part b form16 master

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  • 8/10/2019 Part B Form16 Master

    1/6

    1. Gross Salary

    (a) Entertainment allowance

    (b) Tax on employment

    (c ) H.B.Loan Interest paid U/s 24(b)

    5. Aggregate of 4(a) to 4(b)

    6. Income chargebale under the head 'Salaries' (3-5)7. Add: Any other income reported by the employee

    - -

    FORM 16[See rule 31(1)(a)]

    PART ACertificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source o

    Certificate No. Last updated on

    ABCDE1256A CALU00267B APPKE1235A

    CIT (TDS) Assessment Year Pe

    Name and address of the Employer Name and AddressUnited Bank Of India Mr. Rathin

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

    Address: The Commissioner of Income Tax,2014-2015

    4City Kolkata Pin code

    Rs.

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

    700064

    PART B (Annexure)Details of Salary Paid and any other income and tax deducted

    (a) Salary as per provisions contained in sec. 17(1) Rs. 1,100,001 (b) Value of perquisites u/s 17(2) Rs. 0

    H.R.A. U/s 10(13A) Rs. 45,000

    Medical Reimbursment [U/s 17(2)] Rs. 12,000

    Conveyance Allowance Rs. 9,600

    (c) Profits in lieu of salary under section 17(3) Rs. 0

    (d) Total

    Uniform Allowance Rs. 12,000

    Exemption Gratuity Amount U/s 10(10) Rs. 600,000

    3. Balance (1-2)

    Children Education Allowances Rs. 2,400

    Children Hostel Allowances Rs. 3,600L.T.A. Rs. 22,000

    Income Rs.Income from Pension /Family Pension Rs. 1,000

    Rs. 706,600 Rs

    4. Deductions : U/s 16Rs. 0

    Rs. 800

    Rs. 0

    (Loss) from House Property(H.B.Loan Int) U/s 24B Rs. 12,000 Rs. 12,000

    8. Gross Total income (6+7)

    Income from Savings Bank interest Rs. 11,000

    Income other than Savings Bank interest Rs. 0 Rs. 12,000 Rs. 4

  • 8/10/2019 Part B Form16 Master

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    9. Deductions under Chapter VI A

    (x) Any Other Deduction U/s 80 C

    xi Any Other Deduction U/s 80C

    d) Section 80 CCD(2)

    (i) section 80E

    (ii) Section 80 EE ( Additional HBL Int. Max Rs. 1,00,000/)

    (iii) section 80G

    (iv) section 80GG (v) Section 80U

    (vi) Section 80DD

    (vii) Section 80D

    (viii) Section 80DDB

    (ix) U/s 80 TTA

    (x) U/s 80CCG

    10. Aggregate of deductible amount under Chapter VI A

    11. Total Income [ Round off U/s 288 A]

    12. Tax on total income

    13. Rebate U/s 87 A (Taxable Income below Rs. 5,00,000/-)14. Education cess @ 3% (on tax computed at S.No. 12)

    15. Tax Payable (12+13)

    16. Less: Relief under section 89 (attach Form 10E)

    17. Tax Payable (14-15) [ Round off U/s 288B]

    18. Tax deducted at source u/s 192(1)

    18. Tax paid by the employer on behalf of the employee u/s 192(1A) on U/s 17(2) for perquisite

    19.Total Tax paid

    20. Tax

    (A) sections 80C, 80CCC and 80CCD

    ii)G.I.(Group Insurance).. Rs. 450(iii)P.L.I Rs. 10,000

    (a) Section 80 C Gr(i) G.P.F / C.P.F./ V.P.F. Rs. 10,000

    (vi)N.S.C Rs. 10,000

    (vii) L.I.C Rs. 10,000

    (iv)U.LIP Rs. 10,000

    (v)Tution Fees Rs. 10,000

    Rs. 0

    Rs. 0

    (viii) P. P. F Rs. 10,000

    ix) Stamp Duty & Registration Fees Rs. 10,000

    (xiv)Eqity Link savings Bond Rs. 50,000

    b) Section 80CCC Rs. 0

    (xii) H.B. Loan Principal Rs. 12,000(xiii) Fixed Deposite above 5 years Rs. 5,000

    c) Section 80CCD Rs. 0

    Rs. 0 Rs. 1

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

    Rs. 5,000 Rs. 2,

    Rs. 6,000 Rs. 6,

    Rs. 2,000 Rs. 2,

    Rs. 0 Rs. 0

    Rs. 0 Rs. 0

    Rs. 0 Rs. 0

    Rs. 50,000 Rs. 5

    Rs. 0 Rs. 0

    [ Exempt Savings Bank Int.Max Rs.10,000/-] Rs. 11,000 Rs. 1

    [New Rajiv Gandhi Equity Savings Schm] Rs. 0 Rs. 0

    Refundable

  • 8/10/2019 Part B Form16 Master

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    I son/daughter of

    in the Capacity of (designation) do hereby certify that a sum of

    [

    been deducted and deposited to the credit of the Central Government. I further certify that the information given a

    is true, complete and correct and is based on the books of account, documents, TDS statement, TDS deposited and o

    available records.

    Signature of person responsible for deduction of t

    Designation:- Full Name :

    VerificationChabi Das (Biswas) Prem Kumar Mo

    Chief Manager Chabi Das (Biswas)

    Ch.Manager

    Rupees Four Thousand Ninety Only

    Place Kolkata

    Date 4/4/2013

  • 8/10/2019 Part B Form16 Master

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    n Salary

    1

    riod with the employer

    of the EmployeeDe, G.M.

    .

    From To

    1/2013 3/31/2014

    1,100,001

    Rs. 800

    Rs. 392,601

    . 393,401

    Rs. 392,601

    4,601

  • 8/10/2019 Part B Form16 Master

    5/6

    ss Amount

    7,450 Rs. 100,000

    500 Rs. 2,500

    000 Rs. 6,000

    000 Rs. 2,000

    Rs. 0

    Rs. 0

    Rs. 0

    ,000 Rs. 50,000

    Rs. 0

    Rs. 170,500

    Rs. 222,100

    Rs. 2,210

    Rs. 2,000

    ,000 Rs. 10,000

    Rs. 0

    Rs. 4,090

    -Rs. 3,870

    Rs. 6

    Rs. 216

    Rs. 0

    Rs. 220

    Rs. 4,090

    Rs. 0

  • 8/10/2019 Part B Form16 Master

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    working

    (in words)] has

    bout

    ther

    x

    ini

    Rs. 4,090