Income Tax 2013-14 ( CR ) All Departments 17th Jan

7/21/2019 Income Tax 2013-14 ( CR ) All Departments 17th Jan

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PLEASE FILL YOUR DETAILS ONLY WHITE CELLS

5100 No change HRA

Emploee Pe!"onal De#a$l" Emploee PAY % Allo&ance" De#a$l"

1 Name o' #he Emploee ()S*+ha,a! 1-050

. De"$gna#$on SA/PS 1.

PAN No 2 AS3PRT.54 I' an change HRA

Name o' #he School6O''$ce 7PH School H( Allo&ance

5 Name o' #he 4$llage6To&n 8onnag$!$ PH Allo&ance No# Appl$ca9le www.cramanji.w

: Name o' #he (an+al T*ggal$ E+*) Conce""$on 1000 S*!!en+e! lea;e

- Name o' #he D$"#!$c# 3*!nool Ren#e+ 6 O&n Ho*"e Ren#e+ Ho*"e D.A. difference Claim after Surrender leave en

< Teache! / ;aca#$on o! O#he! / Non ;aca#$on PF &&&)c!aman=$)&e9no+e)

En#e! DDO De#a$l" No) o' (on#h" DA A!!ea!"/ 8a

1) DDO Name T)4)S!een$;a"*l* Rea+$ng Allo&ance No) o' (on#h" DA A!!ea!"/ 8*

.) D$"$gna#$on Hea+ (a"#e! CCA Ne& DA $ncl*+e+ "ala! 9$ll mon#h > /F!om

) DDO O''$ce % Place 7PHS?8onnag$!$ A++$#$onal HRA SCA Ne& DA $ncl*+e+ "ala! 9$ll mon#h > /F!om

) (an+al T*ggal$ HRA *n+e! #a,$ng "elec#Hal' Pa lea;e"

1"# #$me

5) DDO PAN No) En#e! Amo*n# PP6SP .n+ #$me

:) DDO TAN No)

Emploee Sala! De+*c#$on"Emploee Pe!"nal Sa;$ng"

I' an change PFSA4INI@S A(OUNT 1000 (a!>1.

1.000

000 (a!>1.

:0 Sep>1.

Ra=$; @an+h$ E*$# Sa;$ng Scheem PF6CPS No 5:B<- Sa$n$, Wel'a!e F*n+

An O#he! En#! AP@LI No L>.:5< Emploee Wel'a!e F*n+

DEDUCTIONS A(OUNT I' an change LIC Ap!>1.

En#e! 9elo& cell" an A!!ea!" De#a$l"

Pa DA HRA PHA CPS6PF

Epen+$#*!e on #!ea#men# 'o! +$"ea"e"/ "en$o! c$#$en Step up/ Preponment Arrears

An o#he! en#!

www

Yo*! +!a&$ng HRA.505? No nee+ #o p!o+*ce!en# !ece$p# +*e #o 9elo& :000 HRA /'o! o*!

mon#hl !en# R")5100

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PF (on#hl De+*c#$on on (a!ch 1Amo*n# J Amo*n# J (on#h J

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Amo*n# J (on#h J

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@IS

Amo*n# J (on#h J

LIC Pa$+ (on#hl $n Sala!

De+*c#$on" 'o! A!!ea! Name J

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BILLANNEXURE

-IForm-!

Form-!Bac#

$%USEREN&

'o&ab*e

P*ea+e o**ow ti+ in+trction E/er0 time wor#(Edit) wit 1o20 +otware %n*0rom %r3ina* +otware.

16600Sri.

12 Month of Annual Increment after Jan-13

17 14.5No Change No Change

Not Applicable No Change

Not Applicable

Not Applicable

Rented House

Teachers ( Vacation Dep PF

Not Applicable

Not Applicable

Not Applicaple Not Applicable

Without Undertaking

Jul-13

LIC Policies premium - Yearly

Aug-13Repayment of Home Loan installments

PLI

60Fixed deposit in banks more than 5-Years 60 Aug-13

20

20

Aug-13

Interest of Housing Loan

Interest of Educational Loan

Expenditure on Medical treatment( for spified de

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Ra$"e (on#hl Ho*"e Ren# $n 100 (*l#$ple /An change HRA ?-500>Co!!ec#?-5B5>W!ong)

