You are on page 1of 5

FORM 16

[See rule 31(1)(a)]


PART A
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on Salary
Name and address of the Employer Name and designation of the Employee
SAI ENTERPRISES NEERAJ RAGHUWANSHI
LIG 89, Ratnagiri, Road H.No.131 Phase - I Kunjan Nagar
BHOPAL (M.P) 462022 Hoshangabad Road, Madhya Pradesh 462026

PAN of the Deductor TAN of the Deductor PAN of the Employee


ADWFS6416K BPLS28768F BPYPR4930J
CIT (TDS) Assessment Year Period
Address: From To
Assessment
LIG 89, Ratnagiri, Road
Year2023-2024 4/1/2022 3/31/2023
City: BHOPAL Pincode: 462022
Summary of tax deducted at source
Amount of tax
Amount of tax
Receipt Numbers of original statements of TDS deposited/remitt
Quarter deducted in respect
under sub-section (3) of section 200 ed in respect of
of the employee
the employee
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Total - -
PART B (Refer Note 1)
Details of Salary Paid and any other income and tax deducted
Rs. Rs. Rs.
1. Gross Salary
(a) Salary as per provisions contained in sec. 17(1) 227,520
(b) Value of perquisites u/s 17(2) (as per Form No.
12BB, wherever applicable) -
(c) Profits in lieu of salary under section 17(3)(as
per Form No. 12BB, wherever applicable -
(d) Total 227,520

2. Less: Allowance to the extent exempt U/s 10


Allowance Rs.

3. Balance (1-2) 227,520


4. Deductions :
(a) Entertainment allowance -
(b) Tax on employment -
5. Aggregate of 4(a) and (b) -
6. Income chargebale under the head 'Salaries' (3-5) 227,520

7. Add: Any other income reported by the employee


Income Rs.

www.taxguru.in
8. Gross Total income (6+7) 227,520

………..2

www.taxguru.in
:: 2 ::
9. Deductions under Chapter VI A
(A) sections 80C, 80CCC and 80CCD

(a) Section 80 C Gross Amount Deductible Amount


(i) 80C 23,608 23,608
(ii) -
(iii) -
(iv) -
(v) -
(vi) -
(vii) -
(viii) Infra Bonds -
(b) section 80 CCC -
(c) section 80 CCD -
23,608 23,608
Note: 1. Aggregate amount deductible under section 80 C
shall not exceed one lakh rupees.

2. Aggregate amount deductible under the three sections, i.e.


80C,80CCC,80CCD shall not exceed one lakh rupees.

(B) other sections (e.g. 80E,80G etc.) under Chapter VI Gross Amount Qualifying AmountDeductible Amount

(i) section
(ii) section
(iii) section
(iv) section
(v) section
- - -
10. Aggregate of deductible amount under Chapter VI A 23,608

11. Total Income (8-10) 203,912


12. Tax on total income 4,391
13. Education cess @ 3% (on tax computed at S.No. 12) 132
14. Tax Payable (12+13) 4,523
15. Less: Relief under section 89 (attach details) 4,523
16. Tax Payable (14-15) - 0
Verification

I, ARUP PAL ---, son / daughter of -ARUN PAL---- working in the capacity of -PARTNER (designation) do
hereby certify that a sum of Rs. 227520.00--- [Rs. Two Lacs Twenty Seven Thousands Five Hounderds Twenty
Only (in Words) has been deducted and deposited to the credit of the Central Government. I further certify
that the information given above is true, complete and correct and is based on the books of account,
documents, TDS statements, TDS deposited and other available records.

Place BHOPAL

Date 7/31/2023

Signature of person responsible for deduction of tax


Designation: PARTNER Full Name: ARUN PAL

www.taxguru.in
ANNEXURE - A

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to the Employee)

Tax Deposited in Book identification number (BIN)


S.No. DDO Sequence Number
respect of the Date on which tax deposited
Receipt numbers of Form No.24 G in the Book Adjustment
employee (Rs.) (dd/mm/yyyy)
Mini Statement

Total -

www.taxguru.in
ANNEXURE - B

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN

(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Tax Deposited in Challan identification number (CIN)
S.No. respect of the
BSR Code of tbe Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number
employee (Rs.)

Total -

www.taxguru.in

You might also like