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FORM NO. 16 “[seerle S100) : < ‘sd_a_souce_fom_income a Kent "Oe ofthsConmisionsra Plice | Name. Unga Yaka a Str of cole ‘wenn Cy 4 IFANO afte ey nO Lo | nyvonsa6a ot [Assos aN quarterly statement of TDS T | ssbesion 2) of ection 2003 provided by Fitton Centre or | Om ranean ia: aL 1 | | I I T | (© Sdayaspe ps id fy Sen 70) In sae | | | |, Ye of rer 170) perFom No. 126A, whaverppicabey tne ' | 1 | (0 fiine fat WS 0) perFam Na I2BA winery ! | | | rat I Rs S206 | 1 | 2 Less: Allowance to the extent exempt U/s 1 1 Mme etme an an (8 Exendeorentierens of 10% ofsalary_ (Indie |r \** | ! eenpssoe vb tau) yum) | | | ormutotsamite rose | rom | Irs some | | (a) Standard Deduction (16 a (i) ' | | Getto cee mee I (€) Tax on employment - (Prof. Ts _ nent - (Prof. Tax) ss. ! | [saeco sy wa ee sow | | | 6 lcome chargeable under the ead “Sala S00 ' I 11 Adastra, nies | iti Has pet \ i f | ross ta incre) Rs ' ; \ | % Deduction under chapter VIA, ; H [Re arse | —— fm foie | Satan eof EE (i) APGLI 1 I () EWF ra \ \ \ | 8 trp fo) (vii) 7 i occa Rs anse | \ \ \ | (ix) RD(PLI) m \ : \ i oe Bs, \ \ \ \ | $data tp eof | (si) Invest in MPsgity SharevDebntrs Bonds ; \ { I (xiii) FD'S (more than Five: year’s) * = | \ i (b) Section 80 CCA (NSC) (Rs. sare \ , i i (©) Section 80 CCB (ELSs) Ves. | |__ (Seton 80 CCC(Odher Pension Funds) ie \ | vei [Rs 1 | ! Scanned with CamScanner “TRE” 3i50¢-~ r r i | Section SOC IRs. 92920 | Ry | J / j {RS !50100 | Rs 2520 | (B) diner Section (Fore: NOE, 0G ete) under Chaptér VIA Gross Amt. | Qual Amt. —| Ded Ame, | |G Scion 192 2(8) (HBA In) Rs ! i |) Section 80 D (Medical Insurance Premium) Re | | | Section 80 E (int. on Loan taken on Higher Education — Rs. I ! I | (q Section 80 G (Donations/Funds) Rs. 790 | ! 1 | (hy Section 80 U (Person with Disability) Rs. ! ! | | (LTA Exemption Re I | | | otk semen Rs I | i | | I 1130, Asrmpteot Deine men inner A | [Rar | Rasy | 11 Totincome-10) —” I ! Rs 342236 12, Tax on Total income a ! a | I Rs 6612 | 13: Rebate under Seton 874 (Total Income < 3,50,000) | ! Rs 6612 lee erence : : 15. Tax payable (12 - (13+14)) | ! Rs.0 | 16. Surcharge (on tax computed at S.No.15) | } Rs. 1.17. Coss @ 4% (on tax at S.No.15 and Surcharge at S.No.16) i a | 18. Tx payable s+ 16+47) ! ! | 19. Lest (a) Tax deduction at source ws 192(1) | I * (6) Tax paid by the employer on behalf of i iad ‘employee w/s 192(1A) on perquisities i f Rs syablefefundable(17-18) I | Re [RAL GOVERNMENT ACCOUNT DETAILS OF TAX DEDUCTION ANI ~~ Béucaiion —Toidliae Cess___ deposit _ BSR Code of — Dare oa which Bank Branch tax d ‘SBH, Nakkalagurta Tam_ S.BHASKAR, S/o PENTAIAH working in the capacity of DRAWING AND DISBURSING OFFICER. ~~ do hereby certify that a sum of Rs.0 (Rupees zero only) has been deducted at source andpuid roche cris of the Cental _ Government -furher certify that the information given above is tueandcurect bused onthebouks of Aswensceeues a ae HS AND DISBURSING OFFICER RO Wars Date : DRAWING AND DISB et Scanned with CamScanner

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