INPUT DATA

NAME
PAN NO
PLACE
ADDRESS
BASIC PAY
INCOME -TAX CALCULATION STATEMENT 2019-20
Financial Year 2019-2020 Assessment Year 2020-2021

Name & Designation PAN:

Sex/ Age
EMP.NO/SEX/AGE CITY TYPE,
Office TAN NO
Home Address: CITIZEN
PRTICULARS Rs.
1 Total salary income including HRA. Etc.
ADD: Income from OTHER SOURCE :
2
LESS: a) 10 % of ( Basic Pay + DA ) 80414
b) Actual rent paid (BUT BELOW RS: ) 120000
c) Difference ( b-a ) 39586
d) HRA received 38400
e) 50% OF SALARY FOR- MAJORE CITY/ OTHER CITY FOR 40 %(PAY+DA)
3
4 HRA Exempted whichever is less (b) or (c) or (d) 38400
Salary after giving relief under the "HRA" (1-2)
Less: STANDARD DEDUCTION RS. 50000/= 50000
Professional Tax U/S 16(iii) 2500
Conveyance Allowance U/S10(14)Rs.3200pm Disablity person only
5 Washing allowance /Uniform allowance( fully Allowed)
6
Hill allowance
6A
7 Winter allowance
Salary after allowing relief U/S 16 52500
LESS: Housing Loan interest U/S 24(b)Max Rs. 2,00,000)INCLUDE RENOVATION LOAN (REPAIRE ) RS.30000 TWO OWN USE HOUSE

Deductions under Chapter VIA

Less 1. C.P.S BALANCE AMOUNT 27237
2. S.P.F
3. F.B.F
4. L.I.C
5. SUKANYA SAMRIDHI POST OFFICE ( SELVAMAGAL SAVING PLAN ) 100000
5. P.L.I
6. U.T.I
7. P.P.F 50000
8. N.S.C (VIII issue) + Interest
9. REFUND OF H.B.A ONLY [PRINCIPAL TWO HOUSE]
10. SCHOOL FEES (TUITION) PAID (TWO CHILD ONLY )
11. FIXED DEPOSIT (MIN 5 YEARS-TAX SAVING PLAN)
12. EQUITY LINK SAVING BOND
8 13. STAMP DUTY REGISTRATION FEES
9 14. G.I (GROUP INSURANCE)
15. Other Deduction (CCG)RS. 25000
16. 80CCC AMOUNT DEPOSITED ANY ANNUITY[OR]PENSION PLAN

17. LIC LIKE JEEVAN SURAKSHA [MAX - Rs 10,000]

18. U/S 80 CCD 1 CONTRIBUTION TO PENSION SCHEME OF CENTRAL
GOVT. (up to 20%)
19. U/S 80 CCD 2 CENTRAL GOVERNMENT (EMPLOYER)(up to 20%)

TOTAL (MAX LIMIT RS. 150000 ) 150000

 Less 20. U/S 80CCD(1)b (ADDITIONAL BENEFIT RS:- 50,000) 50000
10 AFTER DEDUCTION [COL 6A-8+9]
CITY TYPE,
TAN NO
INDIAN
Rs.
847739

38400
809339

756839

150000
50000
556839
11 DEDUCTION UNDER CHAPTER - VI A 556839
DETAILS PAID RS. ELEGIBLE RS.

12 Less (1). U/S 80D: MEDICAL INSURANCE PREMIUM PAID IN THE NAME OF GOVT 2160 2160
ASSESSEE,SPOUSE DEPENDENT PARENTS OR CHILD [25000 TO
1,00,000] ABOVE 60 AGE ] PRIVATE

(2)U/S 80DD: EXPENSES ON MEDICAL TREATMENT ETC & DEPOSIT MADE FOR
MAINTAINANCE OF HADICAPPED DEPENDENTS MIN
75,000 [MAX RS. 1,25,000 ]

(3)U/S 80DDB: MEDICAL EXPENSES TOWARDS TREATMENT OF ASSISTANCE OR HIS/HER DEPENDENT SPOUSE OR P

(4)U/S 80E:REPAYMENT OF LOAN INTREST FOR HIGHER STUDIES AVAILED BY ASSESSEE [ 100%]

(6)U/S 80EE (Additional HBL Int. Max Rs.1,00,000)

(5)U/S 80G: DONATION FOR CHARITABLE PURPOSE 50% FOR SOME ITEMS, AND 100% FOR SOME ITEMS [P.M R

(6)U/S80GG HRA NOT RECEIVED PERSON (MAX 60000 PA)

(7)U/S 80U DISABLITY/ HANDICAP (BELOW 80 % MIN 75,000

ABOVE 80% MAX 125000)
(8)U/S 80TTA(Rs.10,000 MAX)(SAVING BANK ACCOUNT INTREST)

(9)U/S 80TTB BANK INTEST(Rs.40,000 MAX)

TOTAL AMOUNT 2160

NET TAXABLE INCOME [ 11--12 ] 554679
ROUNDED TO NEAREST TEN (U/S 288 A )

CITIZEN TAX PLAN

Rs.2,50,001 to 5,00,000/ 5% 12500
Rs.5,00,001 to 10,00,000/- 20% 54679 10936
Rs.10,00,001 and above 30% 23436
Less U/S 87A Rebate Rs.12,500 Taxable Income does not Exceed
Rs.500000 - ( AS PER COL. SERIAL NO 21)
AFTER REBATE-RS. 12500-TAX
Add ADD EDUCATION CESS@ (4%)

TOTAL TAX
Less LESS:RELIEF u/s 89 (1) A
TOTAL TAX PAYABLE FY:-2019-2020

Less FY 2019-2020 TAX ALREADY DEDUCTED UP TO JAN-2020

BALANCE TO BE DEDUCTED FEB 2020 TAX > CHESS>

I hereby authorise the drawing and disbursing officer to deduct the balance amount of tax from
February 2020 month salary (AS PER COL.28)
56839
ELEGIBLE RS.

