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Automated Form- 16 for All Govt & Non-Govt Employees for the Financial Year 2010-2011 and Assessment

year 2011-2012 Filling Cell] you have to pay only Rs. 125/-) FIRST NAME MIDDLE NAME
VUNDAVALLI LAST NAME DESIGNATION SOFTWARE ENGINEER AFPPV4648P Permanent A/C No.(PAN NO) Male Gender ( Male or Female ) 1/1/1984 DATE OF BIRTH

( This Software's some Cell Are Locked, for Unlocked Cell [on For contact:- pranab.banerjee83@gmail.com
BALA KRISHNA

if any discripency is arise for calculation of income tax by this software,I am not respoisible for that pranab banerjee

Form 16

Fill the employee's Salary Data


Gross Income from Salary(Basic Pay+Grade pay+D.A.+M.A. +Educ.Allownc+ Ors Allownc+Hill/Rural Allwncs +Citi Allwncs) Annually
468766.88 2000 88661.25 5000 0 5000 0 0 0 TSN DISTRIBUTION PRIVATE LIMITED SUTIE # 303, DEGA TOWERS, RAJ BHAVAN ROAD, SOMAJIGUDA, HYDERABAD - 500081 AADCT2937R HYDT04164G Conveyance Allowances Maximum Rs. 9600/-P.A.

Conveyance Allowances U/s 10(14)(i) House Rent Allowances Received (Annually) Total P.Tax (Annually) Bonus if Any House Building Loan Interest (Annually) Amount of City Allowances Exempted Arrears Received if Any Arrears Relief U/s 89(1) Name & Address of the Employer Pan No of Deductor/Employer Tan No of Deductor/Employer

PARTICULARS OF SALARY
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Deduction under chapter VI-A (LIC,PF,Tuition Fees,H.B.Principal):80C (Maximum Deposit Rs.1,00,000)
a) b) c) d) e)

G.P.F./CPF L.I.C. N.S.C. H.B. Loan Principal


GROUP INSURANCE (G.I.)/GISL

0 100000 60000 0 0 0 5000

f) Tax Savings Bond ( Maximum Rs. 20,000/-)


g)

Tuition Fees

TOTAL DEDUCTION U/S 80C Max. Rs 1,00,000/- + 20,000 Infrustructure Bond, Total Rs.1,20,000/-

100000
0 0 0 2000 0 0 0 0 0 9500 2000

Total Deduction Amount of U/S 80 C Any Income from Bank Interest OR N.S.C. OR Others Any Income from House Property Donation in Charitable Fund (Health Insurance Premium Maximum Rs. 15000/(For Higher Education Loan ) Medical Treatment for self or Dependent as Handicapped Medical Treatment for self or Dependent for Sever Desease Deposite in Pension Fund New Pension Scheme

Income from Bank Interest/N.S.C/Others Source

Income from House Property 80G 80D 80E 80DD 80DDB 80CC 80CCD House Rent Paid 80U
TOTAL DEDUCTION CHAPTER VI-A Rs.

Permanent Disability as Handicapped Total Deduction Amount of 80C + Chaptrar-VA

104000

e Locked, for Unlocked Cell [only Data anab.banerjee83@gmail.com

aximum Rs. 9600/-P.A.

.1,00,000)

1 6 5 0 0 0

nt as Handicapped

nt for Sever Desease

Signature of Employee Designation Date

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FORM NO.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

TSN DISTRIBUTION PRIVATE LIMITED SUTIE # 303, DEGA TOWERS, RAJ BHAVAN ROAD, SOMAJIGUDA, HYDERABAD - 500081 TAN No.of the PAN NO.of Deductor

Name and address of the Employer

Name and designation of the employee


BALA KRISHNA VUNDAVALLI SOFTWARE ENGINEER

AADCT2937R

Deductor HYDT04164G

PAN NO. of the Employee Assessment Year AFPPV4648P From To Period

CIT (TDS) Address .. CityPin Code...

2011

2012

Summary of tax deducted at source


Quarter Receipt Numbers of original statements of TDS under sub-section(3) of section 200 Amount of tax deducted in respect of the employee

Amount of tax deposited remitted in 01/03/2011 respect of employee

01/04/2010

Q1 Q2 Q3 Q4

0005 0005 0005 0005 Total

4500 4500 3000


800 12800

4500 4500 3000 800 12800

PART-B(Refer Note 1)

Details of Salary paid and any other income and tax deducted
1 Gross Salary

IN RUPEES

IN RUPEES

IN RUPEES

(a) section 17(1)

Salary as per provisions contained in Value of perquisites under section

557428.13 0 0 557428.13
###

(b) 17(2)(as per Form No. 12BA,wherever

applicable) Profits in lieu of salary under section (c) 17(3)(as per Form No. 12BA, wherever applicable)

(d) TOTAL
2

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

cnv

2000
3 Balance(1-2) 4 Deductions : H.B.Loan Int.(Max(a) 1,50,000/-) u/s 24(B) (b) Tax on employment 5 Aggregate of 4(a) to (b) the head Income chargeable under 'salaries' 6 Add: Any other income reported by the (3-5) 7 employee a)Income form N.S.C./Bank int.etc. 8 Gross total income (6+7) 9 Deductions under Chapter VIA U/s 80C (Aggregate amount A Max.Rs.1,20,000/-)

2000 Rs. 555428.13

5000 5000
10000 545428.13 Rs. 0 Rs.
Gross Amount

545428.13
Deductible Amount Rs.

(a)(i)Sec.80C-G.P.F. (ii) G.I.S.

