INCOME TAX CALCULATION FOR

Emp ID No. 0211224 If you Family Pensioner, Please enter family Pension
Name of the Employee Y.S.K.Gowtamudu TAN No :-
Designation Field Assistant PP
office of the Prl. District Judge Court , Visakhapatnam FP
Select Increment Month in PRC-2015
Pay as on March-2018 in PRC-2015 28940

July,2018
Pay as on April-2018 in PRC-2015 28940

AAS(6/12/18/24) Availed No Taken Promotion

H.R.A. Exemption as per eligibili

Living in Rented House 8300 Your Rent will be Rs
Select for HRA / AHRA /CCA / PHC Allowances DA Arrears drawn in 20
HRA Received 20 CCA Received 450 DA %

If any Change from which

Month No Change If any Changed
No Change 22.008%

HRA Changed to 0
Changed CCA 0 24.104%
AHRA Received PHC (CA) 25.676%
NO No
PRC-PART-II & Other Arrears if any drawn and GPF/CSS/CPS/Z
Arrears if nay Pay DA HRA CCA PP/FP/SP
PRC-PART-II
other Arrears if nay 0 0 0 0 0

Savings U/s 80C (Limited to 1,50,

MONTH 03/18 04/18 05/18 06/18 07/18
GPF Subscription :- 6000 6000 6000 6000 6000
APGLI Subscription :- 850 850 850 850 850
GIS Subscription :- 30 30 30 30 30
PT Deduction :- 200 200 200 200 200
CM relief fund :- 80 80 80 80 80
LIC Salary Savings Scheme P.M Rs. 0 Other Sections Under
Repayment of HBA --- P.M Rs. 0 Interest on Educational Loan (80-E)
Children Fee for 2018-19 Rs. 0 Interest on Housing Loan Advance
Medical treatment of Handic
LIC Half/Quarterly/ Annual (Total) Rs. 94217
DD)
Total P.L.I ---- Paid (Total year) Rs. 0
Maintaince for 80% and above disabled Emplo
Other Recoveries if any Rs. 89295
Medical Insurance Premium-S.Citizens
 Medical Insurance Premium-S.Citizens
If any Leaves Availed during the month (No. of Days) Donation of Charitable Institution (8
03/18 09/18 Section 80 CCG :Rajiv Gandhi Equity Savin
No No
04/18 10/18 Investment made in NPS up to Rs 50,00
No No
05/18 No
11/18
No
06/18 No
12/18
No Md. Jahi
07/18 No
01/19
No Dist. T
08/18 No 02/19 No Cell: 99516037
.
CULATION FOR THE YEAR 2018-2019
ase enter family Pension received during the year 2018-19 0.00
TAN No :- PAN No :- AFZPY4708B
0 SP 0 DDO Name B.S/Bhanumati
0 others 100 DDO Designation Prl.District Judge
Select Increment Month in PRC-2015
Select PF Type If Surrender Leave Taken
July,2018
Class IV GPF Class IV GPF 15 Days - April,18

Taken Promotion No Fixation Option is given to

Exemption as per eligibility U/s. 10(13-A)

Your Rent will be Rs. 10300-00 To get HRA Exemption
DA Arrears drawn in 2018-19 Select the DA % P.M
Total Arrears Adjestment Cash 03/18 04/18 05/18 06/18 07/18

0 0 0 22.008 24.104 24.104 24.104 24.104

6969 18068 -11099 09/18 10/18 11/18 12/18 01/19

23486 21928 1558 24.104 25.676 25.676 25.676 25.676

any drawn and GPF/CSS/CPS/ZP PF recoveries during the year 2018-19
others Total GPF/CSS Class-IV GPF CPS 10% PT ZPPF APGLI
0 0 0 0 0 0
0 0 0 0 0 0 0 0

0C (Limited to 1,50,000-00) Recoveries

08/18 09/18 10/18 11/18 12/18 01/19 02/19
6000 6000 6000 6000 6000 6000 6000 EWF
850 850 850 850 850 850 850 Flage Day

