Particulars of Salary: If You Are A Handicapped Employee, Yes/No

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Note:-If any discrepency is arise

about calculation of income Tax,I am


not responsible for that, Pranab
Banerjee

FIRST NAME
MIDDLE NAME
LAST NAME
DESIGNATION
Permanent A/C No.(PAN NO)
Gender ( Male or Female )
DATE OF BIRTH

Pranab
Kumar
Banerjee
Udc
AAPB 5566 K
Male

If you are a Handicapped Employee, Yes/No


Flat/Door/Block No.
Village
Post Office:
Area/Locality:
If you live in Metro City Type Yes ,else Type No

District:
PIN CODE:
State:

No
Bhattapara
Jiaganj
Jiaganj
No
Murshidabad
742123
West Bengal

PARTICULARS OF SALARY

Total income of financial year 2008-09 (Col-11) of Form No. 16


( For Financial Year 2008-2009) + One Instlmnt which already

Deduction under 80C (Maximum Deposit Rs.1,00,000)+20,000/- Fli

1
2
3
4
5
6
7
8
9
10
11
12

a)
b)
c)
d)
e)
f)

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

60000
0
20000
6000
2000
0

GROUP INSURANCE (G.I.)


h)
ULIP
i)New Flexible Tax Savings Bond ( Maximum Rs. 20,000/-)
j)Equity linked savings scheme/tax savings bond etc.
g)

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

960
6000
0
0
2000

96960

Other source of Income( Other than Salary)

13

Interest from Bank

100

14

Interest from N.S.C.

100

Deduction under Chapter V A


15
16
17
18

Central Govt Employees Health Scheme also


attach with the U/s 80D

80G
80D
80E
80DD

0
5000
0
0

19
20

80DDB
80 U
TOTAL DEDUCTION CHAPTER VI-A Rs.
House Rent Paid
Arrears Relief U/s 89( 1)

0
0

101960
28000
1600

Pranab
Kumar
Banerjee
Udc
AAPB 5566 K
Male

No
Bhattapara
Jiaganj
Jiaganj
No
Murshidabad
742123
West Bengal

ULARS OF SALARY

If the employee have not given any Arrers


Relief in Previous Year, don't add the

294880

um Deposit Rs.1,00,000)+20,000/- Flixible Bond

DEDUCTION ONLY U/S 80C, 80CC (MAXIMUM


LIMIT NOT EXCCEED RS.1,20,000/- including
New Tax Savings Bond(Max Rs.20000/-)

Total Deduction U/S 80C (Max.limit 1,00,000/-) + 20,000/New declared Infrustructure Bond

ncome( Other than Salary)

ion under Chapter V A


Donation in Charitable Fund Maximum 100% of donation)
Premium in health insurance of
self,spouse,children,dependent,Maximum Rs 15000/For Higher Education Loan
Medical treatment for self or dependent as Handicapped

Medical Treatment for self or dependent for sever desease


Handicapped Allowances Max Rs.75,000/-

TOTAL DEDUCTION CHAPTER VI-A Rs.


For Rented House. Must Submit the receipt of House Rent.

Pay Calculation Sheet for -Income Tax Calculation ,for the financial year 2011-2012, Assess
MONTH
Basic Pay
&Year

Grade
Pay

CCA

Spl.CCA(
Hill
Allown/R
ural
Allown)

Conv.
Allown

Travel
Allown

Transport
Alownc

Cycle/
Motor
Cycle
Alownce

Washing
Alowance

Night Duty
Alowanc

Mar-10

11700

3600

Apr-10

11700

3600

May-10

11700

3600

Jun-10

11700

3600

Jul-10

11,700

3600

Aug-10

11,700

3600

Sep-10

11700

3600

Oct-10

11700

3600

Nov-10

11700

3600

Dec-10

11700

3600

Jan-11

11700

3600

Feb-11

11700

3600

TOTAL

140400

43200

Total Earning for this Year excluding Bonus & Arrear

he financial year 2011-2012, Assessment Year 2012-13


Uniform
Alowance

Project
Allown

Child
Hostel
Allown

Child
N.P.A
Educ
(Non-pr.
Allowan
Alwn

D.A.

Put D.A.
Rate of
%

Arrear
D.A.

H.R.A.

Put HRA
Rate of %

Arrear
HRA

M.A.

6885

45%

2295

15%

300

6885

45%

2295

15%

300

6885

45%

2295

15%

300

6885

45%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

8415

55%

2295

15%

300

94860

27540

3600

266400

Total Deduction Excludin

Arrears
Bonus/
TOTAL
Received(
Int.Free
(Excluding
Pay
Fest.
Bonus+
Commissi
Adv
Arrears)
on Arrears
0

15703

Prepared by Pranab
Banerjee,
Kalisthanpara,
Jiaganj,
Murshidabad, West
Bengal

15703

G.I.S./
H.B.
GISL/
CGHS
Loan.
CGEGIS/
Princpl
CGIES

H.B.Int
Paid

LIC
Premum
Paid from
Salary

G.P.F.

