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Form No 16 For Govt Employee
Form No 16 For Govt Employee
Form No 16 For Govt Employee
4. Statement Sheet मरें आपकको कक्री म रवांग कक्री Cells मरें अपननी Detail भरननी हहै
5. Tax Sheet पर आप कक छि बरलिनव चवहतने हहै तको बरलि सकतने हहै । इसकने बवर आप ककोई भनी शनीट Print कर सकतने हहै ।
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आपकने सकझ वव हमवरने ललिए महत्वपपूर र्ण व आरररनीय हहै अत: आपकने सकझ वव gulshanrani650@gmail.com यव Whats
app नम्बर 9499221040 पर सवरर आमवांल त्रित हहै
2016-17 0 0 1. सबसने पहलिने जको आपकको लपछिलिने सवलिच्चों कव Arrear लमलिव हहै। उसने यहवहाँ Introduction शनीट कक्री
2015-16 0 0 Row 45 मरें भर लिरें।
2014-15 0 0
2013-14 0 0 2. इसकने बवर आपकको लजन वरर्षों कव Arrear लमलिव हहै उन वरर्षों कक्री Taxable Income, (आपकक्री
2012-13 0 0 पकर वननी Salary Statements सने पतव चलिनेग नी) Year wise ललिख लिरें तथव इस शनीट कने Taxable
income without arrear ककॉलिम मरें भररें।
2011-12 0 0
2010-11 0 0
2009-10 0 0 3 इसकने बवर आपकको लजन वरर्षों कव Arrear लमलिव हहै, उसने Year wise बवहाँट कर इस शनीट कने
2008-09 0 0 Portion of Arrear Received ककॉलिम मरें उस वरर्ण कक्री सनीध मरें भररें।
2007-08 0 0
2006-07 0 0
2005-06 0 0 4. उपरकोक्त कमववांक 2 व 3 भरतने हनी आपकव Form 10E अपनने आप हनी भरव जवएगव तथव आप उसने
2004-05 0 0 Form 10E शनीट पर जवकर लप्रवांट कर सकतने हहै।
2003-04 0 0
2002-03 0 0
2001-02 0 0
2000-01 0 0
1999-00 0 0
1998-99 0 0
1997-98 0 0 आपकने सकझ वव हमवरने ललिए महत्वपपूर र्ण हहै अत: आपकने सकझ वव
1996-97 0 0 gulshanrani650@gmail.com पर यव Whats
1995-96
1994-95
0
0
0
0
app नम्बर 9499221040 पर आमवांल त्रित हहै
1993-94 0 0
1992-93 0 0
Total 0 0
Salary Statement for the Year 2018-19
Name of Employee : ASHOK KUMAR Designation : JBT/PRT
Office : GHS PREM NAGAR ADZPK0074 Residential Status : Resident
Sr. Salary paid in month Pay PP/ SP DA HRA Med CCA/ Edu Conv. for Total 3 GPF (Sub) GPF (Adv) GIS NPS Adv Loan Other Income Total Net Paid
No. of All H/Cap to 11 Tax Paid Deductions
13 to 19
1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22
1 Mar paid in Apr 36600 0 1830 1350 500 0 0 40280 0 0 30 3843 0 0 0 500 4373 35907
2 Apr paid in May 36600 0 1830 1350 500 0 0 40280 0 0 30 3843 0 0 0 500 4373 35907
3 May paid in Jun 36600 0 1830 1350 1000 0 0 40780 0 0 30 3843 0 0 0 500 4373 36407
4 Jun paid in Jul 36600 0 2562 1350 1000 0 0 41512 0 0 30 3916 0 0 0 500 4446 37066
5 Jul paid in Aug 36600 0 2562 1350 1000 0 0 41512 0 0 30 3916 0 0 0 500 4446 37066
6 Aug paid in Sep 36600 0 2562 1350 1000 0 0 41512 0 0 30 3916 0 0 0 500 4446 37066
7 Sep paid in Oct 36600 0 2562 1350 1000 0 0 41512 0 0 30 3916 0 0 0 500 4446 37066
8 Oct paid in Nov 36600 0 3294 1350 1000 0 0 42244 0 0 30 3989 0 0 0 500 4519 37725
9 Nov paid in Dec 36600 0 3294 1350 1000 0 0 42244 0 0 30 3989 0 0 0 500 4519 37725
10 Dec paid in Jan 36600 0 3294 1350 1000 0 0 42244 0 0 30 3989 0 0 0 500 4519 37725
11 Jan paid in Feb 36600 0 3294 1350 1000 0 0 42244 0 0 30 3989 0 0 0 500 4519 37725
12 Feb paid in Mar 36600 0 3294 1350 1000 0 0 42244 0 0 30 3989 0 0 0 500 4519 37725
13 DA Arrear-I 0 0 3660 0 0 0 0 3660 0 0 0 366 0 0 0 366 3294
14 DA Arrear-II 0 0 2196 0 0 0 0 2196 0 0 0 220 0 0 0 220 1976
15 LTC/ Arrears 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Edu.Allowance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Salary Arrear 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Any Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Any Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grand Total 439200 0 38064 16200 11000 0 0 504464 0 0 360 47724 0 0 0 6000 54084 450380
balance 464464
E Add: income from other sources including Interest from bank and other deposits or investments 0
F Gross Total Income 464464
G Add: Agriculture Income 0
H Total Income 464464
