You are on page 1of 8

Single copy ( to be sent to the ZAO )

Tax Applicable ( Tick One ) CHALLAN NO.


TAX DEDUCTED / COLLECTED AT SOURCE FROM ITNS
( 0020 ) COMPANIES ( 0021) NON-COMPANIES * 281

Tax Deduction Account Number Assessment Year


NGPM04516B 2011-12
Full Name
MAHARASHTRA STATE POWER GENARATION COMPANY LTD. CIVIL CONSTRUCTION CIRCLE, PARAS
Complete Address with City & State

Nature of Payment (Tick One) Code 96C

DETAILS OF PAYMENTS FOR USE IN RECEIVING BANK


Amount ( in Rs.Only ) Debit to A/c / Cheque credited on
Income Tax 106507.00
Surcharge -
Education Cess -
Interest DD MM YY
Penalty SPACE FOR BANK SEAL
Others
Total 106507.00

Total ( in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS

Err:511 Err:511 Err:511 Err:511 Err:511 Err:511

Paid in Cash/Debit to A/c./Cheque no. Dated

Drawn on
(Name of the Bank and Branch)

Date :- Signature of person making payment

Taxpayers Counterfoil ( To be filled up by the tax payer )


TAN NGPM04516B 96C SPACE FOR BANK SEAL

Received from MAHARASHTRA STATE POWER GENARATION COMPANY LTD. CIVIL CONSTRUCTION CIRCLE, PARAS
(Name)
Cash / Debit to A/c / Cheque No. 0 for Rs. 106507.00

Rs.(in words):- #MACRO?

drawn on 0
(Name of the Bank and Branch)

on account of TDS from / Companies / Non-Companies


(Strike out whichever is not applicable)
IT 106,507
for the Assessment Year 2011-12 SC -
ED CESS -
#VALUE!
Single copy ( to be sent to the ZAO )
CHALLAN NO. Tax Applicable ( Tick One ) Assessment Year
ITNS TAX DEDUCTED / COLLECTED AT SOURCE FROM
280 ( 0020 ) COMPANIES ( 0021) NON-COMPANIES *

Parmanent Account Number

Full Name

Complete Address with City & State

Nature of Payment (Tick One)


Advance Tax (100) Surtax (102)

Self Assessment Tax (300) Tax on Distributed Profits of


Domestic Companies (106)
Tax on Regular Assessment (400) Tax on Distributed Income to
Unit Holders (107)

DETAILS OF PAYMENTS FOR USE IN RECEIVING BANK


Amount ( in Rs.Only ) Debit to A/c / Cheque credited on
Income Tax
Surcharge -
Education Cess -
Interest DD MM YY
Penalty SPACE FOR BANK SEAL
Others
Total -

Total ( in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS

Err:511 Err:511 Err:511 Err:511 Err:511 Err:511

Paid in Cash/Debit to A/c./Cheque no. Dated

Drawn on
(Name of the Bank and Branch)

Date :- Signature of person making payment

Taxpayers Counterfoil ( To be filled up by the tax payer )


PAN 0 SPACE FOR BANK SEAL

Received from 0
(Name)
Cash / Debit to A/c / Cheque No. 0 for Rs. -

Rs.(in words):- Err:511

drawn on 0
(Name of the Bank and Branch)

on account of / Companies / Non-Companies


(Strike out whichever is not applicable)
Type of Payment IT -
for the Assessment Year 0 SC -
ED CESS -
Form No. 16 Certificate under section 203 of the Income-tax Act,
[ See rule 31 (1) (a) ] 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
1

Form 24 Seq. No. :

PAN / GIR No. TAN No PAN / GIR No.

TDS Circle where Annual Return/Statement Period Assessment


under Sec.206 is to be filed. From To Year

Acknowledgement Nos. of all quarterly statements of TDS under sub-section (3) of section 200 as
provided by TIN Facilitation Centre or NSDL web-site

Quarter Acknowledgement No.