30 30 30 30 30 30 30 EHS (p.m)

200 200 200 200 200 200 200 Total CM

80 80 80 1072 80 80 80 relief fund

Other Sections Under Chapter VI A ( Under Sections 80E,80G,80DD etc )

nterest on Educational Loan (80-E) Rs. 0 Advance Tax Paid
nterest on Housing Loan Advance (80EE) Rs. 0 Mar,18
Medical treatment of Handicapped/Dependent (80
Rs. 0 Apr,18
DD)
Rs. 0 May,18
Maintaince for 80% and above disabled Employee (80 U)
Rs. 0 June,18
Medical Insurance Premium-S.Citizens
Medical Insurance Premium-S.Citizens
Donation of Charitable Institution (80G) Rs. 0 July,18
Section 80 CCG :Rajiv Gandhi Equity Savings Scheme Rs. 0 Aug,18
Investment made in NPS up to Rs 50,000-00 under Section 80CCD(1B) Rs. 0 Sept,18

Prograrmmed by Oct,18

Md. Jahiruddin, Sub-Treasury officer Nov,18

Dist. Treasury office, Kakinada Dec,18

Cell: 9951603786 - Email -- jahir0300084@gmail.com Jan,19

.
 0.00
ZPY4708B
anumati
ct Judge

rrender Leave Taken

15 Days - April,18

M
08/18

24.104

02/19
25.676

GIS
0
0

20
50
90
1952

Advance Tax Paid

0
0
0

0
 Statement Showing the Salary Particulars of : Y.S.K.Gowtamudu, ID No. 0211224, Field Assistant, Prl. District Judge Court ,
Visakhapatnam for INCOME TAX CALCULATION FOR THE YEAR 2018-2019
Class EWF/Flage
Gross House Income Total
S.No Month Pay DA HRA AHRA PP FP S.P Others CCA PHC IV APGLI GIS PT HBA Day/E.H.F/ EHS
Deductions
Total Rent CM relief Tax
GPF
1 March,2018 28940 6369 5788 0 0 0 0 100 450 0 41647 6000 850 30 200 0 0 100 90 0 7270
2 April,2018 28940 6976 5788 0 0 0 0 100 450 0 42254 6000 850 30 200 0 0 80 90 0 7250
3 May,2018 28940 6976 5788 0 0 0 0 100 450 0 42254 6000 850 30 200 0 0 80 90 0 7250
4 June,2018 28940 6976 5788 0 0 0 0 100 450 0 42254 6000 850 30 200 0 0 80 90 0 7250
5 July,2018 29760 7173 5952 0 0 0 0 100 450 0 43435 6000 850 30 200 0 0 80 90 0 7250
6 August,2018 29760 7173 5952 0 0 0 0 100 450 0 43435 6000 850 30 200 0 0 80 90 0 7250
7 September,2018 29760 7173 5952 0 0 0 0 100 450 0 43435 6000 850 30 200 0 0 80 90 0 7250
8 October,2018 29760 7641 5952 0 0 0 0 100 450 0 43903 6000 850 30 200 0 0 80 90 0 7250
9 November,2018 29760 7641 5952 0 0 0 0 100 450 0 43903 6000 850 30 200 0 0 1072 90 0 8242
10 December,2018 29760 7641 5952 0 0 0 0 100 450 0 43903 6000 850 30 200 0 0 130 90 0 7300
11 January,2019 29760 7641 5952 0 0 0 0 100 450 0 43903 6000 850 30 200 0 0 80 90 0 7250
12 February,2019 29760 7641 5952 0 0 0 0 100 450 0 43903 6000 850 30 200 0 0 80 90 0 7250
13 SL for 15 Days - April,18 14470 3488 2894 0 0 0 0 0 225 0 21077 0 0 0 0 0 0 0 0
14 DA Arrears for 22.008% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 DA Arrears for 24.104% 0 6969 0 0 0 0 0 0 0 0 6969 0 0
16 DA Arrears for 25.676% 0 23486 0 0 0 0 0 0 0 0 23486 0 0
17 AAS Arrears 0 0 0 0 0 0 0 0 0 0 0 0 0
18 No Promotion 0 0 0 0 0 0 0 0 0 0 0 0
19 PRC-2015 Part-2 ARREARS ** 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 other Arrears if nay 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total :- 368310 120964 73662 0 0 0 0 1200 5625 0 569761 72000 10200 360 2400 0 0 2022 1080 0 88062