Emploee &ho $" +!a&$ng HRA *p#o R")0006> /Ann*all R"):0006>Pe!mon#h &$ll 9e eemp#e+ '!om p!o+*c#$on o' Ren# Recep# / Ann*al Ho*"e

Ren# pa$+ no# ecee+ R")1?00?000



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Dec-13

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18 days May-13

16 days Jun-13





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Sir



Statement showing month wise income of Sri. M.Sudhakar ,SA(PS) , ZPH School , uggali (Mandal) for the

S.o !onth " #ear Pay D.A $.%.A PP/SP &% A $%A %A $!A P$A CCA SCA P' AP()& P.*a+ (&S )&C

, !ar-, ,00 1231 ,22 342 ,000 000 00 0 0

Apr-, ,00 1231 ,22 342 ,000 000 00 0

!ay-, ,00 2024 ,22 15 ,000 000 00 0

4 6un-, ,00 2024 ,22 15 ,000 000 00 0

3 6ul-, ,00 2024 ,22 15 ,000 000 00 0 5

Au7-, ,1030 24, 04 541 ,000 000 00 0

1 Sep-, ,1030 24, 04 541 ,000 000 00 0

5 8ct-, ,1030 ,0500 04 252 ,000 000 00 0

2 ov-, ,1030 ,0500 04 252 ,000 000 00 0

,0 Dec-, ,1030 ,0500 04 252 ,000 000 00 0 0

,, 6an-,4 ,1030 ,0500 04 404 4300 ,000 000 00 0

, 'eb-,4 ,1030 ,0500 04 404 4300 ,000 000 00 0

, DA jan-, Arrears 4345 4345 4345

,4 DA 6ul-, Arrears 42 42 42

,3 Surrender )eave 533 3400 ,0 ,4245

,

,1

,5

,2

0 9ducation concession

, Step up/ Preponment Arrears

4 (rand totals ,0513 ,0,3 303 0 205 0 0 0 0 0 1333 0551 000 400 10 05 0

S$gna#*!e o' #he DDO S$gna#*!e o

@!o""To#al

S:'/9:'/C!%'

CSS Arrears; PrincipaAmount < &ntrest=

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A9>?%9 - &&

IN1%5E &AX 1AL1ULA&I%N 678-679 ame S!$) ()S*+ha,a! O''$ce 7PH School 8onnag$!$

Desi7nation SA/PS PAN No 2 AS3PRT.54

1 Whe#he! l$;$ng $n >>>>>>>>> %ented $ouse

. @!o"" Sala! R") -5?55

$.R.A. Eem2tion a+ 2er e*i3ibi*it0 U:+. 7(8-A)

