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Form for furnishing particulars of income under secti March, 2023 FORM NO. 10E [See rule 214A] 192(2A) for the year ending 31st for claiming relief under section 89(1) by a Government servant or an employee in a company, co-operative society, local authority, university, institution, association 1 Name and address of the employee 2 Permanent account number 3 Residential status or body MANISH KUMAR PANDEY DMZPPRTSR RESIDENT Pariculars of come referred ton ale 214 ofthe Income tax Rules, 1962, during the previous year relevant fo assessment year 2023-24 1 (@) Salary received in arrears or in advance in accordance with the Rs. 148963 provisions of sub-rule (2) of rule 214, —_—s§$_——— (©) Payment inthe nature of gratuity i spect of past services, extending 0 over a petiod of not less than S years in accordance with the provisions of sub-rule (3) of rule 214, (©) Payment in the nature of compensation from the employer or former 0 employer at or in connection with termination of employment after continuous service of not less than 3 years or where the unexpired portion of term of employment is also not less than 3. years in accordance with the provisions of sub-rule (4) of rule 21 2. Detailed particulars of payments referred to above may be given in Annexure 1 Annexure I I, IIA, II or TV, a8 the case may be |, MANISH KUMAR PAN Signature ofthe employee Verification do hereby declare that wha is stated above is true othe best of my knowledge andbelieh Verified oday,the 08/02/2023 Place MUSAF KIIANA, Date TROBE ‘ay of Wednesday Signature ofthe employee ‘Source: www taxguru.in ANNEXURE 1 [See item 2 of Form No, 108} ARREARS OR ADVANCE SALARY 1. Total income (excluding salary received in arrears or advance) 635922 2 Salary received in areas or advance 148963 3 Total income (as increased by selary received in arrears or Teas advance) [Ada item 1 and item 2] —_—_ 4 Tax on total income (as per item 3) 41488 Tax om total income (as per item 1) Oo Tax on salary received in arrears or advance [Difference of item 4 oo and item 5] TTT 7 ‘Tax computed in accordance with Table “A” (Brought from column 7 of ° Table" 8 Relief under section 89(1) [Indicate the diference between the amounts 41488 mentioned aginst items 6 nd 7] TABLE "A" [See item 7 of Annexure T] Fava Taal | Salayrecined | Tor come rar Taxon Taran Difereee ar year) | tmcomeoy | smareasor | tread hysaiay | saat icome | att imcome | (Amountunder the relevent dvonce received i rears or aspen tasrer | column (5) minus previous — | relating tthe trance) ofthe cotonnra | comnts) | amount under year | relevantprevious | relevant previous ear colin (3) esoned cola) (Ald scott) — | columns 2) and ()) Rs) (he) (Re (Re ae a T 2 3 4 5 @ 7 [a020-21 Wise THR965| pia 7 7 Note: In this Table, deals of salary received in arrears or advance rel tng to different previous years smay be furnished. ‘Source: www taxguru.in

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