1st Quarter
2nd Quarter
3rd Quarter
4th Quarter 1/4/2005 3/31/2006 2006-2007

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

1 GROSS SALARY
a) Salary as per provisions contained in sec.17(1) Rs.500,000
b) Value of perquisites u/s 17(2) (as per FormNo.12BA, wherever applicable) Rs.0
c) Profits in lieu of salary under section 17(3) (as per Form No.12BA, Rs.0
wherever applicable)
d) Total Rs.500,000

2 LESS : Allowances to the extent exempt under section 10


Allowance Amount
Conveyance Allowance Rs.9,600
Rs.9,600
3 BALANCE (1-2) Rs.490,400

4 DEDUCTION
(a) Tax on employment Rs.2,500
(b) Entertainment Allowance Rs.0

5 AGGREGATE OF 4 ( a to b ) Rs.2,500 Rs.2,500

6 INCOME CHARGEABLE UNDER THE HEAD SALARIES ( 3 - 5) Rs.487,900

7 ADD Any other income reported by the employee Rs.0

8 GROSS TOTAL INCOME ( 6 + 7 ) Rs.487,900

9 DEDUCTION UNDER CHAPTER VI - A


(A) Sections 80C, 80CCC and 80CCD Gross Amt Deductible Amt
A. Section 80C
(a)
(b)
(c)
(d)
B. Section 80 CCC
C. Section 80 CCD

(B) Other Sections (e.g. 80E, 80G etc.) under chapter VI A


Gross Amt Qualify Amt Deductible Amt
(a) Rs.0 Rs.0
(b) Rs.0 Rs.0
(c) Rs.0 Rs.0
(d) Rs.0 Rs.0

10 Aggregate of Deductible amount under Chapter VI - A Rs.0

11 TOTAL INCOME ( 8 - 10 ) Rs.487,900

12 TAX ON TOTAL INCOME Rs.0


Page 2 : 0.00

13 SURCHARGE ( ON TAX COMPUTED AT SR.NO.12) 0.00

14 EDUCATION CESS @ 2% ON (TAX AT S. NO. 12 PLUS SURCHARGE AT S. 0.00


NO.13)

15 TAX PAYABLE (12+13+14)

16 Relief under section 89 (attach details) Rs.0

17 Tax payable (15-16) Rs.0

18 Less : (a) Tax deducted at source u/s 192(1) Rs.0


(b) Tax paid by the employer on behalf of the employee u/s 192(1A) on
perquisites u/s 17(2) Rs.0 Rs.0

19 TAX PAYABLE / (REFUNDABLE) ( 17 - 18 ) Rs.0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

Date on which tax


Education Total Tax Chq No./ DD BSR Code of Transfer voucher/Challan
Sr.No. TDS Surcharges deposited
Cess Deposited No. Bank Branch Identification No.
(DD/MM/YY)

1 0.00 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
0.00

I , son/daughter of working in the capacity of


(Designation) do hereby certify that a sum of Rs. 0.00 Err:511
has been deducted at source and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on
the book of accounts, documents and other available records

Signature of the person responsible for the


deduction of tax.
Place : Full Name : 0.00
Date : Designation : 0.00
Certificate No.
FORM NO. 16A
[See rule31(l)(b)]
Certificate of deduction of tax at source under section 203
of the Income-tax Act, 1961

For interest on securities; dividends; interest other than “interest on securities”; winnings from lottery or crossword puzzle ; winnings from horse race; payments to
contractors and sub-contractors; insurance commission; payments to non-resident sportsmen/sports associations; payments in respect of deposits under National
Savings Scheme; payments on account of repurchase of units by Mutual Fund or Unit Trust of India; commission, remuneration or prize on sale of lottery tickets;
commission or brokerage; rent; fees for professional or technical services; royalty and any sum under section 28(va); income in respect of units; payment of
compensation on acquisition of certain immovable property; other sums under section 195; income in respect of units of non-residents referred to in section 196A;
income from units referred to in section 196B; income from foreign currency bonds or shares of an Indian company referred to in section 196C; income of Foreign
Institutional Investors from securities referred to in section 196D

Acknowledgement Nos. of all Quarterly Statements of


Name and address of the person TDS under sub-section (3) of section 200 as provided Name and address of the person to whom payment made or in
deducting tax by TIN Facilitation Centre or NSDL web-site whose account it is credited
Quarter Acknoweldgement No
Gautam Balakrishnan

Tax Deduction a/c no of the deductor Nature of Payment PAN/GIR No. of the Payee

PAN/GIR No. of the Deductor For The Period

Details of payment, tax deduction and deposit of tax into central government account

Date on
Date of Transfer
Amount paid Surcharge Education Total Tax Cheque/DD BSR Code of which tax
Sr. No. Payment/ TDS Rs. Voucher/Challan
/credit Rs. Cess Rs. Deposited Rs. No (if any) Bank Branch was
Credit Identification No
deposited

1
2
3
4
5
6
7
8
9
10
11
18
12
13

Total - - - - -

Certified that a sum of Rs. (in words). Err:511


has been deducted at source and paid to the credit of the Central Government as per details given above.

______________________________________________
Place Mumbai Signature of person responsiblefor deduction of tax
Date: Full Name:
Designation: