A.Y.

2021-2022

Name : Surya Bhagavan Komali P. Y. : 2020-2021

Father's Name : Veera Raghavulu Komali P.A.N. : BLDPK4313D
Address : 34-19-10/A D.O.B. : 13-Dec-1982
Gandhinagar
Status : Individual
Mandapeta, East Godavari - 533 308

Aadhaar: 4243 1632 8086

Resident
Statement of Income
Sch.No Rs. Rs. Rs.

■ Income From Salary

Salary Income 1 4,06,000
Income chargeable under the head "Salaries" 4,06,000
■ Income From Other Sources
Other Income 0

■ Total Income 4,06,000

Tax on total income 7800
Rebate u/s 87A 7800
Tax after rebate 0
Fee u/s 234F 1,000
Net tax payable 1,000
Self-assessment tax paid 2 1,000
■ Balance tax payable 0
Additional tax u/s 140B(3) 3 0

Schedule 1
Income From Salary

Net Salary 4,56,000

Deductions u/s 16 50,000
_________ 4,06,000

Schedule 2
Self Assessment tax paid
Name of the Bank and BSR Code Date of deposit Challan Sl.no. Amount paid
HDFC Bank - 0510308 17-Oct-2022 10632 1,000

Schedule 3
Additional tax u/s 140B(3)
Head of income in which Additional income is declared Amount
Income From Salary 4,06,000
Total 4,06,000
 2
Surya Bhagavan Komali Asst year: 2021-2022

Less: Fee u/s 234F 1,000

Net tax payable excluding Fee u/s 234F -1,000
Additional Tax u/s 140B(3) @ 50% 0

Bank A/c: Union bank of india 756502010000291 IFSC: UBIN0575658

Date : 17-Oct-2022
Place : Mandapeta (SURYA BHAGAVAN
KOMALI)