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YEARS Basic Pay + PP D.P. SP DA HRA CCA OA TOTAL

1998-1999 10929 2667 2019 1010 16625

1999-2000 13250 4706 2200 1200 21356

2000-2001 14700 5960 1300 1000 22960

2001-2002 13850 6142 1200 21192

2002-2003 14150 6607 1400 22157

2003-2004 14450 7406 2200 24056

2004-2005 15042 8728 1447 25217

2005-2006 15688 1595 9333 3000 29616

2006-2007 18650 9332 8256 4439 40677

TOTAL 130709 10927 0 59805 19205 3210 0 223856

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IT Paid

IT Paid

0

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3

NAME :D.V.GAJENDRAN

DESIGNATION : P.A. TO MINISTER FOR FOOD [A.S.O.]

PUBLIC DEPARTMENT

( in Rupees )

EARNINGS DEDUCTIONS

DA HRA CCA Total GPF BF/SPF SPF PT/GF HBA HBSBF LIC TOTAL

1998 March 5500 #VALUE! ### ### 0 #VALUE! 300 0 0 - 0 0 0 0 300

1998 April 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 May 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 June 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 July 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 Aug. 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 ### 0 0 0 0 ###

1998 Sept. 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 Oct. 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 Nov. 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1998 Dec. 5500 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 Jan. 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 ### 0 0 0 0 ###

1999 Feb. 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 0 0 0 0 1500

- 0 - - 0 0 - - - - - - 0

BONUS 825 825 0 - - - - - - 0

SL-15 days 0 0 0 0 0 0 0 - - - - - - 0

0

109292667 2019 1010 0 16625

0 - 0 0 - - - -0

TOTAL = 77,279 #VALUE! ### ### 825 #VALUE! 16,800 0 0 ### 0 ... 0 0 ###

ABSTRACT

PAY : 77,279 GPF : 16,800

DA : #VALUE! FBF + SPF :

HRA : #VALUE! PT : #VALUE!

CCA : #VALUE! Health Fund :

O.A. + Bonus : 825 HBA : ,

HBASBF :

LIC : ,

Total Earnings : #VALUE! otal Deductions : #VALUE!

P.T.O.

Yearand

MonthPAY+

PPOA/MA

Pay Fix

Arrears

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 1998-1999INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 1998-1999

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4


Rs.

GROSS TOTAL EARNINGS : #VALUE!

LESS : HRA exempt u/s 10(13A) :

(a) Actual amount of HRA received #VALUE!

(c) 50% of Salary (+Basic) #VALUE!

#VALUE!

LESS : #VALUE!

Professional Tax #VALUE!

HBA Interest [u/s 24] -

Medical Expenses [u/s 80DDB] -

TOTAL - Standard Deductions #VALUE!

TOTAL TAXABLE INCOME #VALUE!

[Rounded Off To Next Ten Rupees] #VALUE!

INCOME TAX:On theFirst Rs.50,000/- Nil

On the Next Rs.50,001/- to Rs.60,000/- (10%) #VALUE! #VALUE!

On the Next Rs.60,001/- to Rs.1,50,000/- (20%) #VALUE! #VALUE!

Exceeding Rs.1,50,000/- (30%) #VALUE! #VALUE!

GROSS INCOME TAX #VALUE!

LESS : Rebate u/s 88C (Being women) 0

#VALUE!

DEDUCTIONS u/s 88

Provident Fund (GPF) 16,800

FBF + SPF -

HBA Loan Repaid (maximum Rs.10,000) -

LIC -

N.S.C. -

16,800

LESS : 20% Tax Rebate on the Total of Deductions u/s 88 3,360

#VALUE!

NET TAX PAYABLE #VALUE!

TOTAL TAX PAYBLE #VALUE!

LESS :TAX DEDUCTION SO FAR MADE (Tax Paid) 0

BALANCE TAX PAYABLE #VALUE!

D.V.GAJENDRAN

(b) Expenditure of rent in excess of 10% of salary(including DA as presumed that DA is taken forretirement benefit)

STANDARD DEDUCTIONS(upto 100000 = 33 1/3% or 25,0001,00,000 to 5,00,000 = 20,0000 and above 5,00,000 = NIL)

AMOUNT ELIGIBLE FOR TAX REBATE (Limited toRs.60,000/-)

P.A. TO MINISTER FOR FOOD[A.S.O.]

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5

NAME :D.V.GAJENDRAN


PUBLIC DEPARTMENT

( in Rupees )

EARNINGS DEDUCTIONS

DA HRA CCA SA Total GPF BF/SP SPF PT/GF HBA HBSBF LIC TOTAL



1999 May 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 June 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 July 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 Aug. 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 ### 0 0 0 0 ###1999 Sept. 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 Oct. 5675 #VALUE! ### ### 0 #VALUE! 1500 0 0 - 0 0 0 0 1500

1999 Nov. 5675 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

1999 Dec. 5675 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 Jan. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0 ###

2000 Feb. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

- - - - 0 - - - - - - 0

- - - - 0 0 - - - - - - 0

0 0 0

SL-15 days 0 0 0 0 0 0 0 - - - - - - 0

BONUS 825 825 0 - - - - - - 0

13250 4706 2200 1200 0 21356

TOTAL = 81,700 #VALUE! ### ### 825 #VALUE! 28,000 0 0 ### 0 , 0 0 ###

ABSTRACT

PAY : 81,700 GPF : 28,000




O.A. + Bonus : 825 HBA : ,

HBASBF :

LIC : ,


P.T.O.

Yearand

MonthPAY +

PP

Pay FixArrears


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6


Rs.