I , Y.S.K.Gowtamudu, Field Assistant, Prl. District Judge Court , Visakhapatnam do hereby declare that I am
paying a monthly rent of Rs.8300/- P.M towards my residential accommodation.

// Countersigned // Certified that the particulars furnished in this annexure are true and correct.

Signature of the DDO Signature of the Employee

 ANNEXURE - II
INCOME TAX CALCULATION FOR THE FINANCIAL YEAR 2018-19
Name Y.S.K.Gowtamudu Emp ID No. 0211224
Designation Field Assistant Prl. District Judge Court , Visakhapatnam
Living in : Rented House PAN No. AFZPY4708B
1 Gross Salary……… Rs. 569761
2 Less :Standard Deduction for Salaried & Pensioner (Rs 40,000) 40000
3 H.R.A. Exemption as per eligibility U/s. 10(13-A)
a) Actual HRA received Rs. 73662
b) Rent paid in excess of 10% Salary(Rent: @ 8300/-PM)
i) Actual rent paid per annum Rs. 99600
ii) 10% of Basic Salary (Pay+DA) Rs. 48927
Excess Rent Paid (i-ii) 50,673 Rs. 50673
c) 40% of Baisc Salary Rs. 195,710
4 Total Salary (2-3) Rs. 479088
5 Deductions from Salary Income Rs. - 0
a) Exemption from Conveyance Allowance U/s. 10(14) (i) Rs. -
b) Profession Tax U/s 16 (3) B Rs. 2,400 2400
6 Income From Salary (4-5) Rs. 476688
7 Add: Family Pension received during the year 2018-19 Rs. - 0
8 Add: Income From Capital Gains Rs. 0
9 Add: Income from House Property U/s 24(vi) Rs. - 0
10 Gross Total Income (6+7+8+9) Rs. 476688
11 Deductions
a) E.W.F/Flage Day/EHF/CMRF 20 + 50 + 1080 + 1952 Rs. 3,102
b) Expenditure on medical treatment (80 DDB) Rs.
c) Medical Insurance Premium-S.Citizens Rs. -
d) Donation of Charitable Institution (80 G) Rs. -
e) Interest on Educational Loan (80 E) Rs. -
f) Interest on Housing Loan Advance (80 EE) Rs. -
g) Medical treatment of Handicapped/Dependent (80 DD) Rs. -
h) Maintaince for 80% and above disabled Employee (80 U) Rs. -
i) Investment made in NPS up to Rs 50,000-00 under Section 80CCD(1B) Rs. -
TOTAL----------- Rs. 3,102 3102
12 Gross Total Income (10-11) Rs. 473586
13 Savings U/s 80C (Limited to 1,50,000-00)
a) Class IV GPF Rs. 72,000
b) APGLI Rs. 10,200
c) GIS Rs. 360
d) LIC Premium Deducted in Salary Savings Scheme Rs. -
e) Children Tution Fee Rs. -
f) Repayement of HBA Rs. -
g) LIC Annual Premiums Paid by Hand Rs. 94,217
h) PLI Annual Premuim Rs. -
i) 5 Years Fixed Deposits Rs. -
j) Others ( Rs. 89,295
Total Savings Rs. 266,072 150000
investment made under Section 80 CCG :Rajiv Gandhi Equity Savings Scheme 2012 Rs. - 0
14 Net Taxable Income (12-13) Rs. 323586
15 Tax on Income ###
a) Up to Rs. 250000 Rs. NIL
b) Rs.2,50,001 To 5,00,000. (@ 5%) Rs. 3679
c) Rs.5,00,001 To 10,00,000. (@ 20%) Rs. 0
d) above Rs.10,00,001. (@ 30%) Rs. 0
Under section (87A) rebate of Rs 2500/- for individual
16 having Taxable income not exceeding Rs 3,50,000/-. Rs. 2500
Net Total Tax Payable (18-19) Rs. 1179
