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INCOME TAX CALCULATION STATEMENT FOR THE FINANCIAL YEAR 2016-17 (ASST. YEAR 2017-18) Ni : PAN: si BIA en. Veen Red AN AL CPV 1Q83F d Designation: Reade TAN: CHE JO33AVD, Office Address. : K.NATTRAJA DENTAL “ERR KUNRRAPALAYAM - 636 189 Phone No. Call No: Pin: Rs, Rs. 1. GROSS SALARY INCOME (Including all allowances) g torn | 2_LESS: HRA exempted under I.T. Rules under Section 10 (134) Actual rent paid b, 10% of salary Pay + DA) [ c ©_Diference (excess over 0% Pay DA) a. HRA recened ©. 40% of salary (Pay + DA) TRA exempted c(orjd (or) e whichever is less ._ GROSS INCOME (1-2) Taxable Perquisites: Gross Salary income (3) + (@) LESS : DEDUCTION U/S 16 i Entertainmentallowanoe Ti, Taxon employment (Professional Tax) NET SALARY INCOME (5-6) ‘Add Income / Loss from House Property as per Annexure . Add Income from other source x [ ~d. Other deposit interest(e) SB Account interest Total of (@) 9,_ GROSS TOTAL INCOME (7+6) ‘10. LESS DECUCTIONS : UNDER CHAPTER VI 1. 80-CCC-LIC Jeevan Suraksha ICICI Lite Time Pension 2. GPF (of) TPF (Contribution) Pee Ao0o 3. FBRSPF & HF 4. LIC (oF) PLI Premiums paid ZRoaa ', Tuition fee paid to any School / College 9S,.c00_| 6. NSC Deposits’ 7. UTI Mutual fund / Notified Fixed Deposits with Bank 8, Housing Loan Repayment 8. Other items permissible Hil Total 110 9 (Subject to maximum of s.1,50.000-) | 1. Cowan | J, 65,000 80-0 upto Rs. 25,000 (Mediclaim) (See Note 3)Health insurance [-c. 80:00 upto Rs.75,000 (Medical reatmentHandicapped dependent) | (Ris. 1,25,000 in case of severe disability) d._80-DDB upto Rs.40000 (Medical treatment - individual, dependent relative) ._80-E upto Rs. 40,000 (Interest on Loan for Higher Studies) 80-G Donations made through employer g. 80 TTA Maximum of Ris.10,000/-, Interest income, (Note-7] hh 60+ upto Rs.75,000 (Permanent physical disability cases) (7s.1,25,000 in case of severe disability) 10. TOTALS i. TAXABLE INCOME (9-10) (roundedto nearest ten rupees) dee eee ee ‘4X ON TOTAL INCOME (FOR COL. 11)(rounded to: ‘A. Individual below 60 years T Onthe first (Rs.250000) 2 _Onthe next (R8.250000 to §,00,000) @ 3. Onthe next (Rs. 5,00,001 to 10,00,000) @ 4. On the balance (Above Rs. 10,00,000) @ 30% | TOTAL(2+3+4) B. __ Senior Citizen above 60 years but below 80 years 7. On the ist (Rs. 3,00,000) 3,00,000 [Nik 2 Onthe next (Fs.2,00,001 10 5,00,000) @ (te 2 Onthe next (Rs. 5,00,000 to 10,00,000) @ 20% | | “4 Onthe balance (above Rs. 10,00,001) @ [30% | [Tora @ +344) The | 12(@) Total Tax(A+8) fi age FSe00 | 12(0) (Less) Rebate U/S 87 A (See Note 8) | 33. lax Payable for the year 2016-2017 [ 12(a) - 12(0) ] FSeco |” 14, Education cess @ 2% & Sec. & Higher Education o@ss @ 1%0n col No 1S 2Q50_ 15. Tax & Education cess (13 + 14) EPI {6 Jax Relief under section 89 (1) as per annexure (Form No.10E) aay 17. Yax Payable (15-16) | FF, 280 _| 118. So for deducted 2. Salance of Income Tax to be deducted (17-18) Tz s CERTIFICATE: + 3. Certified that | am paying a sum of rupees .. Counter Signed Ceritied that | am occupying house alloted by the Accomodation controller / PWD/ TNHB on payment of rent. 2. Cottified that I am occupying rental house and paying monthly rent of AS... towards LIC Premium and the policies are kepi alive eared) Candee Head of Office. Signature of Employee with Designation, TAX PAID i l sn TDS Bill No (or) Bill No (or) BSR one Rs. Challan No. Chalian Date CODE otsbeteetette

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