I Less: Deduction u/s 80c to 80ccf( Savings and investments made during the year)
a G.P.F/ N.P.S. 47724
b GIS- Recovery towards Group Insurance Scheme 360
c LIC- life insurance Premia Payment 20000
d ULIP- contribution to unit- linked Ins. Plan UTI/LIC 0
e Payment of House Loan 0
f Tuition Fee(maximum for 2 children) 0
g Investement in NSC (viii issue) 50000
h Accrued Interest on Nsc 0
i PPF 0
k Others 0
Total(limited to Rs 150000) 118084 118084
l Rajive Gandhi Equity Saving Scheme( Deduction Up to 50% of Max. 50,000) 0 0
m Less Deduction U/S 80E (Interest Paid on Loan for Higher Education) 0 0
n Self Contribution to NPS Account (Maximum 50000/-) 50000 50000
J Less: Deductions u/s 80D to 80U
i 80 D (Medical/Insurance Premiam upto 25000)…………………… 0 0
ii 80DD (Handicaped Dependent) 0
iii 80G ………………………………………… 0
iv 80U 0
v 80TTA (Interest of Bank Account Max. Rebet upto Rs. 10000/-) 0 0
vi Any other 0
K Total Deduction from 80C to 80U 168084
L Taxable Income(rounde off to nearest ten rupees) 296380 296380
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross Salary
(a) Salary as per provisions contained in secion 17 (1) 504464
(b) Value of perquisites u/s 17 (2)
(as per form no. 12BB, wherever applicable) 0
(c) Profits in lieu of salary u/s 17 (3)
(as per form no. 12BB, wherever applicable) 0
(d) Total 504464
2. Less: Allowance to the extent u/s 10
Travel Concession or Assistance 0
House Rent Allowance 0
Fixed Conveyance Allowance (su. To actual expe) 0
Education Allwance Rs. 100 Per Month Per Child 0 0
Balance (1-2) 504464
3. Less Standered Deduction u/s 16 40000
Balance (2-3) 464464
4. Deductions:
(a) Entertainment Allowance 0
(b) Tax on Employment 0
(C) Interest Paid on HRA 0
5. Aggregate of 4 (a) and (c) 0
6. Income chargeanble under the head 'salaries' (3-5) 464464
7. Add: Any other income reported by Employee
Income From House Property 0
Income From Agriculture 0
Interest from Saving Bank Accounts 0 0
8. Gross Total Income (6+7) c/f 464464
Note: 1. If an assessee 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 paid without production of an Income Tax Challan and Annexure-B if tax paid accompanied by 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, 2015.
Particulars of income referred to in rule 21A of Income Tax rules, 1962, during the previous
year relevant to assessment year 2017-18.
Signature of Employee
Verification
I, ASHOK KUMAR ,do hereby declare that the above
particulars stated by me are true and correct to the best of my knowledge and belief.
Verified today, the …………………………. day of …………………2019.
Signature of Employee
Table - A
[See item 7 of Annexure I]
Previous Years Total Salary Total Income Tax on total Tax on total Difference in Tax
income of received in (as increased income (as income (as per (Subtract 5 from
the relevant arrears/ in by salary per column 2) column 4) 6)
previous advance received in
year relating to arrears or
the relevant advance) of
previous year the relevant
mentioned in previous year
column 1 mentioned in
column 1
(Add 2 and 3)
1 2 3 4 5 6 7
2018-19 296380 0 296380 0 0 0
2017-18 0 0 0 0 0 0
2016-17 0 0 0 0 0 0
2015-16 0 0 0 0 0 0
2014-15 0 0 0 0 0 0
2013-14 0 0 0 0 0 0
2012-13 0 0 0 0 0 0
2011-12 0 0 0 0 0 0
2010-11 0 0 0 0 0 0
2009-10 0 0 0 0 0 0
1 2 3 4 5 6 7
2008-09 0 0 0 0 0 0
2007-08 0 0 0 0 0 0
2006-07 0 0 0 0 0 0
2005-06 0 0 0 0 0 0
2004-05 0 0 0 0 0 0
2003-04 0 0 0 0 0 0
2002-03 0 0 0 0 0 0
2001-02 0 0 0 0 0 0
2000-01 0 0 0 0 0 0
1999-00 0 0 0 0 0 0
1998-99 0 0 0 0 0 0
1997-98 0 0 0 0 0 0
1996-97 0 0 0 0 0 0
1995-96 0 0 0 0 0 0
1994-95 0 0 0 0 0 0
1993-94 0 0 0 0 0 0
1992-93 0 0 0 0 0 0
Note: In this table, details of salary received in arrears or in advance relating to the different
previous years may be furnished.