scheme Rs. vi. Recovery of House Building Allowance Rs. vii. Purchase of NSC/KVC Rs. viii. Interest on NSC/KVC etc. Rs. ix. Investment in Pension Plan/MF/ U.L.I.P. etc. Rs. x. Children Tuition Fee Rs. xi. Other Savings (-) Rs. Total of (i. + xi.) = (Maximum limit Rs.1,00,000.00) Net taxable income (14-15) Tax liability (on net taxable income at Sl.No-16 above)
PAN NO
0.00
5 6 7 8 9 10 11
. . . . . . .
0.00
Rs. Rs.
0.00
12 . 13 .
Rs. Rs.
14 . 15 .
Rs.
16 . 17 .
Rs. Rs.
Income Tax Rates/Slabs (Rs.) i) Upto 1,80,000 Upto 1,90,000 (for women) Upto 2,50,000 (senior citizens) ii) 1,80,001 5,00,000 iii) 5,00,001 8,00,000 iv) 8,00,001 and above Total Tax Liability: i) + ii) + iii) + iv)= Add Educational Cess @ 3% on to tax liability at Sl. No.17 Income tax payable (17 + 18) Relief U/s 89 if any (attached details) Net Income tax to be paid (19-20) Income Tax already deducted at source Balance tax to be paid (21-22)
Rate (%) NIL NIL NIL 10 20 30 Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.
18 19 20 21 22 23
. . . . . .
H.R.A Paid
INCOME TAX COMPUTATION STATEMENT FOR THE FININACIAL YEAR 2012-13 (Assessment Year: 2013-14) Name of the Employee & Designation : Bilal Ahmed Barbhuiya, Assistant Engineer.
Address of the Office : PWD, Guwahati NH Division, Guwahati-01 Present Add: H.No-1, Idgah By-lane, Sarumotoria,Dispur,Ghy.-06 Phone No. (Off/Res.) /Mobile No: 9859945039 1 2 3 4 . . . .
5 6 7 8 9 10 11
. . . . . . .
12 . 13 .
14 . 15 .
16 .
Gross Salary from March/2012 to Feb./2013 Rs. Arrear Salary of previous years received during the year Rs. Total Salary received (1+2) Rs. Deduction for H.R.A U/s 10(13A): a) H.R.A received during the year Rs. 38416.00 b) H.R.A Paid in excess of 10 % of Salary Rs. 43952.80 c) 40 % of Salary Rs. 175811.20 Which ever is less amongst a) , b) , c) (-) Rs. 38416.00 Balance (3-4) Rs. Deduction for Conveyance Allowance U/s 10(14) (-) Rs. 0.00 Deduction for any Other Allowance U/s 10 (-) Rs. 0.00 Balance (5-6-7) Rs. Deduction for Profession Tax U/s 16 (-) Rs. 2496.00 Total Income from salary (8-9) Rs. Income from other Sources: (reported by the employee) a) income from house property U/s 22 Rs. 0.00 b) interest on H.B.A U/s 24 (b) (-) Rs. 0.00 a) interest on N.S.C /dividend /bank deposit etc. Rs. 1743.00 Total of a) - b) + c)= Rs. Gross taxable income (10+11) Rs. Deduction from Gross taxable income: a) Medical Insurance U/s 80D Rs. 0.00 b) Medical expensesto handicapped dependent U/s 80DD Rs. 0.00 c) Deduction in respect of medical treatment. U/s 80DDB Rs. 0.00 d) Deduction in case of person with disability. U/s 80U Rs. 0.00 Total of a) + b) + c) + d)= (-) Rs. 0.00 [from 13a) to 13d) not to be allowed by D.D.O] Total Income (12-13) Rs. Less Deduction U/s - 80C /80CCC/80 CCD : Rs. 48000.00 i. G.P.F. (subscription only) Rs. 4800.00 ii. G.I.S Rs. 10512.00 iii. Life Insurance Premium Rs. iv. P.O. Life Ins. /Post Office C.T.D. Account Rs. 100000.00 v. Investment on S.B.I term deposit Rs. vi. Recovery of House Building Allowance Rs. vii. Purchase of NSC/KVC Rs. viii. Interest on NSC/KVC etc. Rs. ix. Investment in Pension Plan/MF/ U.L.I.P. etc. Rs. x. Children Tuition Fee Rs. xi. Other Savings (-) Rs. 163312.00 Rs. Total of (i. + xi.) = (Maximum limit Rs.1,00,000.00) Net taxable income (14-15) Rs.
444478.00
444478.00 441982.00
1743.00 443725.00
443725.00
100000.00 343725.00
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17 . Tax liability (on net taxable income at Sl.No-16 above) Income Tax Rates/Slabs (Rs.) i) Upto 2,00,000 ii) from Rs.2,00,001 to Rs.5,00,000 iii) from Rs.5,00,001 to Rs.10,00,000 iv) From 10,00,001.00 and above Total Tax Liability: i) + ii) + iii) + iv)= Add Educational Cess @ 3% on to tax liability at Sl. No.17 Income tax payable (17 + 18) Relief U/s 89 if any (attached details) Net Income tax to be paid (19-20) Income Tax already deducted at source Balance tax to be paid (21-22) Rate (%) NIL 10 20 30 Rs. Rs. Rs. Rs. 0.00 14372.50 0.00 0.00 Rs. Rs. Rs. (-) Rs. 0.00 Rs. Rs. Rs. 14804.00 0.00 14804.00 14373.00 431.00 14804.00
18 19 20 21 22 23
. . . . . .
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163312.00 100000.00
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200000
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