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INCOME TAX CALCULATION SHEET FOR FINANCIALYEAR 2015-16 POST H.R.A. 10% Con.All. GSLI OFFICE & ADDRESS PAN TAN OF DEDUCTOR NAME OF EMPLOYER DESIG. PLACE Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Total Basic Pay - - - - - - - - - - - - - Grade Pay - - - - - - - - - - - - - Total - - - - - - - - - - - - - Dearness Allowance - - - - - - - - - - - - - House Rent All. - - - - - - - - - - - - - C.L.A. - - - - - - - - - - - - - Conveyance All. - - - - - - - - - - - - - Other Allow./Arrears - - - - - - - - - - - - Other Allow./Arrears - - - - - - - - - - - - Total Salary - - - - - - - - - - - - - Tax Deducted - - - - - - - - - - - - 0 House Rent Paid - - - - - - - - - - - - - Parameters Under Sec.80C 30% Saving Details (Chapter VIA) #VALUE! Are You Residing at any Metro? No Head Amount 20% Deduct. Amount Max.Lim Exm.Amt. Total Contribution to GPF 0 0 G.P.F. - 10% U/s.80C - 150000 - Professional Tax deducted [u/s 16(ii)] 0 0 G.S.L.I. - 0% U/s.80CCC - - - Assessee's Gender Male Tuition Fees (For 2 child - 1600 U/s.80CCD - 50000 - Assessee's Date of Birth Repay.of Home Loan (P - 800 U/s.80CCD(1B) - 50000 - - 400 U/s.80D - 25000 - TAX PAYABLE AFTER TDS - - 150 U/s.80U - 75000 - Not Applic 0 - U/s.80DD - 80000 - Exempted Allowance School Go 100 - 240 U/s.80E - - House Rent All. [u/s 10(13A)] - Study in H 300 - 120 U/s.80G - - Conveyance Allowance - Total - 60 U/s.80GG - 24000 - Interest on Home Loan [u/s 24(2)] - 30 U/s.80TTA - 10000 - Education Allowance - Income from Other Sources 15 U/s - - Leave Travel Allowance - From House Property - U/s - - MLWF / Other - Agricultural Income - U/s - - Relief u/s 89 (i) - - U/s - - Total - Interest on N.S.C. - Total - - Signature: Name: [email protected] Designation: 0 Heads / Pay Month> Interest on S.B. A/c./P.O. R.D.

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INCOME TAX CALCULATION SHEET FOR FINANCIALYEAR 2015-16POST H.R.A. 10% Con.All. GSLI

OFFICE & ADDRESS PAN TAN OF DEDUCTOR

NAME OF EMPLOYER DESIG. PLACEMar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Total

Basic Pay - - - - - - - - - - - - - Grade Pay - - - - - - - - - - - - - Total - - - - - - - - - - - - - Dearness Allowance - - - - - - - - - - - - - House Rent All. - - - - - - - - - - - - - C.L.A. - - - - - - - - - - - - - Conveyance All. - - - - - - - - - - - - - Other Allow./Arrears - - - - - - - - - - - - Other Allow./Arrears - - - - - - - - - - - -

Total Salary - - - - - - - - - - - - - Tax Deducted - - - - - - - - - - - - 0

House Rent Paid - - - - - - - - - - - - -

Parameters Under Sec.80C 30% Saving Details (Chapter VIA) #VALUE!Are You Residing at any Metro? No Head Amount 20% Deduct. Amount Max.Lim Exm.Amt.Total Contribution to GPF 0 0 G.P.F. - 10% U/s.80C - 150000 - Professional Tax deducted [u/s 16(ii)] 0 0 G.S.L.I. - 0% U/s.80CCC - - - Assessee's Gender Male Tuition Fees (For 2 child - 1600 U/s.80CCD - 50000 - Assessee's Date of Birth Repay.of Home Loan (Pr - 800 U/s.80CCD(1B) - 50000 -

