FORM No.

16 ( Vide rule 31(1)(a) of Income Tax Rules, 1962 )

Certificate under section 203 of the Income-tax Act, 1961
for Tax deducted at source from income chargeable under the head "salaries"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
L.KRISHNAVENI Y VENKATESWARA SHARMA
MJPAPBCWRS & Jr COLLEGE GIRLS JUNIOR LECTURER IN TELUGU
NANDALURU MJPAPBCWRS & Jr COLLEGE GIRLS
KADAPA DISTRICT NANDALURU,KADAPA DISTRICT
PAN No. of Deductor TAN No. of Deductor PAN OF Employee Emp. Treasusy Id
HYDA03722F AAQPY3781N
Acknowledgement Nos.of all quarterly statements of TDS under sub-section 200 as provided by TIN facilitation center or NSDL web-site
Quarter Acknowledgement Amount Period Assessment
Quarter - 1 - From To Year
Quarter - 2 -
Quarter - 3 - Mar/2019 Feb/2020 2020-2021
Quarter - 4 -
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary Rs. 16,93,786
a) Salary as per provisions cotained in section 17 (1) Rs. -
b) Value of percuisites under section 17(2) Rs. -
(As Per Form No. 12BA, Wherever applicable) -
c) Profits in lieu of salary under section 17(3) Rs. -
(as per Form No. 12BA, Wherver applicable)
d) Total Rs. 16,93,786 Rs. 16,93,786
2 Less: Allowance to the extent exempted U/s 10
a) House Rent Allowance Rs. 1,31,852
b) Other Allowance Rs. - Rs. 1,31,852
3 Balance (1-2) Rs. 15,61,934
4 Deductions
a) Standard Deduction Rs. 50,000
b) Tax on Employment Rs. 2,400
5 Aggreate of 4 (a)&(b) Rs. 52,400
6 INCOME UNDER THE HEAD SALARIES (3-5) Rs. 15,09,534
7 Any other income reported by the employee Rs. -
Income of Capital Gains Rs. -
Income from House Property 0
8 Gross Total Income (6+7) Rs. 15,09,534
9 Deductions Under Chapter VI-A
A) UnderSections 80C,80CCC,80CCD,80CCF Gross Amount Qualify Amount
a) GPF / ZPPF Rs. - Rs. -
b) APGLI Rs. - Rs. -
c) GSLIS Rs. 2,400 Rs. 2,400
d) Tuition Fee for Children Rs. 93,200 Rs. 93,200
e) LIC Policies premium - Yearly Rs. - Rs. -
f) PLI (Postal Life Insurance) Rs. 88,104 Rs. 88,104
j) Public Provident Fund Rs. - Rs. -
i) Any Other enter here Rs. - Rs. -
Total Income Under 80C Section Rs. 1,83,704 Rs. 1,83,704 Rs. 1,50,000
a) Infrastructure Bonds Rs. - Rs. - Rs. -
b) Additional benefit under NPS U/s 80CCD(1B) Rs. Rs. Rs.
B) Other Sections Under Chapter VI A
a) SWF & EWF & CMRF Rs. - Rs. -
b) E.H.F. Rs. - Rs. -
c) Interest of Housing Loan Rs. - Rs. -
d) Expenditure on Medical treatment Rs. - Rs. -
e) Interest of Educational Loan - -
f) Any Other enter here Rs. - Rs. -
Total Rs. - Rs. - Rs. -
Aggregate of Deductible Amounts U/Chapter VIA (A+B)----------------------------- Rs. 1,50,000

Note: 1.aggregate amount deductible under section 80c shall not exceed 1.5 lakh rupees.
2.aggregate amount deductible under section 80C,80CCC,80CCD, shall not exceed 1.5 lakh rupees.and addition Rs.25000 U/S 80CCG
 10 TOTAL INCOME (8-9) Rs 13,59,534
11 TAX ON TOTAL INCOME Rs. Rs 2,20,360
12 Tax Rebate U/s 87A (Rs.5000/-Rebate Upto Rs.5,00,000/- Taxble Income) -
13 Education & Health Cess @ 4% (On Tax at S.No.11 ) Rs 8,814
15 TAX PAYABLE (11+13+14-12) Rs 2,29,175
16 Less: Relief under section 89 (attach details) Rs -
17 TAX PAYABLE (15-16) Rs 2,29,180
18 (a) Tax deducted at source U/s 192(1) Rs 2,29,180
(b)Tax paid by the employer on behalf of the employee U/s 192 (1A) on perquisited U/s 17 (2) Rs -
19 TAX PAYABLE Rs 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

