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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 address of the Employee
From To
The Commissioner of Income Tax (TDS)
New Central Revenue Building, Statue Circle, Janpath Jaipur - 2019-20 01-Apr-2018 31-Mar-2019
302005
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Verification
I, SHOVEN ACHARYA, son / daughter of SUDHANSHU SHEKHAR ACHARYA working in the capacity of MANAGER FINANCE (designation) do hereby certify that a
sum of Rs. 8640.00 [Rs. Eight Thousand Six Hundred and Fourty Only (in words)] has been deducted and a sum of Rs. 8640.00 [Rs. Eight Thousand Six Hundred and
Fourty Only] has been 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 UDAIPUR
Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.
Name and address of the Employer Name and address of the Employee
From To
The Commissioner of Income Tax (TDS)
New Central Revenue Building, Statue Circle, Janpath Jaipur - 2019-20 29-May-2018 31-Mar-2019
302005
Details of Salary Paid and any other income and tax deducted Rs. Rs.
1. Gross Salary
Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 5645.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 472946.00
(e) Reported total amount of salary received from other employer(s) 0.00
Page
Signature Not 1 of 4
Verified
Signed By:SHOVEN ACHARYA
Certificate Number: RTYSVFA TAN of Employer: JDHH00716C PAN of Employee: DKPPD3410P Assessment Year: 2019-20
7. Add: Any other income reported by the employee under as per section 192 (2B)
(b) Income under the head Other Sources offered for TDS 0.00
(d) Total deduction under section 80C, 80CCC and 80CCD(1) 16878.00
Page
Signature Not 2 of 4
Verified
Signed By:SHOVEN ACHARYA
Certificate Number: RTYSVFA TAN of Employer: JDHH00716C PAN of Employee: DKPPD3410P Assessment Year: 2019-20
Verification
I, SHOVEN ACHARYA, son/daughter of SUDHANSHU SHEKHAR ACHARYA .Working in the capacity of MANAGER
FINANCE (Designation) do hereby certify that the information given above is true, complete and correct and is based on the books of
account, documents, TDS statements, and other available records.
Page
Signature Not 3 of 4
Verified
Signed By:SHOVEN ACHARYA
Certificate Number: RTYSVFA TAN of Employer: JDHH00716C PAN of Employee: DKPPD3410P Assessment Year: 2019-20
2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Amount of any other exemption
Sl. under section 1o Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.
10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Amount deductible under any
Sl. other provision(s) of Chapter Gross Amount Qualifying Amount Deductible Amount
No. VIA
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.
Page
Signature Not 4 of 4
Verified
Signed By:SHOVEN ACHARYA
Certificate No. RTYSVFA EMPID:584982
Form No.12BA
{See Rule 26A(2)(b)}
Statement showing particulars of perquisites,other fringe benefits or amenities and profits in lieu of salary with value thereof
RAJASTHAN
INDIA
2. TAN JDHH00716C
3. TDS Assessment Range of the employer:
4. Name,designation and PAN of the employee: AKSHAY DEV
Graduate Engineer Trainee
DKPPD3410P
5. Is the employee a director or a person with No
substantial interest in the company (where the
employer is a company):
6. Income under the head 'Salaries' of the employee 427,300.65
(other than from perquisites):
7. Financial Year: 2018-2019
8. Valuation of Perquisites:
9. Details of Tax.
a)Tax deducted from salary of the employee u/s 192(1) 8,640.00
b)Tax paid by employer on behalf of the employee u/s 192(1A) 0.00
c)Total Tax Paid 8,640.00
d)Date of payment into Government treasury Various dates as mentioned on Part A of the Form 16
I, SHOVEN ACHARYA, son of SUDHANSHU SHEKHAR ACHARYA working as MANAGER FINANCE do hereby
declare on behalf of HINDUSTHAN ZINC LTD. that the information given above is based on the books of account,documents
and other relevant records or information available with us and the details of value of each such perquisite are in accordance
with section 17 and rules framed thereunder and that such information is true and correct.
Place UDAIPUR
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.
Verification
I, AKSHAY DEV son/daughter of A Satish Babu. do hereby certify that the information given above is complete and correct.
Place : Udaipur
Date: 14-Jun-2019
Note: The information/details above, as required for deduction of tax u/s 192 of the Income Tax Act, has been entered by the employee through an authorized
login on the portal.
Details of Salary Paid and Allowance Exempted u/s 10, Chapter VI-A and 17(2) Income-tax Act, 1961
Basic 139,299.19
Arrear Basic 1,352.42
Salary Paid
House Rent Allowance 55,720.00
Arrear House Rent Allowance 540.97
Conveyance Allowance 15,948.39
Arrear Conveyance 154.84
Bonus Monthly 28,130.32
Vehicle Maintenance Allowance 17,941.94
Arrear Vehicle Maintenance Allowance 174.19
Production Incentive 56,000.00
Personal Allowance 126,440.81
Arrear Personal Allowance 1,227.58
Medical Taxable 12,616.00
Leave Travel Allowance Taxable 11,754.00
Perquisites 5,645.00
If the House Property is Let Out, then furnish the following details:
i Gross rent received/ receivable/ letable value during the year 0.00
ii Tax paid to local authorities 0.00
iii Annual Value (i – ii) 0.00
iv 30% of Annual Value 0.00
v Interest payable on borrowed capital 0.00
vi Previous Year Carried Forward Loss claimed against Income from Let Out Property (to 0.00
be applicable & adjusted only in case of Income from Let Out Property)
Exemptions u/s 10
DECLARATION BY EMPLOYER
I, SHOVEN ACHARYA, son of SUDHANSHU SHEKHAR ACHARYA working in the capacity of MANAGER FINANCE do hereby certify that the
information given above is true, complete and correct and is based on the books of account, documents, TDS statements, and other available
records.
Place : UDAIPUR
Date : 14-Jun-2019 (Signature of Person Responsible for Deduction of Tax)
Designation : MANAGER FINANCE Full Name :SHOVEN ACHARYA