- 400 U/s.80D - 25000 - TAX PAYABLE AFTER TDS - - 150 U/s.80U - 75000 -

Not Applic 0 - U/s.80DD - 80000 - Exempted Allowance School Go 100 - 240 U/s.80E - -

House Rent All. [u/s 10(13A)] - Study in H 300 - 120 U/s.80G - - Conveyance Allowance - Total - 60 U/s.80GG - 24000 - Interest on Home Loan [u/s 24(2)] - 30 U/s.80TTA - 10000 - Education Allowance - Income from Other Sources 15 U/s - - Leave Travel Allowance - From House Property - U/s - - MLWF / Other - Agricultural Income - U/s - - Relief u/s 89 (i) - - U/s - -

Total - Interest on N.S.C. - Total - -

Signature:Name:

[email protected] Designation: 0

Heads / Pay Month>

Interest on S.B. A/c./P.O. R.D.

[email protected] Page 2 of 7

From: 0 Gender: Male

Post: 0 PAN: 0.00

To

The 0

Sub: Submission of statement for deduction of Income Tax for F.Y. 2015-16 & A.Y. 2016-17

Sir,

A. INCOME FROM SALARY:

1. Basic Pay

2. Grade Pay / D.P.

3. Total

4. D. A.

5. H.R.A.

6. C.L.A.

7. Conveyance Allowance

8. Other Allow. / Arrears

9. Other Allow. / Arrears

B. TOTAL SALARY INCOME

C. Less u/s. 10

Conveyance Allowance (u/s. 14)

Professional Tax (u/s. 16 (III))

House Rent All. exemption [u/s 10(13A)]

MLWF / Other

TOTAL

D. INCOME UNDER HEAD SALARY (B - C)

E. INCOME FROM HOUSE PROPERTY

LESS: INTEREST ON HOME LOAN U/S.24(2)

F. INCOME FROM OTHER SOURCES

From House Property

Interest on S.B. A/c./P.O. R.D.

Interest on N.S.C.

TOTAL

STATEMENT SHOWING THE CALCULATION OF INCOME TAX TO BE DEDUCTED

FOR THE FINANCIAL YEAR 2015-16 & ASSESSMENT YEAR 2016-17

I the undersigned submit herewith the Income Tax Statement for the Financial Year 2015-16 (Assessment Year 2016-17) for the purpose of deduction of Income Tax from my current year's salary.

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G. GROSS TOTAL INCOME (D+E+F)

H. DEDUCTIONS UNDER CHAPTER VI-ASection 80C

G.P.F.G.S.L.I.Tuition Fees (For 2 child.)Repay.of Home Loan (Prin.Amt.)

000

00U/s.80C, 80CCC, 80CCD (shall not exceed Rs.1,50,000)

U/s.80CCD(1B)U/s.80DU/s.80U

U/s.80DDU/s.80EU/s.80GU/s.80GG

U/s.80TTAU/sU/s

TOTALTAXABLE INCOME (G - H)

I. TAX PAYABLE ON TOTAL INCOME ###

Male 250,000 - 0% 500,000 - 10% 1,000,000 - 20%

10,00,000+ - 30%J. Tax on Total Income ..

Tax Rebate u/s 87A Rs.2000/- if Taxable Income <= Rs.500 (-)

Total ..

Surcharge @ 12% on Tax if Income > Rs 1 12% --

Total ..

Education Cess @ 3% --

Total ..

K. LESS: RELIEF U/S. 89 (I) (Attach details) (-)

L. TOTAL TAX LIABILITY ..

M. LESS: TAX ALREADY PAID (Upto February-2016) (-) ###

N. BALANCE TAX PAYABLE / REFUNDABLE ..

I, solemnly declare and undertake that the information given above is correct and complete.

