Professional Documents
Culture Documents
for
D.O.B SEX 0
M
0 0 0 0 0
PAN-NO
1. Gross Annual Income/Salary(include all allowances) 2. Less: Allowances exempt u/s 10 (I) H.R.A. exemption (II) Conveyance allowances(Max Rs.800/-p.m) (iii) Any Other allowances (specify)---3. Income under the head salaries 4. Add: Any other income from other sources 1. Interest received from following Investments a. Bank ( Saving /FD /Rec ) b. N.S.C.(accrued/ Recd ) c. Post Ofice M.I.S (6 yrs.) d. Post Office Recring Deposit (5 yrs.) e. Term Deposit (1 to 5 yrs.) f. Saving Bonds (6yrs.) g. Kishan Vikas patra 2. Any Other Income (specify)--3. Any Other Income (specify)--5. Income from house property Less: Interest paid on housing loan(max150,000) 6. Gross Total Income 7. Less: Deduction under Sec 80C a. PF&VPF Contribution b. Life Insurance premiums c. PPF a/c Contribution d. N.S.C (Investment +accrued Int first five year) e. Housing. Loan (Principal Repayment ) f. Tuition fees for 2 children g. E.L.S.S(Mutual Fund) h. Tax Savings Bonds I. FD (5 Years and above) j. 80 ccc Pension Plan 8. Less: Deduction under chapter VI A b. 80 D Medical Insurance premiums c. 80 E Int Paid on Education Loan d. 80G Donation to approved fund e. Any other (Specify)--9. Total Income 10. Total Taxable Income (Round off to nearest 10 rupees) 11. Tax on Total Income 12. Surcharge on Total Taxable Income 13. Total Tax Payable 14. Add; Edn Cess @ 3% 15. Net Tax Payable 16. Tax Deduction at Source 17. Balance Tax Payable/Refundable
0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
Refundable
0 0 0 NIL 0 0 0 0 0 0
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4 5 6
7 8 9 10 11 12 13 14 15 16
1 2 3