a= Actual $%A received R") .5?05

b= Actual $ouse %ent paid by you minus ,0@ of your Salary R") .-?100

c= 40@ of Salary ;Salary means asic Pay<D.A= R") 1:?1: .5?05

To#al Sala! /.> R") 50?.<

5 "edction+ rom Sa*ar0 Income

a= 9+emption from Conveyance Allowance ?/s. ,0;,4= ;i= R") >

b= Profession *a+ ?/s , ;= R") .?00 .?00

: Income From Sa*ar0 (9-;) R") -?<<

- AddB &ncome 'rom other sources R") >

< AddB &ncome 'rom Capital (ains R") >

B &ncome or )oss from $ouse Property ?/s 4;vi= R") > >

10 <ro++ &ota* Income (!=>=?=@) R") > -?<<

11 De+*c#$on"

a) Interest of Housing Loan R") >

b) Interest of Educational Loan R") >

c) Expenditure on Medical treatment( for spified desiges) R") >

g) Any other entry R") >

h) E.W.F. & S.W.F & CMRF R") 0<

TOTAL>>>>>>>>>>> R") 0< 0<

1. <ro++ &ota* Income (7-) R") -?50

1 Sa/in3+ U:+ ?71 (Limited to %ne *a#)

a= PF !" #$%&' R") .0?<<-

b= APLI !" L*+$#,& R") :?000

c= I- R") -.0

d= LI. Policies Monthly Premium in -alary R") >

e= LIC Policies premium - Yearly R") 1.?000

f= Repayment of Home Loan installments R") >

7= PLI R") >

h= Fixed deposit in banks more than 5-Years R") >

i= Rai! "andhi #$uity %a!in& %cheem R") >

j= 'ny (ther #ntry R") >

&ota* Sa/in3+ R") :B?:0- :B?:0-

1 Net &aab*e Income (6-8) R") .--?B

15 &a on Income Ta R") --B

a= U2to-6,77,777 R") N$l

b= .?00?0016> #o 5?00?0006> 10K R") -?-B

c= 5?00?0016> #o 10?00?0006> .0K R") >

d= a9o;e R")10?00?001 > 0K R") 0

1: 1entra* <o/t. &a Rebate be*ow R+.;,77,777( U R") .?000 .?000

1- To#al Ta Paa9le /15>1: 5?-B

1< 9ducation Cess ,@ R") 5<

1B Secondary " $i7her 9ducation Cess @ R") 11:

.0 To#al /1<M1BM.0 R") 5?B:-

.1 De#a$l" o' A+;)Ta De+*c#$on" A+;ance Ta pa$+ >

a= Mar&$% to Ma!&$% s.Ne# Ta #o 9e Pa$+ 5?B:-

b= un&$% to Aug&$% s.

c= Se*&$% to +o&$% s.

d= -ec&$% s.

e= an&$' s.

f= eb&$' s.

Si7nature of the Drawin7 8fficer Si7nature of the 9mployee

Pre2are 0 1.Raman ane0 , S.A P.S , P$S, onna3 r , Crnoo "t. , www.craman .we no e.com



'o! Ta +e+*c#e+ a# "o*!ce '!om $ncome cha!gea9le *n+e! #he hea+ "ala!$e"

NA(E AND ADDRESS OF THE E(PLOYER NA(E AND DESI@NATION OF THE E(PLOYEE

S!$)6Sm#) T)4)S!een$;a"*l* S!$) ()S*+ha,a!

Hea+ (a"#e! SA/PS

7PHS?8onnag$!$ 7PH School? 8onnag$!$

T*ggal$ / (an+al T*ggal$ /(an+al

PA o. of Deductor *A o. of Deductor PA 8' 9mployee

AS3PRT.54

Acnowled7ement os.of alluarterly statements of *DS under sub-section 00 as provided by *& facilitation center or SD) web-site

Euarter Acnowled7ement o Amo*n# Period Assessment

, 'rom *o #ear

(a!>1 Fe9>1 .01>.015

4

DETAILS OF SALARY PAID AND ANY OTHER INCO(E AND TA DEDUCTED

1 @!o"" Sala! %s. -5?55

a Sala! a" pe! p!o;$"$on" co#a$ne+ $n "ec#$on 1- /1 %s. >

9 4al*e o' pe!c*$"$#e" *n+e! "ec#$on 1-/. %s. >

/A" Pe! Fo!m No) 1.GA? Whe!e;e! appl$ca9le

c P!o'$#" $n l$e* o' "ala! *n+e! "ec#$on 1-/ %s. >

/a" pe! Fo!m No) 1.GA? Whe!;e! appl$ca9le

+ To#al %s. -5?55 %s. -5?55

. Le""2 Allo&ance #o #he e#en# eemp#e+ U6" 10

a Ho*"e Ren# Allo&ence %s. .5?05

9 O#he! Allo&ance %s. > %s. .5?05

Galance /1>. %s. 50?.< De+*c#$on"

a En#e!#a$nmen# Allo&ence %s. >

9 Ta on Emplomen# %s. .?00

5 Agg!ea#e o' /a%/9 %s. .?00

: &C8!9 C$A%(9A)9 ?D9% *$9 $9AD SA)A%&9S ;-3 %s. -?<<

- A++2 An o#he! $ncome !epo!#e+ 9 #he emploee %s. -

A++2 Income o' Cap$#al @a$n" %s. -

Le""2In#e!e"# on Ho*"$ng Loan U6" ./9 %s. -

< @!o"" To#al Income /:M- %s. -?<<

B De+*c#$on" Un+e! Chap#e! 4I>A

A Un+e!Sec#$on <0C?<0CCC?<0CCD?<0CC @!o"" *al$'$ng De+*c#$9le

a Sec#$on <0C Amo*n# Amo*n# Amo*n#

$ PF R") .0?<<- R") .0?<<- R") .0?<<-

$$ A)P)@)L)I R") :?000 R") :?000 R") :?000

$$$ @)I)S R") -.0 R") -.0 R") -.0

$; LIC Pol$c$e" (on#hl P!em$*m $n Sala! R") > R") > R") >

; LIC Pol$c$e" p!em$*m > Yea!l R") 1.?000 R") 1.?000 R") 1.?000

;$ Repamen# o' Home Loan $n"#allmen#" R") > R") > R") >

;$$ PLI R") > R") > R") >

;$$$ F$e+ +epo"$# $n 9an," mo!e #han 5>Yea!" R") > R") > R") >

I Ra=$; @an+h$ E*$# Sa;$ng Scheem R") > R") > R") >+ An O#he! En#! R") > R") > R") >