(The employer is to provide tranction - wise details of tax deducted and deposited)

Sl. TDS Surcharge Education Total Tax Cheque/DD BSR Code Date on Transfer
No. Rs. Rs. Cess Deposited No. (if any) of Bank Which Tax vocher/chalana
Rs. Rs. Branch Deposited Identification No
1 15,000 0 0 15,000 30-04-2019 00001

2 15,000 0 0 15,000 22-05-2019 00001

3 15,000 0 0 15,000 03-07-2019 00008
4 15,000 0 0 15,000 31-07-2019 00001
5 15,000 0 0 15,000 21-08-2019 00019
6 15,000 0 0 15,000 17-09-2019 00001

7 15,000 0 0 15,000 11-10-2019 00001

8 15,000 0 0 15,000 20-11-2019 00001

9 10,000 0 0 10,000
10 10,000 0 0 10,000
11 45,000 0 0 45,000
12 44,180 0 0 44,180
2,29,180 0 0 2,29,180

I L.KRISHNAVENI Working in MJPAPBCWRS & Jr. COLLEGE GIRLS

in the capacity of PRINCIPAL do hereby certify that the sum of Rs 2,29,180/-
Rupees in words Two Lakhs Twenty Nine Thousand One Hundred Eighty rupees only

has been deducted at source and paid to the credit of the central Government. I further certify that the Informtion
given above is true, complete and correct based on the books of account, documents and other available records.

Sign

Place: NANDULURU Signature of the person responsible for deduction of tax

Date: 12-Feb-2020 Full Name-- L.KRISHNAVENI
Designation- MJPAPBCWRS & Jr.COLLEGE GIRLS
 ANNEXURE - 1 :: Financial Year :-2019-20
Statement showing month wise Income of Sri. Y VENKATESWARA SHARMA, TGT TELUGU, MJPAPBCWR SCHOOL, KOTA(V), KOTA(M), SPSR NELLORE DIST.
PAY & ALLOWANCES
S. Medical
Month F.P.P/W Gross Total Net Amount
No. Basic Pay DA HRA I.R CCA ATP Reimburse GSLIS PT INCOME TAX
EC Amount Deductions
ment
1 Mar-2019 89290 0 22926 10715 0 0 400 0 123331 200 200 15,000 15,400 1,07,931
2 Apr-2019 89290 0 24330 10715 0 0 400 0 124735 200 200 15,000 15,400 1,09,335
3 May-2019 89290 0 24330 10715 0 0 400 0 124735 200 200 15,000 15,400 1,09,335
4 Jun-2019 89290 0 24330 10715 0 0 1600 0 125935 200 200 15,000 15,400 1,10,535
5 Jul-2019 89290 0 24330 10715 0 0 1600 0 125935 200 200 15,000 15,400 1,10,535
6 Aug-2019 89290 0 24330 10715 0 0 1600 0 125935 200 200 15,000 15,400 1,10,535
7 Sep-2019 89290 0 24330 10715 0 0 1600 0 125935 200 200 15,000 15,400 1,10,535
8 Oct-2019 66247 0 18051 7950 17887 0 1600 0 111735 200 200 15,000 15,400 96,335
9 Nov-2019 77035 0 20990 14298 20800 0 0 0 133123 200 200 10,000 10,400 1,22,723
10 Dec-2019 96110 0 26188 11533 25950 0 0 0 159781 200 200 10,000 10,400 1,49,381
11 Jan-2020 96110 0 26188 11533 25950 0 0 0 159781 200 200 45,000 45,400 1,14,381
12 Feb-2020 96110 0 26188 11533 25950 0 0 0 159781 200 200 44,180 44,580 1,15,201
D.A Arrears 20720 20720 0 20,720
I.R Arrears 72324 72324 0 72,324
TOTAL 1056642 0 286511 131852 116537 0 9200 93044 1693786 2400 2400 229180 233980 1459806

Signature of the Drawing Officer