#VALUE!

LESS : #VALUE!







INCOME TAX: On theFirst Rs.50,000/- Nil






#VALUE!

DEDUCTIONS u/s 88


FBF + SPF -


LIC -

N.S.C. -

28,000


LESS : 20% Tax Rebate on Investment in ICICI Bond/UTI/MF (upto 10000) 0 -

#VALUE!


ADD : 10% SURCHARGE ON INCOME TAX #VALUE!




D.V.GAJENDRAN





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NAME :D.V.GAJENDRAN

DESIGNATION :P.A. TO MINISTER FOR FOOD [A.S.O.]

PUBLIC DEPARTMENT

( in Rupees )

EARNINGS DEDUCTIONS

DA HRA CCA SA Total BF/SP SPF PT/GF HBA HBSBF LIC TOTAL



2000 May 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 June 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 July 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0 4000

2000 Aug. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0 ###

2000 Sept. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 Oct. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 Nov. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2000 Dec. 5850 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 Jan. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0 ###

2001 Feb. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0 0 4000

0 0 - - - - - - 0

0 0 - - - - - - 0

SL-15 days #VALUE! 0 0 0 0 #VALUE! 0 - - - - - - 0

ADHOC BONUS 0 - - - 825 825 0 - - - - - - 0

14700 5960 1300 1000 0 22960

TOTAL = #VALUE! #VALUE! ### ### 825 #VALUE! 48,000 0 0 ### 0 , 0 0 ###

ABSTRACT

PAY : #VALUE! GPF : 48,000




O.A. + Bonus : 825 HBA : ,

HBASBF :

LIC : ,


P.T.O.

Yearand

Month

PAY+PP+SP

GPF/IDA

Pay FixArrears


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8


Rs.





#VALUE!

LESS : #VALUE!













#VALUE!

DEDUCTIONS u/s 88


FBF + SPF -


LIC -

N.S.C. -

48,000



#VALUE!


ADD : Upto Rs.1,50,000/- 10% Above 15% SURCHARGE ON INCOME #VALUE!


LESS :TAX DEDUCTION U/S 80c FOR WOMEN 0



D.V.GAJENDRAN





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9

NAME :D.V.GAJENDRAN


PUBLIC DEPARTMENT

( in Rupees )

EARNINGS DEDUCTIONS

PAY+PP DA HRA CCA MA/SA Total GPF BF/SP SPF PT/GF HBA HBSBF LIC TOTAL



2001 May 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 June 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 July 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0 4000

2001 Aug. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0 ###

2001 Sept. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 Oct. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 Nov. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2001 Dec. 6025 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0 4000

2002 Jan. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0 ###

2002 Feb. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0 4000

0 0 - - - - - - 0

0 0 - - - - - - 0

SL-15 days #VALUE! 0 0 0 0 #VALUE! 0 - - - - - - 0

ADHOC BONUS - - - - 0 0 0 - - - - - - 0

13850 6142 1200 0 0 21192

TOTAL = #VALUE! #VALUE! ### ### 0 #VALUE! 48,000 0 0 ### 0 , 0 0 ###

ABSTRACT

PAY : #VALUE! GPF : 48,000




O.A. + Bonus : HBA : ,

HBASBF :

LIC : ,

Total Earnings : #VALUE! otal Deductions : #VALUE! P.T.O.

Yearand

Month

Pay FixArrears


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Rs.





#VALUE!

LESS : #VALUE!













#VALUE!

DEDUCTIONS u/s 88


FBF + SPF -


LIC -

N.S.C. -

48,000



9,600

#VALUE!


ADD : 2% SURCHARGE ON INCOME TAX #VALUE!




D.V.GAJENDRAN

PUBLIC DEPARTMENT

(b) Expenditure of rent in excess of 10% of salary(including DA as presumed that DA is taken for

retirement benefit)

STANDARD DEDUCTIONS(upto 150000 = 30,000 or 33 1/3 or whichever LESSFrom 150001 to 300000 = 25,000From 300001 to 500000 = 20,000Above 500000 = Nil)[subject to maximum of Rs.30,000 u/s 16(1)]



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NAME :D.V.GAJENDRAN


PUBLIC DEPARTMENT

( in Rupees )EARNINGS DEDUCTIONS

PAY+PP DA HRA CCA SA/MA Total BF/SP PT/GF HBA LIC

2002 March 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 April 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 May 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 June 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 July 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0

2002 Aug. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0

2002 Sept. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 Oct. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 Nov. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2002 Dec. 6200 #VALUE! ### ### 0 #VALUE! 4000 0 0 - 0 0 0 0

2003 Jan. 6375 #VALUE! ### ### 0 #VALUE! 4000 0 0 ### 0 0 0 0

2003 Feb. 6375 #VALUE! ### ### 0 #VALUE! 4000 0 0 0 0 0 0

0 0

14150 6607 1400 0 0 22157

TOTAL = 88,900 #VALUE! ### ### 0 #VALUE! 48,000 0 0 ### 0 0 0 0

ABSTRACT

PAY : 88,900 GPF : 48,000



CCA : #VALUE! ealth Fund :

O.A. + Bonus : HBA FBF : ,

Total Earnings : #VALUE! Total Deductions : #VALUE!

P.T.O

Yearand

MonthGPF/IDA

SPF2000

FBF-HBA

Pay FixArrears


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INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2002-2003INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2002-2003 Rs.

I. GROSS TOTAL EARNINGS : #VALUE!

LESS : STANDARD DEDUCTIONS u/s 16 of IT Act

#VALUE!

#VALUE!

#VALUE!