17 Health and Education Cess@ 4% Rs. 47
18 Net Total Tax Payable (18-19) Rs. 1226
19 Details of Advance Tax Deductions Rs. 0
a) Upto 11/18 Rs. - ###
b) 12/18 Rs. -
c) 01/19 Rs. - ###
Total Advance Tax Rs. -
20 Tax to be Paid now in the month 02/2019 Rs. 1226
Signature of the Drawing Officer Signature of the Employee
FORM No. 16
( Vide rule 31(1)(a) of
INCOME TAXIncome TaxFINANCIAL
FOR THE Rules, 1962YEAR
) 2018-19
Certificate under section 203 of the Income-tax Act, 1961
for Tax deducted at source from income chargeable under the head "Salaries"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
B.S/Bhanumati Emp ID No. 0211224
Prl.District Judge Y.S.K.Gowtamudu
Field Assistant
Prl. District Judge Court , Visakhapatnam
Prl. District Judge Court , Visakhapatnam
TAN No. of DDO PAN oF Employee
Acknowledgement Nos. of all quarterly statements of TDS under sub-section 200 as provided by TIN Facilitation Center
or NSDL web-site.
Quarter Acknowledgement No. Period Assessment
1 From To Year
2
3 March,2018 Feb,2019 2019-2020
4
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary Rs. 569,761
a) Salary as per provisions cotained in section 17 (1) Rs. -
b) Value of percuisites under section 17(2) Rs. -
(As Per Form No. 12BA, Wherever applicable)
c) Profits in lieu of salary under section 17(3) Rs. -
(as per Form No. 12BA, Wherver applicable)
d) Total Rs. 569,761 Rs. 569,761
2 Less: Allowance to the extent exempted U/s 10
a) House Rent Allowence Rs. 50,673
b) Other Allowance Rs. - Rs. 50,673
3 Balance (1-2) Rs. 519,088
4 Deductions
a) Entertainment Allowence Rs. -
b) Tax on Employment Rs. 2,400
5 Aggreate of 4 (a)&(b) Rs. 2,400
6 INCOME CHARGEABLE UNDER THE HEAD SALARIES (3 Rs. 516,688
7 Add: Family Pension received during the year 2017-18 Rs. -
Add: Income from House Property U/s 24(vi) Rs. -
Less:Interest on Housing Loan U/s 24(b) Rs. -
8 Gross Total Income (6+7) Rs. 516,688
9 Deductions Under Chapter VI-A
A) UnderSection 80C,80CCC,80CCD. Gross Qualifying Deductible
a) Section 80C Amount Amount Amount
i Class IV GPF Rs. 72,000 Rs. 72,000 Rs. 72,000
ii A.P.G.L.I Rs. 10,200 Rs. 10,200 Rs. 10,200
iii G.I.S Rs. 360 Rs. 360 Rs. 360
iv LIC Premium Deducted in SSS Rs. - Rs. - Rs. -
v Children Tution Fee Rs. - Rs. - Rs. -
vi Repayement of Home Loan Premium Rs. - Rs. - Rs. -
vii LIC Annual Premiums Paid by Hand Rs. 94,217 Rs. 94,217 Rs. 94,217
viii PLI Annual Premuim Rs. - Rs. - Rs. -
ix 5 Years Fixed Deposits Rs. - Rs. - Rs. -
x Unit Linked Insurance Plan Rs. Rs. - Rs. -
xi Others (0) Rs. 89,295 Rs. 89,295 Rs. 89,295
266,072 Total Under Section 80C… Rs. 150,000
b) Section 80CCC
i LIC / UTI etc. Pension funds Rs. Rs. - Rs. - Rs. -
c) Section 80CCD
i Contribution to Pension Fund Rs. - Rs. - Rs. - Rs. -
Aggrigate Amount Deductible Under 3 Sections………………………………………………….
Rs. 150,000