Rs. Rs. Rs.

0 0 165000

(iii) L.I.C.+P,L.I.+U.LIP+Tuition Fees+NSC

(iv) H.B.LOAN(PRINCIPAL)
B (a) (b) (d) f) Section Section Section Section Section 80 E 80 G 80U 80DD 80D 80CC

Rs.

0
Gross Amount

165000
Qulfy amount

100000
Deductible Amount Rs.

Other sections e.g.,80E,80G,etc under chapter VI Rs. Rs. Rs. Rs. Rs. Rs. Rs.

(e) Section

G) Section 80DDB Aggregate of deductible amount under 10 Chap. VIA 11 Total Income (8-10) 12 Tax on total income 12 Education & cess @3% on col.no.12 14 Tax payable (12+13+14) 15 Relief U/s 89(1) Tax payable/refundable (1516 16) 17 Less (a) Tax deducted at source 18 Net Tax col.No.1718) -

0 0 2000 0 2000 0 0

0 0 2000 0 2000 0 0

104000 441428.13 28,143 844 28987 0 28,987 12800

Tax payable

16187
Verification

ISon/Daughterofworking in the capacity of (Desig) ..do hereby certify that a sum of Rs..[Rs(words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given about is true, complete and correct and is based on the books of account, documents, TDS statement, TDS deposited and other available records. Place Date Designation

Signature of person responsible for deduction of tax Full Name:-

Notes:1 If an assesse 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 may be issued by each of the employers or the last employer at the option of the assessee. 2 Government deductors, to enclose Annexure-A if tax is paid without production of an income-tax challan and Annexure-B if tax is paid accompanied bny an income-tax challan. 3 Non-Government deductors to enclose Annexure-B 4 The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdiction as regards TDS statements of the assessee. 5 This Form shall be applicable only in respect of tax deducted on or after 1st day of April,2010.

ANNEXURE-A
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ENTTY

(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Sl. No

Tax Deposited in respect on of the employee (Rs.)

Book Indentification Number (BIN) Date on which Receipt Numbers of form No DDO Sequence Number in the tax deposited 24G Book Adjustment Mini Statement (dd/mm/yy)

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

ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL COVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) Sl. No.

Tax Deposited in respect on of the employee (Rs.)

Challan Identification Number( C I N)


BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yy) 28/05/2011 28/05/2011 28/05/2011 28/05/2011 Challan Serial Number 0005 0005 0005 0005

1 2 3 4

Qrt 1 Qrt 2 Qrt 3 Qrt 4

4500 4500 3000 800

0008022 0008022 0008022 0008022

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

INDIAN INCOME TAX RETURN


SARAL-II (ITR-I)
[For Individual having Income from Salary/Pension/income from One House Property(Excluding loss brought forward from previous years)/Income from Other Sources (Excluding Winning from Lottery and income from Race Horses)]

Assessment Year

FORM

2 0 1 1 Pan No

1 2

(Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instuctions)

First name
PERSONAL INFORMATION

Middle name

Last name

BALA KRISHNA
Flat /Door/Block No. 468766.88 Road/Street/Post Office

VUNDAVALLI
Name Of Premises/Building/Village

AFPPV4648P
Date of Birth

2,000.00
Area/Locality

1/1/1984
Employer Category

88,661.25
Town/City/District State

5,000.00
Pin code

Govt. PSU Others Employer Category 1 1 Revised


-

FILING STATUS

0 Email Addrs. (STD Code) - Phone Number Designation of Assessing Officer (Ward/Circle) Return Filed Under SectionSOFTWARE ENGINEER [Please see instruction number-9(i)] Whether original or Revised return? (Tick) Original
If revised, enter Receipt No and Date of filing original return (DD/MM/YYYY) Original return(DD/MM/YYYY) Residential Status (Tick) ORIGINAL Non-Resident

INCOME & DEDUCTIONS

545428.1 3 0 2 Income chargeable under the Head 'House Property'(enter-ve sign in case of loss, if any) 2 Income chargeable under the Head 'Other Sources' (enter-ve sign in 0 3 case of loss, if any) 3 Gross Total Income 545428 4 (1+2+3) 4
1 Income chargeable under the Head 'Salaries',Pension 1 5 Deductions under chapter VIA (Section a 80C 100000 e 80DD 0 b 80CCC 0 f 80DDB 0 c 80CCD 0 g 80E 0 d 80D 2000 h 80G 6 Deductions (Total of 5a to5i) 7 Total Income (4-6) 8 Tax Payable on 'Aggregate Income' 9 Education Cess on (on 8) 0 I j k l 80GG 80GGA 80GGC 80U 0 0 0 2000
6

Resident

Resident but not ordinarily Reside

104,000

TAX COMPUTATION

### Total Tax, Surcharge and Education cess payable (8+9) ### Relief under Section 89 ### Relief under Section 90/91 ### Balance Tax Payable (10-11-12) 14 Total interest payable u/s 234A/234B/234C

441428 28143 8 844 9 ### 28987


7 ### #REF! ### 0 ### #REF!
14 15

###

###

0 #REF!