II. TOTAL - Standard Deductions #VALUE!


#VALUE!

LESS :

Section Scheme Policy/Cert.No. Max. Limit

(1) 80-CCC Annuity Plan Rs.10000/- -

(2) 80-D Insurance on the Health MediClaim Rs.10000/-

(3) 80-DD Handicapped Dependent Rs.40000/- -

(4) 80-DDB Specific Ailments (Medical) Rs.40000/- -

(5) 80-E Ednl. Loan/Interest for Assessee only Rs.40000/- -

(6) 80-G Donations made for Charitable purposes- 50% (Rs.25,000/-)

(7) 80GG Deduction in respect of HRA -

(8) 80-L Interest from Banks/NSC/Bonds Rs.12000/- -

80GGA CRY

192(3.4(i)) Rs.150000/- -

192(3.4(ii)) Rs.30000/- -

IV. Aggregate of Deductible amount under Chapter VI-A 0

V. TOTAL TAXABLE INCOME #VALUE!

INCOME TAX CALCULATION

On theFirst Rs.50,000/- Nil


On the Next Rs.60,001/- to Rs.1,50,000/- (20% #VALUE! #VALUE!


VI. GROSS INCOME TAX DUE #VALUE!

LESS : VII. Rebate u/s 88C (Being women) 0

VIII. TOTAL INCOME TAX DUE: #VALUE!

PTER-VIII TAX REBATES ALLOWED FROM GROSS INCOME TAX u/s

G.P.F. (Subscription + IDA) 48,000

FBF + SPF + SPF2000 + HBA SPF -

Repayment of HBA (maximum Rs.20,000) -

LIC - Salary Deduction -

LIC-Self -

48,000

LESS : Rate of REBATE u/s 88 [Upto 150000 = 20% / Above 150000 = 1 ###

ADDITIONAL REBATES UNDER SECTION 88

Subscription in notified Insfrastructure Bonds (I.e. ICICI,IDBI) -

Others -

-

LESS : 20% Additional Tax Rebate -

IX. AGGREGATE OF TAX REBATES AND RELEIF #VALUE!

#VALUE!

X. NET TAX PAYABLE #VALUE!

ADD : XI. Surchage @ 5% on Income Tax #VALUE!

XII. TOTAL TAX DUE AFTER SURCHARGE #VALUE!

LESS :TAX DEDUCTED AT SOURCE (so far Tax Paid) 0

XIII. TAX PAYABLE / REFUNDABLE #VALUE!

[Upto Rs.1,50,000/- = Rs.30,000/-Rs.1,50,0001/- to Rs.3,00,000/- = Rs.25,000/-Rs.3,00,0001/- to Rs.5,00,000/- = Rs.20,000/-][No Standard Deduction exceeds 5 lakhs rupees]

Professional Tax [clause (2) of Art.276 of Constitutio

HRA Exemption u/s 10(13A) of IT Act [(a) Actual amount of HRA received (OR)(b) Rent paid in excess of 10% of Pay+DA (OR)(c) 50% of Pay+DA WHICHEVER IS LESS]

III. TOTAL INCOME[Rounded Off To Next Ten Rupees]

DEDUCTION UNDER CHAPTER VI-A of IT Act

Interest on HBA(for loans taken after 1-4-99)

Interest on HBA(for loans taken before 1-4-99)



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( D.V.GAJENDRAN )

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TOTAL

4000

4000

4000

4000

4000

###

4000

4000

4000

4000

###

4000

#VALUE!

.

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NAME :D.V.GAJENDRAN


PUBLIC DEPARTMENT

( in Rupees )

EARNINGS DEDUCTIONS

PAY DA HRA CCA SA Total GPF BF/SPF PT/GF HBA HBSBF LIC TOTAL

2003 March 6375 #VALUE! ### ### 0 ### 4064 0 0 - 0 0 0 0 4064

2003 April 6375 #VALUE! ### ### 0 ### 4064 0 0 - 0 0 0 0 4064

2003 May 6375 #VALUE! ### ### 0 ### 4064 0 0 - 0 0 0 0 4064

2003 June 6375 #VALUE! ### ### 0 ### 4064 0 0 - 0 0 0 0 4064

2003 July 6375 #VALUE! ### ### 0 ### 4000 0 0 0 0 0 0 4000

2003 Aug. 6375 #VALUE! ### ### 0 ### 4000 0 0 ### 0 0 0 0 ###

2003 Sept. 6375 #VALUE! ### ### 0 ### 4000 0 0 - 0 0 0 0 4000

2003 Oct. 6375 #VALUE! ### ### 0 ### 4000 0 0 - 0 0 0 0 4000

2003 Nov. 6375 #VALUE! ### ### 0 ### 4000 0 0 - 0 0 0 0 4000

2003 Dec. 6375 #VALUE! ### ### 0 ### 4000 0 0 - 0 0 0 0 4000

2004 Jan. 6550 #VALUE! ### ### 0 ### 4000 0 0 ### 0 0 0 0 ###

2004 Feb. 6550 #VALUE! ### ### 0 ### 4000 0 0 0 0 0 0 4000

4000

14450 7406 2200 0 0 24056

TOTAL = 91,300 #VALUE! ### ### 0 #VALUE! 48,256 0 0 ### 0 , 0 0 ###

ABSTRACT

PAY : 91,300 GPF : 48,256




O.A. + Bonus : HBA : ,

HBASBF :

LIC : ,

Total Earnings : #VALUE! Total Deductions : #VALUE!

P.T.O.

Yearand

MonthSPF2000

Pay FixArrears


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INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2003-2004INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2003-2004 Rs.