R") :B?:0- R") :B?:0- R") :B?:0-

R") :B?:0-

FOR( No) 1:

/ 4$+e !*le 1/1/a o' Income Ta R*le"? 1B:. Ce!#$'$ca#e *n+e! "ec#$on .0 o' #he Income>#a Ac#? 1B:1

To#al Un+e! Sec#$on<0C?<0CCC?<0CCD?<0CCF



G O#he! Sec#$on Un+e! Chap#e! 4I A @!o"" *al$'$ng De+*c#$9le

/ Un+e! Sec#$on <0E? <0@? <0DD e#c) Amo*n# Amo*n# Amo*n#

<0@ EWF ? SWF % C(RF R") 0< 0< 0<

<0E In#e!e"# o' Ho*"$ng Loan R") > > >

<0E In#e!e"# o' E+*ca#$onal Loan R") > > >

<0E Epen+$#*!e on (e+$cal #!ea#men#/ 'o! "p$'$e+ +e"$ge" R") > > >

An o#he! en#! R") > > >

To#al Un+e! Sec#$on" <0@?<0E?<0DD e#c)) %s. 0<

10 Agg!ega#e o' De+*c#$9le Amo*n#" U6Chap#e! 4IA /AMG %s. :B?B15

11 TOTAL INCO(E /<>10 %s. .--?B

1. TA ON TOTAL INCO(E R") %s. -?-B

1 Central (ovt. *a+ %ebate below %s.3F00F000; ?/s 51 A= .?000

1 TA ON TOTAL INCO(E R") %s. 5?-B

15 E+*ca#$on Ce"" 1K /On Ta a# S)No)1. %s. 5<

1: Secon+a! an+ H$ghe! E+*ca#$on Ce"" .K /On Ta a# S)No)1. %s. 11:

1- TA PAYAGLE /1M15M1: 5?B:-

1< Le""2 Real$e' *n+e! "ec#$on <B /a##ach +e#a$l" %s. >

1B TA PAYAGLE /1->1< %s. 5?B:-

.0 Le""2 /a Ta +e+*c#e+ a# "o*!ce U6S 1B. /1 %s.

.1 ;b= *a+ paid by the 9mployer on behalf of the 9mployee ?/S ,2 ;A,= on peruisited ?/S ,1 ;= %s. >

.. TA PAYGLE 6 REFUNDAGLE /1->1< %s. 5?B:-

DETAILS OF TA DEDUCTED AND DEPOSITED INTO CENTRAL @O4ERN(ENT ACCOUNT

; *he employer is provide tranction - wise details of ta+ deducted and deposited =

Sl. *DS Surchar7e 9ducation *otal *a+ Cheue/DD S% Code Date on *ransfer

o. %s. %s. Cess Deposited o. ;if any= of an :hich *a+ vocher/chalana

%s. %s. ranch Deposited &dentification o

,

4

3

1

5

2

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PlaceB GP$SF6onna7iri Si7nature of the person responsible for deduction of ta+

DateB ,,-Dec-0,3 'ull ame-- Sri./Smt. *.H.Sreenivasulu

Desi7nation- $ead !aster

Pre2ared b0 1.Ramanjane0*, S.A(P.S), P$S, onna3iri, Crnoo*("t.), www.cramanji.webnod

I S!$)6Sm#) T)4)S!een$;a"*l* &o!,$ng $n #he capac$# o' Hea+ (a"#e! +o he!e9 ce!#$' #ha# "*m o' R") 5B:- R*pee"$n&o!+" / F$;e Tho*"an+" N$ne H*n+!e+ an+ S$# Se;en onl ha" 9een +e+*c#e+ a# "o*!ce an+ pa$+ #o #he c!e+$# o' #hecen#!al @o;e!nmen#) I '*!#he! ce!#$' #ha# #he In'o!m#$on g$;en a9o;e $" #!*e? comple#e an+ co!!ec# 9a"e+ on #he 9oo," o'acco*n#? +oc*men#" an+ o#he! a;a$la9le !eco!+")



