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Dr.B.R.

R Govt Degree College-Jadcherla


Statement of Income & Tax for the Previous Year 2009-10 & Assessment Year 2010-11
Name Of the Assessee…………...………...………..Designation………………Pan No…………………..
S.No Particulars Amount
1 GROSS TOTAL SALARY(as per salary statement)
2 Less* House rent Allowance U/S 10(13a) if Residing in a rented House
3 NET SALARY (1-2)
4 Less * Professional Tax U/S 16(iii)
5 INCOME FROM SALARY(3-4)
a)Add income from other sources if any
b)Add income from let out house property (or)
Less: Loss of income self-occupied house (Amount paid
6 towards interest on loan borrowed for construction of house)
7 GROSS TOTAL INCOME (5+ / -6)
8 **Other Permissible Deductions under Chapter 6 Amount Rs
a) Savings U/S 80C
b) Medical Insurance premium U/S 80D
c) Medical treatment and maintenance of disabled Dependent U/N 80DD
d) Medical treatment of chronic and Specified Disease U/N 80DDB
e) Donations to Certain Funds & Charitable Institutions etc U/S 80G
f) Interest paid on Educational Loan U/S 80 E
g) Permanent Physical Disability U/S 80u
Total deductions ( 8a to 8g )
9 TOTAL TAXABLE INCOME ( 7-8 )
10 ***INCOME TAX ( ON ABOVE INCOME )
11 Add Education Cess @ 3% on income Tax ( 3% of the 10 )
12 TOTAL INCOME TAX PAYABLE ( 10+11 )
13 Less income tax already Deducted – up to December 2009
14 Balance of income tax payable ( 12-13 )
TAX DEDUCTABLE
From the salary of January 2010
15 From the salary of February 2010

Certified that the above particulars are correct and I shall be responsible for any lapse in
furnishing the information

PRINCIPAL BRRGDC-JADCHERLA Signature of the Assessee


___________________________________________________________________________________
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NOTE:
*HRA Deduction-Least of the following:
1) Actual HRA Received
2)Rent paid minus 10% of the salary ( B.P+D.P+D.A)
3)40% of the salary (B.P+D.P+D.A)
**8A)savings like premiums paid on LIC,APLIF,ULIP,GIS,pension plan u/s 80 CCC,Jeevan
Dhara,Jeevan Akshay,Mutual Funds,Infrastructure Bonds,NSS,Principle amountof House Loan
re-paid,(Upto Rs1 Lakh).
8b)Upto Rs 10,000 in case of assessee or Dependants and upto Rs 15,000 in case of Dependant Senior
Citizen.
8c)Upto to Rs.50,000 for Normal disability and Rs.75,000 if the disability is more than 80%
8d) Upto Rs 40,000 and Rs.60, 000 for the treatment of Dependant senior citizen.
8e)Interest paid on Educational Loan for self/spouse/children-Total Amount.
8f)Upto Rs.50,000 and Rs.75,000 if the disability is more than 80%

*** INCOME TAX RATES

Income tax Rates For Men Assessee For Women Assessee


Nil Upto Rs.1,60,000 Upto Rs.1,90,000
10% Rs.1,60,001 to Rs.3,00,000 Rs.1,90,001 to Rs.3,00,000
20% Rs.3,00,001 to Rs.5,00,000 Rs.3,00,001 to Rs.5,00,000
30% Rs.5.00,001 and above Rs.5,00,001 and above
Dr.B.R.R Govt Degree College-Jadcherla
Statement of Income & Tax for the Previous Year 2009-10 & Assessment Year 2010-11
Name Of the Assessee………………………………..Designation…………………Pan No…………………..
IT
Basic Pay INT Spl. D.A HRA Total.Rs. GPF APLIF GIS P.Tax Rs Others
Rs. Relif Pay Rs. Rs. Rs. Rs. Rs. Rs.
Month (+50%DP) Rs.
Mar-2009

Apr-2009

May-2009

Jun-2009
Jul-2009

Aug-2009

Sep-2009

Oct-2009

Nov-2009

Dec-2009
Jan-2010

Feb-2010
Arrears

Arrears

Arrears

Total Rs.

Recognized Savings under U/S 80C (Documentary Evidence to be Produced)

Sl.No Savings Details Account/Policy No. Amount Rs.

1 GPF Contribution

2 Group Insurance Scheme Contribution

3 APLIF

4 LIC Premiums

5 Infrastructure Bonds

6 Principle Amount

7 ULIP

8 Children Tuition Fee

9 Others

Total Savings

Qualified Savings (Maximum Rs. 1 Lakh Only)


Certified that the above Particulars are correct and I shall be Responsible for any lapse
furnishing the information.

PRINCIPAL, Dr BRRGDC Signature of the Employee


JEDCHERLA