Note: 1.aggregate amount deductible under section 80c shall not exceed 1,50,000-00 rupees.
2.aggregate amount deductible under section 80C,80CCC,80CCD, shall not exceed 2,00,000-00.
 B) Other Sections Under Chapter VI A Gross Qualifying Deductible
( Under Sections 80E,80G,80DD etc ) Amount Amount Amount
E.W.F/Flage Day/EHF/CMRF Rs. 3,102 3,102 3,102
Expenditure on medical treatment Rs. - - -
Medical Insurance Premium Rs. - - -
Donation of Charitable Institution Rs. - - -
I Interest on Educational Loan Rs. - - -
V.Sa Interest on Housing Loan Advance Rs. - - -
njee
va Medical treatment of Handicapped/Depende Rs. - - -
Red Maintaince for Below 80% disabled Employ Rs. - - -
dy investment made under Section 80
wor CCG :Rajiv Gandhi Equity Savings
Rs. - - -
king Scheme 2012
as Investment made in NPS up to Rs
50,000-00 under Section 80CCD(1B) Rs. - - -
Man
dal Total Under Sections 80CCG, 80GG, 80E, 80EE, 80DD, 80U etc….. Rs. 3,102
Edu
10 Aggregate of Deductible Amounts U/Chapter VIA (A+B)……… Rs. 153,102
cati
363586
onal
11
Offi TOTAL INCOME (8-10) 250000 Rs. 363,586
cer
12 TAX ON TOTAL INCOME Rs. 113586 Rs. 3,679
do
here Under section (87A) rebate of Rs 2500/- for individual having Taxable income not exceeding
by13 Rs 3,50,000/-. Rs. 2,500
certi
15 TAX PAYABLE (12-13) Rs. 1,179
fy
16
that Education Cess @ 1% + 2%(On Tax at S.No.15 ) Rs. 47-
17
the TAX PAYABLE (15+16) Rs. 1,226
sum
18 Less:(a) Tax deducted at source U/s 192(1) Rs. -
of
(b)Tax paid by the employer on behalf of the Rs.
Rs.
180 Employee U/S 192 (1A) on perquisited U/S 17 (2) Rs. -
75/-
19 TAX PAYABLE / REFUNDABLE (17-18) Rs. 1,226
Rup
ees
in
wor DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
ds (The employer is to provide tranction - wise details of tax deducted and deposited)
(Eig
Sl. TDS Surcharge Total Tax Date on Transfer
htee
No. Rs. Rs. Deposited BIN No Which Tax vocher/chalana
n
Rs. Deposited Identification No
Tho
usa 1 1,179 47 1,226
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and 3
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I, B.S/Bhanumati (DDO) working as Prl.District Judge do hereby certify that the sum
to of Rs. 1226-00 has been deducted Income Tax at source and paid to the credit of the
the central Government. I further certify that the Informtion givin above is true and
cred correct based on the books of account, documents and other available records.
it of
the
cent
ral
Gov
ern
men
Place: Signature of the person responsible for deduction of tax
t. I
Date:
furt Full Name--
her Designation-
certi
fy
that
the
Info
rmti
on
givi
 RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act )

This is to certify that Y.S.K.Gowtamudu, Field

Assistant, Prl. District Judge Court , Visakhapatnam has paid an
amount of (House Rent Annual amount) Rs.99600-00 towards
the rent @ 8300-00 per month from Mar-2018 to Feb-2019 in
respect of my house at Door/Flat No. 64-1-1/B1, Janaki Ram
Nager, Pratap Nager, Near Water Tank, Kakinada, E.G. Dist.,
533004.

1-00
Revenue
Stamp

Station: Signature of the House Owner

Dt. Name: Sri M.Rama Rao