Professional Documents
Culture Documents
XYZ
Lecturer
Designation :
Permnent
Address:
2015- 16
Office Address
TAN No
ERTE5486Y
PAN No
UYTR5826N
595,372
2. Arrears/ Surrendor.
595,372
81,720
44,995
204,021
Eligible HRA
44,995
0
2,400
595,372
592,972
592,972
0
0
0
0
40,800
18,528
120,000
0
2,160
0
0
0
0
181,488
N.P.S
G.I.S
Tution Fee
Private Insurance
P.L.I.
Housing Loan Principle Amt
TOTAL (not more than 1,50,000/-)
9. TAXABLE INCOME
1,50,000
#VALUE!
#VALUE!
10. TAX
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
16,691
#VALUE!
SALARY
PAY
DA
HRA
MA
PHA
DEDUCTIONS
SFN
CCA
TrSpAll
TOTAL
PT
GPF
KGID
LIC
NPS
GIS
IT
Mar-14
33600
5040
6720
300
45660
200
10000
3400
1544
180
Apr-14
33600
7056
6720
300
47676
200
10000
3400
1544
180
2000
May-14
33600
7056
6720
300
47676
200
10000
3400
1544
180
2000
Jun-14
33600
7056
6720
300
47676
200
10000
3400
1544
180
1675
Jul-14
33600
7056
6720
300
47676
200
10000
3400
1544
180
1377
Aug-14
33600
7056
6720
300
47676
200
10000
3400
1544
180
1377
Sep-14
34500
7245
6900
300
48945
200
10000
3400
1544
180
1377
Oct-14
34500
8711
6900
300
50411
200
10000
3400
1544
180
1377
Nov-14
34500
8711
6900
300
50411
200
10000
3400
1544
180
1377
Dec-14
34500
8711
6900
300
50411
200
10000
3400
1544
180
1377
Jan-15
34500
8711
6900
300
50411
200
10000
3400
1544
180
1377
Feb-15
34500
8711
6900
300
50411
200
10000
3400
1544
180
1377
D.A.Diff Bill
6048
6048
D.A.Diff Bill
4284
4284
Surrender
Others
101452
81720
3600
2160
16691
Arrears
408600
Place : Dharwad
Date : 12/20/2014
For more details Contact : hucheshpk@gmail.com
0
0
595,372
2400 120000
40800
18528
Sign of Employee
Name & Designation
Rent
8000
0
15
21
25.25
6
4.25
0
25.25
20
300
0
FORM NO 16
(See Rule 31 (1) (a))
Certified under 203 of Income Tax Act 1961 for Tax deducted at Source from Income Chargable under the head "Salaries"
NAME & ADDRESS OF THE EMPLOYER
Principal
G.P.U.College, Hatti G.mines
PAN No
TAN No
ERTE5486Y
TDS Circle where Annual Return / statement under
section 206 to be filed I.T.O. - III Hubli
Period
From
01/ April /
To
2014
Assessment Year
2015- 16
Details of salary paid and any other income and Tax deducted
592,972
1. Gross Salary
2. Less : Allowance to the extent exmpt under section 10
3. Balance (1-2)
4. Deductions : a) Tax on employment U/s 16(III)
b) Entertainment allowance U/s 16(II)
5. Agregate of 4 (a+b)
6. Income Chargable under the head 'SALARIES' (3-5)
7. Add any other income reported by the employee
8. Gross Total Income (6+7)
9. Deduction under chapter VI A
80U (PWD)
10(14) ii (xi) (PH Allowance)
0
80E (Edn loan Interest)
80E (Housing loan Interest)
10. Agregate of deduction Amount under chapter VI A
11. Rebate & relief under chapter VIII
I) Under section 80 C (Please Specify)
K.G.I.D
L.I.C
G.P.F
N.P.S
G.I.S
Tution Fee
Private Insurance
P.L.I.
Housing Loan Principle Amt
Total (a+h)
II) Under Section 88 A (Please Specify)
a) Relief Fund
b)
III) Under Section 9 (I) [Attach details]
12. Agregate of Tax Rebate & Relief at 11 above (I+II+III)
592,972
0
592,972
592,972
0
0
0
0
592,972
120,000
40,800
18,528
0
2,160
0
0
0
0
181,488
1,50,000
#VALUE!
#VALUE!
#VALUE!
#VALUE!
17. Surcharge 3%
#VALUE!
#VALUE!
Amount
4000
4429
4131
4131
Date of Payment
Certified that a sum of Rs 12334/- (Inwords)Naught OnlyTwelve thousand three hundred thirtyfour
only. has been deducted at source and paid to the credit of the central Govt. further certified that above information is true
and correct as per records.
Place :Dharwad
Date : 20/12/2014.
For more details Contact : hucheshpk@gmail.com