P.Tax

24780

5000

80

80

24780

5000

80

80

24780

5000

80

80

24780

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

26310

5000

80

80

309600

60000

960

960

Total Deduction Excluding TDS

61920

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2011-2012


ASSESSMENT YEAR 2012-2013
Pranab
Banerjee
Name & Designation of the Assesses
Kumar
Jiaganj
Murshidabad
Pin Code No.
Residential Address
Bhattapara
Pan Card No.
AAPB 5566 K
1 a) Salary income with allowance excluding H.R.A.:-
b) House Rent Allowance :-
c) Bonus :-
d) Arrear,if any :-..
2 Any other income as stated by the Assesses :a) Income from N.S.C. Interest-.
b) Income from Bank Interest.
3 Gross Income(Col.1 + 2 ) :-
4 Interest paid as H.B.Loan (1.5 Lacks maximum) U/S 24(B):-.
5 Chield Education Allowances Exempt(Max Rs. 1200 P.A...
6 Chield Hostel Allowances Exempt ( Max Rs.3600 P.A.)
7 Professional Tax U/S 16(iii) :-.
8 Exemption of Conveyance Allowances/TPA/Cycle Alwn/Washing Alwn/N.G.Alwn/Uniform
9 Exemption U/S 10(13A) :a) H.R.A.Received :-
Rs.
0
b) House Rent paid :-
Rs.
28,000
c) Expenditure on rent in excess of
56,160
Rs.
56,160
50% of B.Pay In Metropol City ors 40%.............................
13,960
Rs.
13,960
10% of B.Pay
13,960
Rs.
13,960
e) Amount exempted (Least of a,c):-.
10 Total Income(Col.3-4-5-6-7) :-. ..
11 Deduction U/S 80 C (Maximum Rs.1,20,000/- including T.Svngs Bond)
a) Contribution to G.P.F.:- .
Rs.
60000
b) Contribution to P.P.F
Rs.
0
b) G.I./ GISL/CGIES/CGEGIS..
Rs.
960
c) L.I.C./Premium paid.
Rs.
20000
d)Purchase of N.S.C. :-..
Rs.
6000
e) ULIP.
Rs.
6000
f)Tution Fees Maximum Rs.1,00,000/-..
Rs.
2000
f) Payment of H.B.Loan (Principal) :-..
Rs.
0
g) New Flexible Bond Max Rs. 20,000/-)
Rs.
0
h) P.L.I..
Rs.
2000
i) Equity linked savings scheme/tax savings bond etc.{Max-20000/-)
Rs.
0
Total Deduction U/s 80C (Max Rs. 1,00,000/-+ 20,000/-)..
Rs.
96960
12 Deduction Under Chapter V A
Rs0
i)
U/S 80 G
Rs5,000
ii)
U/S 80 D
Rs0
iii)
U/s 80 DD
Rs0
iv)
U/s 80 E
Rs0
v)
U/s 80 DDB
Rs0
Total Amount of Chapter V A
vi)
U/s 80 U
Rs.
5,000
13 Total Amount Deducted U/S 80C and Chapter VI A .
Rs. 101,960
14 Taxable Income (8 -10) :-[Rouned to the next 10]..
i) Upto Rs.1,80,000/- Tax Nil, Rs.1,80,001/-to 5,00,000/-Tax 10%, 500001 to 80000, 20%
ii)Rs.8,00,001/-to Onwards Tax 30%, For Female Up to 190000/- Tax NIL
iii) For Sr.Citizen 60 Yrs up to 2,50,000/- Nil, Above 80 yrs up to 5,00,000/- Nil
15 Total Tax Computed after the Stantard Deduction.
..
..
16 3% Educational cess on tax :-
17 Tax Payable including educational cess(Col.15+16) :-
18 Relief U/S 89(1)[Arrears Relief from Salary]
.
19 Net Tax Payable ( 17-18)..

20 Tax Paid from Salary Anually or Monthwise


21 Balance Tax Payable/Refundable.
..
Date:-

Pranab Banerjee,Jiaganj,Msd

Signature of the employee


Designation

AR 2011-2012
Udc
742123

Rs.
Rs.
Rs.
Rs.

282060
27540
0
15703

Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.

100
100
325503
0
0
0
960
0

Rs.
Rs.

13,960
310,583

Rs.
Rs.

101,960
208630

Rs.
Rs.
Rs.
Rs.
Rs.

2,863
86
2,949
1,600
1,349

Rs.
Rs.

0
1,349

Salary Statement for the Year 2010-2011(From March 10 to Feb 2011)


Salary Statement of Sri

Pranab

Kumar

Banerjee

Trv.
Alw

TPA

Cycle.
/N.Cy,
Alwn

Ch.
Host.
Alwn

Ch.
Ed.
Alwn

3600

11700

3600

Sep-10

11700

3600

Oct-10

11700

3600

Nov-10

11700

3600

Dec-10

11700

3600

Jan-11

11700

3600

Feb-11

11700

3600

TOTAL

140400

43200

Month &
Yr

B.Pay

G.Pay

CCA

Spl. Conv
CCA Alow

Mar-10

11700

3600

Apr-10

11700

3600

May-10

11700

3600

Jun-10

11700

3600

Jul-10

11700

Aug-10

Wash. N.G.Alo Uniform Projct


Alwn
wn
Alwn Alwnc

Rs15,703

Total Arrears Received from March 10 to Feb 2011


Bonus Received From March 2010 to Feb 2011

Dated:-

Rs0

Signature of the Employee

2011(From March 10 to Feb 2011)


Banerjee
Designation

Udc
GIS/GI
P.TA
SL/CG LIC/PLI
CGHS
X
SIL/CG
Ins
EIS

NPA

D.A.

HRA

M.A.

GPF

0
0
0
0
0
0
0
0
0
0
0
0
0

6885

2295

300

5000

80

80

6885

2295

300

5000

80

80

6885

2295

300

5000

80

80

6885

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

8415

2295

300

5000

80

80

94860

27540

3600

60000

960

960

Signature of the Employee

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