I. GROSS TOTAL EARNINGS : #VALUE!

LESS : STANDARD DEDUCTIONS u/s 16 of IT Act

#VALUE!

#VALUE!

#VALUE!

II. TOTAL - Standard Deductions #VALUE!


#VALUE!

LESS :

Section Scheme Policy/Cert.No. Max. Limit

(1) 80-CCC Annuity Plan Rs.10000/- -

(2) 80-D Insurance on the Health Rs.10000/- -

(3) 80-DD Handicapped Dependent Rs.40000/- -

(4) 80-DDB Specific Ailments (Medical) Rs.40000/- -

(5) 80-E Ednl. Loan/Interest for Assessee only Rs.40000/- -

(6) 80-G Donations made for Charitable purposes- 50% -

(7) 80GG Deduction in respect of HRA -

(8) 80-L Interest from Banks/NSC/Bonds Rs.12000/- -

80-U Assessee's Permanent Physical Disability Rs.40000/- -

Rs.150000/- -

Rs.30000/- -

IV. Aggregate of Deductible amount under Chapter VI-A ,

V. TOTAL TAXABLE INCOME #VALUE!

INCOME TAX CALCULATION

On theFirst Rs.50,000/- Nil

On the Next Rs.50,001/- to Rs.60,000/- (10%) ### #VALUE!

On the Next Rs.60,001/- to Rs.1,50,000/- (20 ### #VALUE!

Exceeding Rs.1,50,000/- (30%) ### #VALUE!

VI. GROSS INCOME TAX DUE #VALUE!

LESS : VII. Rebate u/s 88C (Being women) 0

VIII. TOTAL INCOME TAX DUE: #VALUE!

TER-VIII TAX REBATES ALLOWED FROM GROSS INCOME TAX u

G.P.F. (Subscription + IDA) 48,256

FBF + SPF + HF + SPF2000 + HBA SPF -

Repayment of HBA (maximum Rs.20,000) -

LIC - Salary Deduction -

Tuition Fees -

48,256

LESS : Rate of REBATE u/s 88 [Upto 150000 = 20% / Above 150000 ###

ADDITIONAL REBATES UNDER SECTION 88

Subscription in notified Insfrastructure Bonds (I.e. ICICI,IDB -

Others -

-

LESS : Rate of REBATE u/s 88 [Upto 150000 = 20% / Above 150000 ###

IX. AGGREGATE OF TAX REBATES AND RELEIF #VALUE!

#VALUE! X. NET TAX PAYABLE #VALUE!

ADD : XI. Surchage @ 5% on Income Tax #VALUE!

XII. TOTAL TAX DUE AFTER SURCHARGE #VALUE!

LESS :TAX DEDUCTED AT SOURCE (so far Tax Paid) 0

XIII. TAX PAYABLE / REFUNDABLE #VALUE!

( D V GAJENDRAN )

[Upto Rs.5,00,000/- = Rs.30,000/-Above Rs.5,00,000/- = Rs.20,000/-]

Professional Tax [clause (2) of Art.276 of Constitut

HRA Exemption u/s 10(13A) of IT Act [(a) Actual amount of HRA received (OR)

(b) Rent paid in excess of 10% of Pay+DA (OR)(c) 50% of Pay+DA WHICHEVER IS LESS]

III. TOTAL GROSS INCOME[Rounded Off To Next Ten Rupees]

DEDUCTION UNDER CHAPTER VI-A of IT Act

192(3.4(i))


192(3.4(ii))



m e oRs.30 000 -

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Name : D.V.GAJENDRAN

Designation : P.A. TO MINISTER FOR FOOD [A.S.O.]

Department : PUBLIC DEPARTMENT PAN No. : A M A P G 6 8 5 4 G

Month

EARNINGS DEDUCTIONS

B.Pay PP SP DA HRA CCA OA TOTAL GPF HBA LIC TOTAL

Mar-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

Apl-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

May-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

June-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

July-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 0 ... 4020

Aug-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 ### 0 0 ... #VALUE!

Sep-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

Oct-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

Nov-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... 4020

1 Day

Dec-2004 6550 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 ... #VALUE!

Jan-2005 6725 ... ... ### ### ### 0 #VALUE! 4000 20 ### 0 0 ... #VALUE!

Feb-2005 6725 ... ... ### ### ### 0 #VALUE! 4000 20 0 0 0 4020

... ... ... 0 ... ... 0 0 0

0 0

15042 0 0 8728 1447 0 0 25217

TOTAL 93992 0 ... ### ### ### 0 #VALUE! 48000 240 ### 0 0 0 #VALUE!

ABSTRACT

EARNINGS DEDUCTIONS

Basic Pay : ,93,992 48,000 : G.P.F. Subscription

Personal Pay : ... 240 : FBF+SPF+HF+HBA FBF

Special Pay : ... #VALUE! : P.T.

Dearness Allowance : #VALUE! 0 : HBA Repayment

House Rent Allowance : #VALUE! 0 : LIC - Salary Deduction

City Compensatory Allowance : #VALUE! ... : IT Paid

Other Allowance : , #VALUE! : CMPRF

TOAL - Earnings : #VALUE! #VALUE! : TOTAL - Deductions

P.T.O.

FBFSPF

HBAFBFP.T.

CMPRF

ITpaid

PT Diff.

Arr.

#VALU

SLS[7 days]

Pay FixArrears

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR2004-2005

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DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED

1. GROSS SALARY #VALUE!

2. LESS

(a) Actual amount of HRA received. #VALUE!

(b) Exp. on rent in excess of 10% of Salary

(c) 50% of Salary

#VALUE!