2160

2160
554679

23436

937

24373

22000

2373
STATEMENT SHOWING PAY AND ALLOWANCES DRAWN
FOR THE FY 2019-2020 AND AY 2020-2021
NAME : CPS
OFFICE : GOVT HIGH SCHOOL NEEDAMANGALAM DEP. SCHOOL EDN
PAN NO : TAN CHEG12152A

MONTH CPS /
AND DA % Pay P.P D.A H.R.A M.A Total FBF HF SPF PLI I. T + CESS
YEAR GPF

.MAR 19 9% 55100 4959 3200 300

63559 6006 60 180 70
.APR 19 9% 56800 5112 3200 300
65412 6191 60 180 70
.MAY 19 12% 56800 6816 3200 300
67116 6362 60 180 70
.JUN 19 12% 56800 6816 3200 300
67116 6362 60 180 70
.JUL 19 12% 56800 6816 3200 300
67116 6362 60 180 70
.AUG 19 12% 56800 6816 3200 300
67116 6362 60 180 70 5000
.SEP 19 12% 56800 6816 3200 300
67116 6362 60 180 70
.OCT 19 17% 56800 9656 3200 300
69956 6646 60 180 70 5000
.NOV 19 17% 56800 9656 3200 300
69956 6646 60 180 70 5000
.DEC 19 17% 56800 9656 3200 300
69956 6646 60 180 70
.JAN 20 17% 56800 9656 3200 300
69956 6646 60 180 70 7000
.FEB 20 17% 56800 9656 3200 300
69956 6646 60 180 70 2373
TOTAL 679900 0 92431 38400 3600
814331 77237 720 2160 840 0 24373
D.A- I 0
D.A- II 0
E.L.S 28400 0 3408 1600 33408
ARRER 1 0
TOTAL 708300 0 95839 40000 3600 847739 77237 720 2160 840 0 24373

PAY+DA 804139
10% SALARY 80414
 TOTAL
DEDUCTIO P.TAX
N

6316
6501
6672
6672
6672
11672 1250
6672
11956
11956
6956
13956 1250
9329
105330

105330 2500
 FORM 12BB FY 2019-2020 (see rule 12c)
Statement showing particulars of claims by an employee for deduction of tax under section 192
1 NAME OF THE STAFF:- 0
2
ADDRESS WITH PIN CODE
3
DATE OFBIRTH (PAN)
Details of claims and evidence thereof
S.NO Nature of claim AMOUNT Rs. Evidence / particulars
1 House Rent Allowance:
(i) Rent paid to the landlord (ii) Name of the landlord
(iii) Address of the landlord

(iv) Permanent Account Number of the landlord ( Note: Permanent Account

Number shall be furnished if the aggregate rent paid during the previous year exceeds one lakh rupees) (ABOVE RS. 100000 )

2 Leave travel concessions or assistance

3 Deduction of interest on borrowing:
(i) Interest payable/paid to the lender RS.

(ii)Name of the lender /Bank

(iii) Address of the lender / Bank

4
(iv) Permanent Account Number of the lender (if avail)

Deduction under Chapter VI-A

(A) Section 80C,80CCC and 80CCD
(i) Section 80C AMOUNT Rs. Evidence / particulars
1 S S PLAN RS. RS. RS. NO

L.I.C. RS. RS. RS. NO

RS. RS. RS. NO

2 GPF/TPF/(CPS Balance amount) RS.

3 P.L.I +செலவமகள செமிபபு RS. RS. RS.

4 U.T.I per year RS.

5 P.P.F per year RS.

6 N.S.C per year RS.

7 HOUSE LOAN [PRINCIPAL] RS.

8 TUITION FEES(ONLY 2 CHILD) RS.

9 FIXED DEPOSIT (5 YEAR &ABOVE) RS.

10 EQUITY LINK SAVING BOND RS.

11 STAMP DUTY REGISTRATION FEES RS.

12 G.I (GROUP) per year RS.

13 80 CCD (1)b ADDITIONAL BENEFITS / NPS RS.

(ii) Section 80CCC RS.

(iii) Section 80CCD RS.
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.
1 U/S 80D ( NHIS + PRIVATE ) RS.

2 U/S 80DD RS.

3 U/S 80DDB RS.

4 U/S 80E RS.

5 U/S 80G RS.

6 U/S 80GG RS.

7 U/S 80TTA RS.

8 U/S 80TTB RS.

9 U/S 80U RS.

10 U/S 80CCG RS.

verification
THE ABOVE DETAILS FOUND AND CORRECT AS PER MY KNLOWDGE
Place:-
Date:- (Signature of the employee)
particulars

particulars
employee)