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Payee Type > Male, Female, Sr. Citizen>60, Very Sr. Citizen>80

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Place: 12/30/1899 Signature: Date: 2/7/2016 Name: -

Designation: 0

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FORM NO.16[See rule 31 (i)(a)]

PART ACertificate 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 Employee0% 00 0

PAN of the Dedutor TAN of the Deductor PAN of the Employee0 0.00

CIT(TDS) Assessment Year PeriodAddress :

2016-17 From ToCity : PIN 01-Apr-2015 31-Mar-2016

Summary of tax deducted at source in respect of Deductee

QuarterAmount of tax deducted in respect of emloyee

Quarter 1Quarter 2Quarter 3Quarter 4

TotalPART B (Refer Note 1)

DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED1. Gross Salary

(a) Salary as per provision contained in sec.17(1)(b) Value of perquisites u/s 17(2) (as per Form No. 12BB,

wherever applicable)(c) Profits in liew of salary under section 17(3)(as per

Form No.12BB, wherever applicable)(d) Total

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

Convenyance Allowance House Rent All. [u/s 10(13A)]Less: Interest on Home Loan [u/s 24(2)]MLWF / Other

3. Balance(1-2)4. Deductions :

(a) Entertainment allowance(b) Tax on employment

5 Aggregate of 4(a) and (b)6 Income chargeable under the head 'salaries' (3-5)7 Add: Any other income reported by the employee

Income Rs. From House PropertyAgricultural IncomeInterest on S.B. A/c./P.O. R.D.Interest on N.S.C.

8 Gross total income (6+7)9 Deductions under Chapter VIA

(A) sections 80C,80CCC and 80CCD Gross Amount Deductible (a) Section 80C Amount

G.P.F. G.S.L.I. Tuition Fees (For 2 child.) Repay.of Home Loan (Prin.Amt.) 0 0 0

00

(b) U/s.80CCC(c) U/s.80CCD

Note:

https://incometaxindiaefiling.gov.in/e-Filing/Services/KnowYourJurisdictionLink.html

Receipt Numbers of original statements of TDS under sub-section (3) of section

200

Amount of tax deposited/remitted in respect of the employee

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1. Aggregate amount deductible under section 80 C shall not exceed Rs.1.50 lakh.

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(B) Other sections (e.g.80E, 80G etc.) under Chapter VI-A Gross Amount Qualifying amount Deduct. amount

U/s.80CCD(1B)U/s.80DU/s.80UU/s.80DDU/s.80EU/s.80GU/s.80GGU/s.80TTAU/sU/s

10 Aggregate of deductible amount under Chapter VIA

11 Taxable Income (8-10)

12 Tax on Total Income ...... ......Tax Rebate u/s 87A Rs.2000/- if Taxable Income <= Rs.500000 ... (-)TotalSurcharge @ 12% on Tax if Income > Rs 1 Crore ...... ......

13 Education Cess @ 3% ... ...14 Tax Payable ... ...15 Less : Relief u/s 89(1) (Attach details) ... (-)

Less : Tax already deducted (upto February-2016) ... (-)16 Tax Payable / Refundable ...... ......

VERIFICATION

#VALUE!

Signature of person responsible for dedcution of taxPlace: 0 Full Name: Date : 07-02-2016 Designation:

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)

Sr. No. Challan identification number (CIN)Challan Serial Number

1 02 03 04 05 06 07 08 09 0

10 011 012 0

Total 0Note: (1) In the column for TDS, give total amount for TDS, Surcharge (if applicable) and education cess.

2. Aggregate amount deductible under the three sections, i.e. 80C, 80CCC & 80CCD shall not exceed Rs.1.50 lakh.

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Tax Deposited in respect of the employee (Rs.) BSR Code of the

Bank BranchDate on which tax

deposited (dd/mm/yyyy)

H.R.A. CALCULATIONS

HOUSE RENT ALLOWANCE EXEMPTION U/S 10(13A)

Name: 0 Post: 0

Least of :-

(a) Actual amount of H.R.A. received = 0

(b)

0 (-) 0 = 0

(c) 40% of Salary (including D.A.) = 000

= 0

= 0

50% of Salary (including D.A.)

40% of Salary (including D.A.)

Signature0

Expenditure on rent in excess of 10% of salary (including D.A.)

The amount exempted for H.R.A. is least of above (a), (b) or (c)

Hence House rent allowance exempt U/s 10 13(A)