3. Balance [1-2] #VALUE!

4. DEDUCTIONS under Section 16

(a) Standard Deduction #VALUE!

(b) Tax on Employment [PT] #VALUE!

5. Aggregate of 4 [(a)+(b)] #VALUE!

Income from House Property

Annual Value Nil

Interest payable on loan u/s 24 0

Loss from House property [Max. Rs.30,000/- before 1-4-99 After Rs.1.5 lakhs] 0

#VALUE!

6. #VALUE!

7. ADD Any other income reported by the employee

(a) Income under the head 'Income from House Property

(b) Income under the head 'Income from Other Sources'

(c) Total of (a) + (b) above

8. Particulars of Bank Account [Mandatory in Refund Cases]

Name of the Bank MICR Code (9digit) Address of Branch Type of A/c Account Number ECS (Y/S)

9. Deductions under Chapter VI-A G. Amt. Q. Amt. D. Amt.

(a) 80-D Insurance on the Health 0 10,000 0

(b) 80-U Person with disability 0 75,000 0

(c) 80-CCC Annuity Plan of LIC for receiving pension 0 10,000 0

(d) 80-G Relief Fund [100%] 0 100% 0

(e) 80-GG House Rent paid for his own residence 0 0

10. Aggregate of deductible amounts under Chapter VI-A 0

11. #VALUE!

12. Tax on Total Income

(1) On the First Rs.50,000/- Nil

(2) On the Next Rs.50,001 to Rs.60,000/- [10%] #VALUE! #VALUE!

(3) On the Next Rs.60,001 to Rs.1,50,000/- [20%] #VALUE! #VALUE!

(4) Exceeding Rs.1,50,000/- [30%] #VALUE! #VALUE!

#VALUE!

13. Rebate under Chapter VIII (u/s 88)

I. Under Section 88 (Please Specify) G. Amt. Q. Amt. Tax Rebate

(a) Payment of Insurance Premium 0 0

(b) GPF-Subscription 48,000 48,000

(c) FBF + SPF + HF + SPF2000 + HBA FBF 240 240

(d) Repayment of HBA [Max. Rs.20,000/-] 20,000 20,000

(e) Tuition Fees (any two child) [Rs.12,000/- per child] 0 0

Total [(a) to (e)] resctricted to Rs.70,000/-. 68240 68,240 #VALUE!

(f) Equity Shares or Debentures 0 0

(g) Any Mutual Fund 0 0

Total [(f) to (g)] resctricted to Rs.30,000/-. 0 0 #VALUE!

II. (a) Under Section 88B [Senior Citizens] [Rs.20,000] 0

(b) Under Section 88C [Being a Woman] [Rs.5000] 0

(c) 0

14. Aggregate of Tax Rebates at 13 above [I+II(a)+II(b)] #VALUE!

15. Tax payable on Total Income (12-14) #VALUE!

#VALUE!

#VALUE!

16. LESS Relief under section 89 (attach details) 0

17. Balance Tax payable (15-16) #VALUE!

18. LESS : (a) Tax deductioned at source under section 192(1) 0

(b) Tax paid by the employer on behalf of employee 0

0

H.R.A. exempt u/s 10 (13A) [WHICHER IS LESS]

Income chargeable under the head 'Salaries'[GROSS TOTAL INCOME]

TOTAL INCOME [8-10] (NET TAXABLE INCOME)

Under Section 88D [Rebate to Certain Individuals]

ADD : Surcharge @ 10% on Net Income Tax[where Total Income exceeds Rs.8,50,000/-]

ADD : Education Cess on IT @ 2% of IT and Surcharge

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19. Tax payable / refundable (17-18) #VALUE!

D.V.GAJENDRAN

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Month

EARNINGS DEDUCTIONS

DP SP DA HRA CCA OA TOTAL GPF HBA TOTAL

Mar-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

Apl-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

May-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

June-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

July-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

Aug-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 ### 0 0 0 #VALUE!

Sep-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

Oct-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

Nov-2005 6725 0 ### ### ### 0 #VALUE! 4000 801 day

0 0 0 4080

Dec-2005 6725 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 0 4080

Jan-2006 6900 3450 0 ### ### ### 0 #VALUE! 4000 80 ### 0 0 0 #VALUE!

Feb-2006 6900 3450 0 ### ### ### 0 #VALUE! 4000 80 0 0 0 4080

5175 0 0 1087 550 150 0 6962

0

15688 1595 0 9333 3000 0 0 29616

TOTAL 101913 8495 0 ### ### ### 0 #VALUE! 48000 960 ### 0 0 0 #VALUE!

ABSTRACT

EARNINGS DEDUCTIONS

Basic Pay + Dearness Pay : 101,913 48,000 : G.P.F. Subscription

Personal Pay : 8,495 960 : FBF+SPF+HF+HBA FBF

Special Pay : 0 #VALUE! : P.T.



City Compensatory Allowance : #VALUE! 0 : IT Paid

Other Allowance : 0 0 : CMPRF


P.T.O.

BasicPay

+PP

FBFSPF

HBAFBFP.T.

CMPRF LIC /

CTD /PLI

IT

paid

SLS[7 days]

Pay FixArrears

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR

2005-2006

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2. LESS

(a)

(a) Actual amount of HRA received 0

(b) Expenditure of rent in excess of 10% of salary (including DA)

(c) 50% of salary (including DA) [Metropolitan Cities]

(d) 50% of salary (including DA) [Other Cities]

[whichever is least among c & d]



(a) Entertainment allowance 0


#VALUE!

LOSS ON HOUSE PROPERTY

Gross Annual Value Nil



#VALUE!

5. #VALUE!

6. ADD Any other income reported by the employee 0




7. GROSS TOTAL INCOME [(5) + (6)] #VALUE!


(a) 80-C Entitled to deductions for the whole of amounts paid or deposited 68,960 1,00,000

(i) G.P.F. 48,000

(ii) SPF + SPF + HF + HBAFBF 960

(iii) H.B.A. (Principal) 0(iv) Insurance Premium / CTD / PLI 0

(v) Tuition Fees (Restricted to two children) 20,000

(vi) Subscription to Equity Shares / Debentures or Units of Infrastructure Sector- 0

(b) 80-CCC Annuity Plan of LIC/Others for receiving pension 0 10,000

(c) 80-CCD 0 10% Salary

(d) 80-CCE TOTAL of 80C + 80CCC + 80CCD [Limited to Rs.1,00,000/-] 68,960

(e) 80-D 0 10,000 0

(f) 80-DD Expenditure for medical treatment, being a person with disability 0 50,000 0

(g) 80-E Repayment of interest on loan taken for higher education 0 10,000 0

(h) 80-G 0 0

(i) 80-U 0 50,000 0

9. TOTAL AMOUNT IN CHAPTER VI-A 68,960

10. #VALUE!

11. Tax on Total IncomeNo

(1) On the First Rs.1,00,000/- Being a Woman On the First Rs.1,35,000/ Nil

(2) On the Next Rs.1,00,001 to Rs.1,50,000/- [10%] #VALUE! #VALUE!



12. Tax payable on Total Income (11) #VALUE!

#VALUE!

[where Total Income exceeds Rs.8,50,000/-]

#VALUE!

13. TOTAL TAX PAYABLE FOR 2005-2006 #VALUE!



0

15. Tax Payable / Refundable (13-14) #VALUE!

Allowance to the extent exempt u/s 10 [WHICHER IS LESS]


AGGREGATE OF 4(a) to (b)


Contribution to New Pension Scheme [Limited to 10% of Salary]

Insurance on the Health [dependent also] [Senior Citizen = Rs.15,000]

Donations made for charitable purposes [CMPRF=100%; Other=50%]

Person with disability [Severe disability = Rs.75,000/-]


ADD : Surcharge @ 10% on Net Income Tax


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D.V.GAJENDRAN

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Month

EARNINGS DEDUCTIONS

D.P. SP DA HRA CCA OA TOTAL GPF HBA TOTAL

Mar-2006 6900 3450 0 ### ### ### 0 ### 4000 90 0 0 0 4090

Apl-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

May-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

June-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

July-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Aug-2006 6900 3450 200 ### ### ### 330 ### 4000 90 ### 0 0 0 ###

Sep-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Oct-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Nov-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Dec-2006 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Jan-2007 6900 3450 200 ### ### ### 330 ### 4000 90 ### 0 0 0 ###

Feb-2007 6900 3450 200 ### ### ### 330 ### 4000 90 0 0 0 4090

0 0

BONUS 825 825

18650 9332 8256 4439 0 0 40677

0 0 0 0

TOTAL 101450 50732 2200 ### ### ### 4455 ### 48000 1080 ### 0 0 0 ###

ABSTRACT

EARNINGS DEDUCTIONS

Basic Pay + Dearness Pay : 101,450 48,000 : G.P.F. Subscription

Personal Pay : 50,732 1,080 : FBF+SPF+HF+HBA FBF

Special Pay : 2,200 #VALUE! : P.T.



City Compensatory Allowance : #VALUE! 0 : IT Paid

Other Allowance : 4,455 0 : CMPRF


Basic

Pay+

PP

FBFSPF

HBAFBFP.T.

CMPRF LIC /

CTD /PLI

ITpaid

SLS[15 days]

Pay FixArrears


2006-2007

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P.T.O.

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2. LESS

(a)






#VALUE!3. Balance [1-2] #VALUE!




#VALUE!





#VALUE!

5. #VALUE!








(i) G.P.F. 48,000

(ii) SPF + SPF + HF + HBAFBF 1,080

(iii) H.B.A. (Principal) 0

(iv) Insurance Premium / CTD / PLI 0






(e) 80-D 0 10,000 0



(h) 80-G 0 0

(i) 80-U 0 50,000 0

9. TOTAL AMOUNT IN CHAPTER VI-A 69,08010. #VALUE!






12. Tax payable on Total Income (11) #VALUE!

#VALUE!


#VALUE!

13. Tax payable on Total Income and Surcharge thereon #VALUE!14. 0

15. BALANCE TAX PAYABLE #VALUE!



0












LESS : Relief under section 89 (Details attached Form 10E)

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D.V.GAJENDRAN

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Month

EARNINGS DEDUCTIONS


Mar-2007 8300 4150 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Apl-2007 8300 4150 200 ### ### ### 330 ### 4000 90 0 0 0 4090

May-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

June-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

July-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Aug-2007 8300 4150 200 ### ### ### 330 ### 6000 90 ### 0 0 1000 ###

Sep-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Oct-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Nov-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Dec-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Jan-2008 8300 4150 200 ### ### ### 330 ### 6000 90 ### 0 0 1000 ###

Feb-2008 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 0 6090

### ###

BONUS 1000 1000

0 0

0

TOTAL ### 49800 2400 ### ### ### 4960 ### 68000 1080 ### 0 0 9000 ###

ABSTRACT

EARNINGS DEDUCTIONS

Basic Pay + Dearness Pay : #VALUE! 68,000 : G.P.F. Subscription





City Compensatory Allowance : #VALUE! 9,000 : IT Paid



Basic

Pay+

PP

FBFSPFHF

HBAFBF

P.T.

CMPRF LIC /

CTD /PLI

ITpaid

SLS[15 days]

Sectt.PF Arr.


2007-2008

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P.T.O.

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2. LESS

(a)






#VALUE!3. Balance [1-2] #VALUE!




#VALUE!





#VALUE!

5. #VALUE!








(i) G.P.F. 68,000

(ii) SPF + SPF + HBAFBF 1,080








(e) 80-D 0 10,000 0



(h) 80-G 0 0

(i) 80-U 0 50,000 0




(2) On the Next Rs.1,10,001 / 1,45,001 to Rs.1,50,000/- [10%] #VALUE! #VALUE!



12. Tax payable on Total Income (11) #VALUE! #VALUE!

#VALUE!


#VALUE!

13. Tax payable on Total Income and Surcharge thereon #VALUE!14. 0

15. BALANCE TAX PAYABLE #VALUE!

16. LESS : (a) Tax deductioned at source under section 192(1) 9,000


9,000













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D.V.GAJENDRAN

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Month

EARNINGS DEDUCTIONS


Mar-2007 8300 4150 200 ### ### ### 330 ### 4000 90 0 0 0 4090

Apl-2007 8300 4150 200 ### ### ### 330 ### 4000 90 0 0 0 4090

May-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

June-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

July-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Aug-2007 8300 4150 200 ### ### ### 330 ### 6000 90 ### 0 0 1000 ###

Sep-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Oct-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Nov-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Dec-2007 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 1000 7090

Jan-2008 8300 4150 200 ### ### ### 330 ### 6000 90 ### 0 0 1000 ###

Feb-2008 8300 4150 200 ### ### ### 330 ### 6000 90 0 0 0 6090

### ###

BONUS 1000 1000

Pay Arrears 130709 10927 0 59805 19205 3210 0 223856 1266 22386

0

TOTAL ### 60727 2400 ### ### ### 4960 ### 69266 1080 ### 0 0 31386 ###

ABSTRACT

EARNINGS DEDUCTIONS

Basic Pay + Dearness Pay : #VALUE! 69,266 : G.P.F. Subscription





City Compensatory Allowance : #VALUE! 31,386 : IT Paid



Basic

Pay+

PP

FBFSPFHF

HBAFBF

P.T.

CMPRF LIC /

CTD /PLI

ITpaid

SLS[15 days]


2007-2008

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P.T.O.

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2. LESS

(a)

(a) Actual amount of HRA received 0









#VALUE!





#VALUE!

5. #VALUE!








(i) G.P.F. 69,266

(ii) SPF + SPF + HBAFBF 1,080








(e) 80-D 0 10,000 0



(h) 80-G 0 0

(i) 80-U 0 50,000 0


11. Tax on Total IncomeNO

(1) On the First Rs.1,10,000/- Being a Woman On the First Rs.1,45,000/- Nil

(2) On the Next Rs.1,10,001 / 1,45,001 to Rs.1,50,000/- [10%] #VALUE! #VALUE!



12. Tax payable on Total Income (11) #VALUE! #VALUE!

13. #VALUE!

14. Tax payable on Total Income after Relief #VALUE!

0

#VALUE!15. BALANCE TAX PAYABLE, Surcharge and Education Cess thereon #VALUE!

16. LESS : (a) Tax deductioned at source under section 192(1) 31,386

(b) Tax paid by the employer on behalf of employee 031,386

17. ## #VALUE!











ADD : Surcharge @ 10% on Net Income Tax [where Total Income exceeds Rs.8,50,000/-]


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D.V.GAJENDRAN

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FORM NO. 10E[See rule 21AA]

1. Name and Address of the Employee : D.V.GAJENDRANP.A. TO MINISTER FOR FOOD [A.S.O.]

PUBLIC DEPARTMENT

Chennai-600 009.

2. Permanent Account Number [PAN] : A M A P G 6 8 5 4 G

3. Residential Status : Own

1. (a) : 2,23,856

(b) : -Nil-

(c) : -Nil-

(d) : -Nil-

2. : Annexure-I enclosed

Signature of the employee

Verification

Verified today, the________________day of_______________

Place : Chennai-600 009.

Date : -02-2008.


Form for furnishing particulars of income under section 192(2A) for the year ending2007 for claiming relief under section 89(1) by a Government servant or an emplocompany, co-operative society, local authority, university, institution, association

Salary received in arrears or in advance inaccordance with the provisions of sub-rule (2) of rule21A

Payment in the nature of gratuity in respect of pastservices, extending over a period of not less than 5years in accordance with the provisions of sub-rule(3) of rule 21A

Payment in the nature of compensation from theemployer or former employer at or in connection withtermination of employment after continuous service ofnot less than 3 years or where the unexpired portionof term of employment is also not less than 3 years inaccordance with the provisions of sub-rule (4) of rule21A

Payment in commutation of pension in accordancewith the provisions of sub-rule (5) of rule 21A

Detailed particulars of payments referredto above may be given in Annexure I, II,IIA, III or IV, as the case may be

I, D.V.GAJENDRAN__ do hereby declare that what is stated above is true to the best of myand belief.

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ANNEXURE I

[See item 2 of Form No. 10E]

ARREARS OR ADVANCE SALARY

1. : Rs. #VALUE!

2. Salary received in arrears or advance : Rs. 2,23,856

3. : Rs. #VALUE!

4. Tax on total income (as per item 3) : Rs. #VALUE!

5. Tax on total income (as per item 1) : Rs. #VALUE!

6. : Rs. #VALUE!

7. : Rs. #VALUE!

8. : Rs. #VALUE!

TABLE "A"

[See item 7 of Annexure I]

Previous year(s)

(Rs.) (Rs.) (Rs.) (Rs.) (Rs.)

(1) (2) (3) (4) (5) (6)

1998-1999 #VALUE! 16,625 #VALUE! ... #VALUE!









#VALUE! 2,23,856 #VALUE! ... #VALUE!


Total income(excluding salary received in arrears or advance)

Total Income(as increased by salary received in arrears oradvance)[Add item 1 and item 2]

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 the difference between the amountsmentioned against items 6 and 7]

Total income of therelevant previous

year(Taxable Income)

Salary recieved inarrears or advance

relating to the

relevant previousyear as mentioned

in column(1)

Total income (as increasedby salary received in

arrears or advance) of the

relevant previous yearmentioned in column(1)

[Add columns (2) and (3)]

Tax on totalincome

(after Rebate)[as per column(2)]

Tax on totalincome

(after Rebate)[as per column(4)]

Note: In this Table, details of salary received in arrears or advance relating to different previous years may be furnished.

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1st March,yee in ar body

knowledge

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(Rs.)

(7)

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

Difference intax[Amount under

column(6) minusamount undercolumn (5)]

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FORM NO.16[(See Rule 31(1)(a) of the Income Tax Rules 1962]

Name and address of the Employer Name and address of the Employee

Secretary to Government D.V.GAJENDRAN

Public Department P.A. TO MINISTER FOR FOOD [A.S.O.]

Secretariat, Chennai-600 009. PUBLIC DEPARTMENT

PAN NO. OF THE DEDUCTOR TAN NO OF THE DEDUCTOR PAN NO. OF THE EMPLOYEE

A M A P G 6 8 5 4 G

PeriodAssessment Year

Quarter Acknowledgement No. From To

01-03-2007 3/31/2008 2008-2009


1. Gross Salary

(a) Salary as per provisions contained in Sec.17(1) Rs. #VALUE!

Rs.

Rs.

(d) Total #VALUE!

2. Less: Allowance to the extent under section 10 Rs. 0

Rs.0

3. Balance (1-2) #VALUE!

4. Deductions:

(a) Entertainment Allowance Rs.

(b) Interest payable on loan u/s 24 Rs. 0

(c) Tax on Employment Rs. #VALUE!

5. Aggregate of 4 (a to c) #VALUE!

6. Income chargeable under the Head 'Salaries' (3-5) #VALUE!

7.ADD: Any other Income reported by the employee Rs.

8. Gross Total Income (6+7) #VALUE!

9.

(a) Section 80C Rs. 105,806 Rs.100000

(b) Section 80CCC Rs. Rs.________

(c) Section 80CCD Rs. Rs.________

Certificate under section 203 of the Income Tax Act, 1961 for tax deducted at source from incomechargeable under the head "Salaries"

Acknowledgement Nos. of all QuarterlyStatements of TDS under sub-section (3) ofsection 200 as provided by TIN Facilitation

Centre or NSDL web-site.

(b) Value of perquisites u/s 17(2) (as per FormNo.12BA, wherever applicable

(c) Profits in lieu of salary under Section 17(3) (asper Form No.12BA, wherever applicable)

Deductions under Chapter VI-A(A) Section 80C, 80CCC and 80CCD

GrossAmount

DeductibleAmount

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Note: 1. Aggregate amount deductible under Section 80C shall not exceed one lakh rupees.2. Aggregate amount deductible under the three Sections, i.e., 80C, 80CCC and 80CCD, shall not exceed one lakh rupees.

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-2-

(a) Rs.________ Rs.________ Rs.________

(b) Rs.________ Rs.________ Rs.________

(c) Rs.________ Rs.________ Rs.________

(d) Rs.________ Rs.________ Rs.________

(e) Rs.________ Rs.________ Rs.________

10. Aggregate of deductible amount under Chapter VI-A Rs.100000

11. Total Income (8-10) #VALUE!

12. Tax on Total Income #VALUE!

13. Surcharge (on tax computed as S.No.12) Rs._____

14. #VALUE!

15. Tax Payable (12+13+14) Rs. #VALUE!

16. Relief under Section 89 (attach details) Rs. #VALUE!

17. Tax Payable (15-16) Rs. #VALUE!

18. Rs. 31,386

17. #VALUE! Rs. #VALUE!

Details of Tax Deducted and Deposited into Central Government Account

BSR Code of Bank Branch

1. 22386 -- 22386

2. 9000 -- 9000

Signature of the person responsible for deduction of tax

Place:

(B) OTHER SECTIONS (for e.g. 80E, 80G etc.)UNDER CHAPTER VI-A

GrossAmount

QualifyingAmount

DeductibleAmount

Education Cess(on tax at S.No.12 and surcharge at S.No.13)

Less: (a) Tax deducted at source u/s 192(1)(b) Tax paid by the employer on behalf of

the employee u/s 192(1A) onperquisites u/s 17(2)

Sl.No.

TDSRs.

SurchargeRs.

EducationCessRs.

TOTAL taxdeposited

Rs.

Cheque / DD No.(if nay)

Date on which taxdeposited(dd/mm/yy)

TransferVoucher/ChallanIdentification No.

I ______________________ son of___________________ working in the capacity of Section Officer [Bills],Public Department (designation) do hereby certify that a sum of Rs................. (Rupees ...............................(in words) hasbeen deducted at source and paid to the credit of the Central Government. I further certified that the information given aboveis true and correct based on the book of accounts, documents and other available records.

Full Name:______________________

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Date : SEAL

It 10e Fin 2010 Model

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