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Select !our /asic Pa! and !ou know !our -A

%*d "A/asic Pa! -A ate +ew -A

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/asic Pa! -A ate +ew -A

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54.784%16600

63.344%16600



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RECEIPT OF HOUSE RENT;?nder Section , ;,-A= of &ncome *a+ Act =

DateB Si7nature of the $ouse 8wner

8wnerIs and Address B

ameB

AddressB

PA oB

%eceived a $ouse %ent Amount sum of %s ,00; Si+ty 8ne *housands *wo $undred %upees 8nly= *owards the rent%s. 3,00 per month from Apr-, to !ar-,4 in respect of $ouse o.,-,00F earB us StandF (ootyF (ooty ;!andal=F Anantapur ;Dt.=.

;Affi+%evenueStamp of%s.,/-=



*ea+e D** 0or o+e "etai*

3our House Address

-.+o. $&$##4

Street5Area +ear6 /us Stand

own57illage 8oot!

Mandal 8oot!

-istrict Ananta*ur

"A&A



F!/M !0 12I

3-ee rule 11445

.ertificate of prescribed authority for the purposes of section &2446

)* +ame of the Patient

,* 'ddress

* Father.s name

/* +ame and address of the person on 0hom the patient is dependent

and his relationship 0ith the patient*

5* +ame of the disease or ailment

1please see rule ))223

4* For diseases or ailments mentioned in item 1i3 of clause 1a3 of

sub-rule 1)3 0hether the disability is /67 or more 1Please specify the extent3

8* +ame address re&istration number and $ualification of the

specialist issuin& the certificate alon& 0ith the name and address

of the "o!ernment hospital 9see rule ))221,3: ;erification

VERIFICATION

<his is to !erify that I 2r*================================================ s>o 10>o3

%hri===================== in the case of the patient %hri>%mt*>?s*========================

after considerin& the entire history of illness careful examination and appropriate in!esti&ations

am of the opinion that the patient is sufferin& from==============================disease>ailment

durin& the pre!ious year endin& on )st ?arch=======================

I also certify 1only in case of neurolo&ical disease3 that the extent of disability is more than /673

1%trike off if not applicable3*

I certify that the information furnished abo!e is true to the best of my kno0led&e*

2ate =============== %i&nature

Place ===============

1+ame and 'ddress3

<o be countersi&ned by the Head of the "o!ernment hospital 0here the prescribed authority is a

specialist 0ith post-&raduate de&ree in "eneral or Internal ?edicine*

2ate ============== %i&nature

Place ==============

1+ame and 'ddress3



FOR( NO) 10>IASee "*9>!*le /. o' !*le 11A

Ce!#$'$ca#e o' #he me+$cal a*#ho!$# 'o! ce!#$'$ng Qpe!"on &$#h +$"a9$l$#? Q"e;e!e +$"a9$l$#?

a*#"m? Qce!e9!al pal" an+ Qm*l#$ple +$"a9$l$# 'o! p*!po"e" o' "ec#$on <0 DD an+ "ec#$on <0U

Certificate o. Date B

*his is to certify that Shri/Smt./!s.JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ son/dau7hter of

ShriJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJF a7eJJJJJJJJ yearsJJJJJJJJJJJmale/female

residin7 atJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJF %e7istration o.JJJJJJJJJJJJJJJis a

person with disability/severe disabilityK sufferin7 from autism/cerebral palsy/multiple disability.

. *his condition is pro7ressive/non-pro7ressive/liely to improve/not liely to improveK.

. %eassessment is recommended/not recommended after a period of JJJJJmonths/years

Sd/-

;eurolo7ist/Pediatric eurolo7ist/Civil Sur7eon/Chief !edical 8fficer=

ame BJJJJJJJJJJJJJJJJJJJ

Address of &nstitution/(overnment hospital B

JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

Eualification/desi7nation of specialist BJJJJJJJJJJJJJJJJJJJJ

S9A)

Si7nature/*humb impression of the patient

Income Tax 2013-14 ( CR ) All Departments 17th Jan

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Transcript of Income Tax 2013-14 ( CR ) All Departments 17th Jan