form 16

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

Name and address of the Employer

Name and designation of the employee

${ftaddr1}

${ftaddr2}

PAN NO.of the Deductor

TAN No.of the Deductor

PAN NO. of the Employee

PANNOTREQD

${tan}

${pan}

CIT (TDS)

FINANCE YEAR

Period

The Commissioner of Income Tax (TDS)  Room No. 411, Income Tax Towers, 10-2-3 A.C. Guard.

2023-24

Assessment Year

From

To

City  : Hyderabad                  Pin Code: 500004

2024-25

1-04-2023

31-03-2024

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Quarter

Receipt Numbers of original statements of TDS under sub-section (3) of section 200

Amount paid / Credited

Amount of tax deducted   ( Rs )

Amount of tax deposited / remitted

Q 1

${tfq1}

${tadq1}

${tadq1}

Q 2

${tfq2}

${tadq2}

${tadq2}

Q 3

${tfq3}

${tadq3}

${tadq3}

Q 4

${tfq4}

${tadq4}

${tadq4}

Total

${tfq5}

${tadq5}

PART- B (Refer Note 1)

Details of Salary paid and any other income and tax deducted

1

Gross Salary

(a)

Salary as per provisions contained in section 17(1)

Rs:

${tgross1}

(b)

Value of perquisites under section 17(2)(as per Form No. 12BA,wherever applicable)

(c)

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

TOTAL  ( a+b+c  )

Rs:

${tgross1}

Rs:

${tgross1}

Rs:

${tgross1}

2

Less: Exempted Allowance u/s 10

A)

House Rent Allowance vis 10 (2A)13( A)

${rent}

Rs:

${thra3}

Rs:

${thra3}

3

Balance(1-2)

Rs:

${tnet}

Rs:

${tnet}

4

Deductions U/s 16:

(a)

Professional Tax on employment

Rs:

${tpt}

(b)

PHC Allowance U/S 10(14 )+Reader Allowance

Rs:

${tph}

5

Aggregate of 4(a) to (b)

Rs:

${tphpt}

6

Income chargeable under the head 'salaries'      (3-5)

Rs:

${tgross3}

7

Add: Any other income reported by the employee

a)

INCOME FROM ANY OTHER SOURCE

Rs:

0

b)

CPS Employers Contribution

Rs:

0

TOTAL   (     a  +  B  )

Rs:

0

8

Gross total income (6+7)

Rs:

${tgross3}

9

Deductions under Chapter VIA

10

Savings U/s 80CCE {80C,80CCC and 80CCD (i)}

Gross Amount

Qualifying amount

Deductible Amount Rs.

A)

Section 80 C

${neol1}

a)

CPS

Rs:

${tpf}

b)

APGLIC

Rs:

${tapgli}

c)

GIS

Rs:

${tgis}

d)

LIC (SSS)

Rs:

${lic}

e)

Tuition Fee- Two Children

Rs:

${sv1}

f)

LIC Insurance Premium- Annual

Rs:

${sv2}

g)

PLI (Postal Life Insurance)

Rs:

${sv3}

h)

Sukanya Samruddi Yojana

Rs:

${sv4}

i)

Repayment of Home Loan Principle

Rs:

${sv5}

TOTAL   80 C

Rs:

${t80cgross}

Rs:

${t80cgross1}

Rs:

${t80cgross1}

B)

80CCD (1B) (CPS Employees Contribution),Additional 50,000 /-

Rs:

${t80ccd}

Rs:

${t80ccd}

Rs:

${t80ccd}

E)

Standard Deductions  Sec-16(1a)

Rs:

50000

Rs:

50000

Rs:

50000

11

Total Savings  ( A+B+C+D+E  )

Rs:

${tsaving}

Rs:

${tsaving1}

Rs:

${tsaving1}

12

Taxable income ( 8  - 11 )

Rs:

${f1612}

13

Other Sections ( 80CCG, 80D, 80DDB,80E,80G etc) under Chapter VI-A

Gross Amount

Qualify amount

Deductible Amount Rs.

a)

E.W.F, & S.W.F  , COVID -19 relief fund

Rs:

${tewf}

Rs:

${tewf}

b)

80D-Medical Insurance Premium-Self ,Spouse&Children(EHS)

Rs:

${td80}

Rs:

${td80}

c)

80E-Interest on Educational Loan

Rs:

${e80}

Rs:

${e80}

d)

Interest on Housing Loan Advance U/s24[B]

Rs:

${b24}

Rs:

${b24}

e)

80EE -Interest on Housing Loan 80EE

Rs:

${ee80}

Rs:

${ee80}

f)

${t80u}

Rs:

${t80u1}

Rs:

${t80u1}

g)

80D - Medical Insurance Premium for self and spouse

Rs:

${d80}

Rs:

${d80}

h)

80G-Donation of Charitable Institution-100%

Rs:

${g80}

Rs:

${g80}

TOTAL    (     a+b+c+d+e+f+g +h )

Rs:

${tded80g1}

Rs:

${tded80g1}

14

Aggregate of deductible amount under Chap. VIA

Rs:

${tded80g1}

15

Total Income

Rs:

${ttax}

16

Tax on total income

Section 80 C - in  ${neol1}

Rs:

${tincom1}

17

${telig7}

Rs:

${ttax7}

18

Surcharge

Rs:

${ttax8}

19

Education & health cess @4 % on    ( ${tincom1} x4%  )

Rs:

${ttax8}

20

Tax payable  ( Rounded off to nearst )

Rs:

${tnettax}

21

Less Relief U/s 89(1)(attach details)

Rs:

0

22

Tax payable

Section 80 C -in- ${neol1}

Rs:

${tnettax}

23

Less:(a) Tax deducted at source U/s 192(1)

Rs:

${ttaxtotal}

Rs:

${ttaxtotal}

(b)Tax paid by the employer on behalf of the employee U/s 192 (1A) on perquisited U/s 17 (2)

24

TAX PAYABLE / REFUNDABLE (22 - 23)

Rs:

${nettax}

Verification

${t16veri}<              ${neol1}

Place:-

${mandal}

Date:-

Signature of person responsible for deduction of tax

Designation:

${ddisg}

Full Name: ${dname}

ANNEXURE-A

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENT5RAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY

(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

Sl.No

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

Book  Identification Number (BIN)

Receipt Numbers of  Form No 24G

DDO Sequence Number in the Book Adjustment Mini Statement

Date on which tax deposited (dd/mm/yy)

1

${atax1}

2

${atax2}

3

${atax3}

4

${atax4}

5

${atax5}

6

${atax6}

7

${atax7}

8

${atax8}

9

${atax9}

10

${atax10}

11

${atax11}

12

${atax12}

0

0

31-03-2024

Total

${tnettax}

ANNEXURE-B

DETAILS OF TAX DEDUCTED  AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN

(The Employer to provide payment wise details of tax deducted and deposited with respect to 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)

Challan Serial Number

Total

Designed By : K.SANYASI NAIDU,VISAKHAPATNAM ; CELL -9866371525

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