### Total Tax and Interest payable (12+13) Do not write or stamp in this areas for office use only

Seal and signature of receiving official

Receipt No. Date

Government of India

INCOME TAX DEPARTMENT


ACKNOWLEDGEMENT Received with thanks form: BALA KRISHNA - VUNDAVALLI a return of income &/return of fringe benefits in Form No ITR - 1 for assessment year 20011-2012, having the following particulars: PERSONAL INFORMATION

Name BALA KRISHNA VUNDAVALLI 2,000 Area/Locality: 5,000 State: Flat/Door/Block No: 468,766.9 Road/Street/Post Office: 88,661 Town/City/District: Designation of Assessing Officer

PAN NO AFPPV4648P Name of Premises/Building/Village:

Status(fill the code) 0


Original/Revised

11
Original ### 104000 441428 #REF! 0 #REF!

Computation of Income & Fringe Benefits & Tax Thereon COMPUTATION OF INCOME & TAX THEREON

1 Gross total income 1 2 Deduction under Chapter-VI-A 2 3 Total Income 3 4 Net tax payable 4 5 Interest payable 5 6 Total tax and interest payable 6 7 Taxes paid a Advance Tax 7a 12,800 b TDS 7b 0 c TCS 7c 0 d Self Assessment Tax 7d 0 e Total Taxes paid (7a+7b+7c+7d) 7e 8 Tax payable (6-7e) 8 9 Refund (7e-6) 9 10 Value of Fringe Benefits 10 11 Total fringe benefit tax liability 11 12 Total interest payable 12 13 Total tax and interest payable 13 14 Taxes paid a Advance Tax 14a b Self Assessment Tax 14b c Total Taxes paid (14a+14b) 14c 15 Tax payable (13-14c) 15 16 Refund (14c-13) 16 Receipt No. Seal and Signature of receiving official: Date:

12800 #REF! #REF! NA NA NA NA NA

### ###

NA NA NA

FORM NO.10 E
[See rule 21AA]

Form for furnishing particulars of income under section 192(2A) for the year ending 31 st March, 2010 for claiming relief under section 89(1) by a Government servant or an employee in a 2[company,co-operative society,local authority ,university, instituty 1 2 3 Name and address of the employee Permanent account number Residential status BALA KRISHNA AFPPV4648P PERMANENT RESIDENT VUNDAVALLI

Particulars of income referred to in rule 21A of the Income-tax Rules, 1962,during the previous year relevant to assessment year 2010-11 1 (a) (b) Salary received in arrears or in advance in accordance with the provisions of sub-rule (2) of rule 21A. Payment in the nature of gratuity in respect of past services, extending over a period of not less than 5 years in accordance with the provisions of sub-rule (3) of rule 21A. Payment in the nature of compensation from the employer or former employer at or in connection with termination of employment after continuous service of not less than 3 years or where the unexpired portion of term of employment is also not less than 3 ye Payment in commutation of pension in accordance with the provisions of sub-rule (5) of rule 21A Detailed particulars of payments referred to above may be given in Annexure I,II,IIA,III, or IV as the case may be.

#REF!
Not Applicable

(c)

Not Applicable

(d) 2

Not Applicable ANNEX-I

ANNEXURE-I
[See item 2 of Form No.10E]

Arrears or advance salary

Sl No.
1 2 3 4 5 6 7 8

Particulars
Total income (excluding salary received in arrears or advance) Salary received in arrears or advance Total income (as increased by salary received in arrears or advance) [Add item 1 and item 2] Tax on total income [as per item 3] Tax on total income [as per item 1] Tax on salary received in arrears or advance [Difference of item 4 and item 5] Tax computed in accordance with Table "A" [Brought from column 7 of Table A] Relief under Section 89(1) [Indicate difference between the amounts mentioned against item 6 and item 7]

Amount (Rs.)

#REF! #REF! #REF! #REF! ### #REF! ### #REF! #REF! #REF!
M 3%

TABLE "A"
[See item 7 of Annexure 1] Total income Salary received Total income (as Tax on total Tax on total of the in arrears or increased by income [as per income[as per relevent advance salary received in column (2)-After column (4) previous year relating to the arrears or Rebate and After Rebate (Rs.) relevent advance) of the including Edn and including previous year relevent previous Cess and Edn Cess and as mentioned year mentioned in Surcharge] Surcharge] in column (1) column (1) [add (Rs.) (Rs.) (Rs.) colmn 2 & 3] (Rs.) Difference in tax [Amount under column (6) minus amount under column (5)] (Rs.)

Previous year

(1)

(2)

(3)

(4)

(5)

(6)

(7)

2009-10

169,935

#REF!

#REF!

1,024

#REF!

#REF!

### ###

Signature: Place: Date: Name: Designation: Dept: