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Employee & DDO Details Select State Andra Pradesh Basic Pay & Benefits Jul-18
House Rent
Employee Name Sri. I MATHRU NAIK Allowances Details Basic Pay January - 2020 42490 Aug-18
HRA
Designation S.A(ENGLISH) HRA on Mar - 2020 12 Increment after Jan-20 1 Oct-20 10900 Edit
Sep-18
Employees PAN No. BKCPM7624P Change HRA No Change20 14.5 No Change 14 Feb-20 Net Tax Oct-18
School/Office GOVT HIGH SCHOOL HM Allowance No Change 13 Dec-20 Rs. 27308 Nov-18
Working Place ALLAGADDA PH Allowance Not Applicable Surrender leave (2020-21) Not Availed
May-20 Total Saving Dec-18
Mandal ALLAGADDA Edu. Concession Surrender Leave with Pay, DA, HRA No 150000 Jan-19
District Kurnool Rented / Own House Rented House Half Pay Leave No 16 days Jul-20 Feb-19
Vacation / Non Vacation Teachers ( Vacation Dept.) Select PF/CPS CPS Without DA in HRA Calculation No
w Mar-19
Treasury Id No. 0945875 Additional HRA Not Applicaple Apr-19
DDO Name S MOHAN May-19
Disignation Head Master CCA Recived Monthly AP DA Arrears Advance Tax Paid Jun-19
DDO Office & Place GOVT HIGH SCHOOL SCA Mar-20 Jul-19

1st Quarter
Mandal ALLAGADDA HRA Under Taking DA Jul -18 ( 30.392%)
Without Undertaking Rs. 2609 Apr-20 Aug-19
DDO PAN AMOPM8431F TAN HYDTO2218G PP/SP/Addl. Inc. May-20 Sep-19
Jun-20 Oct-19

2nd Quarter
Savings Employee Salary Deductions Jul-20 Nov-19
Tuition Fee for Two children 31300 PF Monthly on March 20 PF Change Nov-20 Aug-20 Dec-19
LIC Policies premium - Yearly 50435 APGLI Mothly on March 20 4000 APGLI Change Nov-20 Sep-20 Jan-20

3rd Quarter
Exide Life Insurance GIS Monthly on March 20 60 GIS Change Dec-20 Oct-20 Feb-20
Sukanya Samruddhi Yojana 24000 PF/CPS No APGLI No Nov-20 Mar-20
PLI (Postal Life Insurance) 35400 LIC Paid Monthly in Salary LIC Change Nov-20 Dec-20 Apr-20

4th Quarter
Intrest on Saving Account ( Not Fixed Deposit ) EWF (March 2020) 20 SWF (December 2020) 50 Jan-21 May-20
Tax Deductions EHS Yes Slab C If Chnge EHS Premium No ChangeSlab C Feb-21 Jun-20

Interest of Housing Loan Section 24 Total 0 Jul-20

Deduction Update IT Software Available at www.teacherNews.in Aug-20
sInterest
for of Housing Loan 80EE
disabled(
Expenditure on treatment
Interest of HBA for diseases( senior
Loan 80EEA Sep-20
blind,PH) Addisional Benefit
Disabled Person (PH)-above 40% disability ( Rule 11A)
person for PF Employees Oct-20
(40%)
National Pension Scheme U/s 80CCD (1B) Loss or Income from House property select (U/s 24) No Nov-20
Income From other sources Other Rent received during the Year Dec-20
Sources
 Other
Sources
Income From Capital Gains Income Muncipal Tax Paid Jan-21
C.Ramanjaneyulu, S.A( P.S ) ramanjaneyulu.tcr@gmail.com 30% of Income as Maintenance Feb-21
Contact : 9160840947
Please Don't Call School Hours Income from Housing Property Total

DA & Other Arrears ( Exmption 10E) House Address for Rent Reciept
FY 2014-15 (PRC & Other) Taxble Income D.No. ………………………..
FY 2017-18 (DA Arrears Jan 2018) Taxble Income Street/Area …………………………
FY 2018-19 (DA Arrears Jul 2018) 10303 Taxble Income Town/Village …………………………
FY 2015-16 Taxble Income Mandal ………………………….
FY 2016-17 Taxble Income District Kurnool
FY 2019-20 (DA Arrears Jul 2018) 15787 Taxble Income
DA Arrears FY 2019-20 AAS, Surrender Leave, Promotion
No Tax Relief
Surrender leave ( 2019-20)

Amount
Enter
ASS (6/12/ 18/ 24 Years) Amount Update IT Software Available at www.teacherNews.in
Promotion Arrears (Amount)

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Pay DA

40270 1266
40270 1266 10303 ( DA Arrears FY 2018-19 )
40270 1266
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
41380 1301
42490 1336
42490 1336
42490 1336 15787 ( DA Arrears FY 2019-20 )
42490 1336
42490 1336
42490 1336
42490 1336
42490 1336
42490 1336
42490 1336
42490 1336
42490 1336
43680 1373
43680 1373
43680 1373 13471 ( DA Arrears FY 2020-21 )
39561
50
 Month wise Income of Sri. I MATHRU NAIK, S.A(ENGLISH), GOVT HIGH SCHOOL , ALLAGADDA, ALLAGADDA (Mandal) for the year of 2020-21

Month & HM SP/PP/ Gross SWF/ EHF Adavance Net

Salary Total
Pay D.A H.R.A IR Allowa Add. A HRA PHA CCA SCA CPS APGLI P.Tax GIS EWF/ Deductio
Year nce Inc. Total CMRF n LIC Tax Deduction Amount
Mar-20 42490 11578 5099 11472 70639 5407 4000 200 60 20 120 9807 60832
Apr-20 42490 11578 5099 11472 70639 5407 4000 200 60 120 9787 60852
May-20 42490 11578 5099 11472 70639 5407 4000 200 60 300 9967 60672
Jun-20 42490 11578 5099 11472 70639 5407 4000 200 60 300 9967 60672
Jul-20 42490 11578 5099 11472 70639 5407 4000 200 60 300 9967 60672
Aug-20 42490 11578 5099 11472 70639 5407 4000 200 60 300 9967 60672
Sep-20 42490 11578 5099 11472 70639 5407 4000 200 60 300 9967 60672
Oct-20 43680 11902 5242 11794 72618 5558 4000 200 60 300 10118 62500
Nov-20 43680 11902 5242 11794 72618 5558 4000 200 60 300 10118 62500
Dec-20 43680 11902 5242 11794 72618 5558 4000 200 60 50 300 10168 62450
Jan-21 43680 13275 5242 11794 73991 5696 4000 200 60 300 10256 63735
Feb-21 43680 13275 5242 11794 73991 5696 4000 200 60 300 10256 63735
1st Instalment DA
Arrears 12905 12905 1291 1291 11614
2nd Instalment
DA Arrears 13185 13185 1315 1315 11870
SL / Promotion /
AAS DA Arrears 0 0 0 0 0

0 0
0 0
0 0
0 0

Grand
515830 169392 61903 139274 0 0 0 0 0 0 886399 68521 48000 2400 720 70 3240 0 0 122951 763448
Totals

Signature of the DDO Signature of the Employee

Prepared by: C.Ramanjaneyulu, S.A (P.S), www.teacherNews.in
 Financial Year 2020-21 ANNEXURE - II Assessment year 2021-22
INCOME TAX CALCULATION 2020-21 (Old Regime)
Name Sri. I MATHRU NAIK Office/ School: GOVT HIGH SCHOOL , ALLAGADDA (Mandal)
Designation S.A(ENGLISH) Address: GOVT HIGH SCHOOL,ALLAGADDA,ALLAGADDA ( Mand
Whether living in Rented House PAN No : BKCPM7624P Treasury Id. No. 0945875
1 Gross Salary……… Rs. 886,399
2 H.R.A. Exemption as per eligibility U/s 10(13-A)
a) Actual HRA received Rs. 61,903
b) Actual House Rent paid by you minus 10% of your Salary Rent @ 10900 Rs. 62,280
c) 40% of Salary (Salary means Basic Pay+D.A) Rs. 274,088 61,903
3 Total Salary (1-2) Rs. 824,496
4 Deductions from Salary Income
a) Exemption from Conveyance Allowance U/s. 10(14) (i) Rs. -
b) Profession Tax U/s 16 (3) B Rs. 2,400 2,400
5 Income From Salary (3-4) Rs. 822,096
6 Less: Standard deduction- u/s16 (Ia) 50,000
7 Net Income from Salary (5-6) 772,096
8 Income From other sources -
Income From Capital Gains -
9 Income from House Property U/s 24 (vi) -
10 Gross Total Income (7+8+9) 772,096
11 Deductions
a) 80G E.W.F. & S.W.F & CMRF Rs. 70
b) 80EE Interest of Housing Loan 80EE Rs. -
c) 80EEA Interest of HBA Loan 80EEA Rs. -
d) 24B Interest of Housing Loan Section 24 Rs. -
e) 80U Disabled Person (PH)-above 40% disability ( Rule 11A) Rs. -
f) 80d Employees Health Cards Premium in AP Rs. 3,240
TOTAL----------- Rs. 3,310 3,310
12 Gross Total Income (10-11) Rs. 768,786
13 Savings U/s 80C ( Limited to Rs.1,50,000 )
a) CPS Employees Contribution Amount U/s 80CCD 1 No. : Rs.
b) APGLI A/C No: 0 Rs. 48,000
c) GIS Rs. 720
d) LIC Policies Monthly Premium in Salary Rs. -
e) LIC Policies premium - Yearly Rs. 50,435
f) Exide Life Insurance Rs. -
g) Sukanya Samruddhi Yojana Rs. 24,000
h) PLI (Postal Life Insurance) Rs. 35,400
j) Tuition Fee for Two children Rs. 31,300
Total Savings (Deductions) u/s 80C, 80CCC, 80CCD Rs. 189,855 150,000
Additional Benefit CPS Employees NPS U/s 80CCD 1B Rs. 68,521 50,000
80TTA Intrest on Saving Account ( Not Fixed Deposit ) - -
14 Net Taxable Income (12-13) Rounded nearest 10 ruppes 568,790
15 Tax on Income Tax Rs. 318790
a) Upto-2,50,000 Rs. Nil
b) 2,50,001/- to 5,00,000/- 5% ( 250000 @ 5% ) Rs. 12,500
c) 5,00,001/- to 10,00,000/- 20% ( 68790 @ 20% ) Rs. 13,758
d) Rs. -
e) -
f) -
g) -
16 Tax Rebate ( U/s 87 A) ( Rs. 12500/-upto Rs.5,00,000 Taxble Income ) Rs. -
17 Total Tax Payable (15-16) 26,258
18 Cess (Health 1% + Education 3% ) Rs. 1050
19 Total (17+18) Rs. 27,308
20 Less Relief Under Section 89 (1) (Attatched details) Rs. -
21 Total Advance Tax Deductions -
Details of Adv.Tax Deductions
Mar-20 Sep-20
Apr-20 Oct-20 Net Tax to be Paid 27,308
May-20 Nov-20
Jun-20 Dec-20
Jul-20 Jan-21 For U
Aug-20 Feb-21 Selec
in DA

Signature of the Drawing Officer Signature of the Employee

Prepared by: C.Ramanjaneyulu, S.A(P.S) www.teacherNews.in
 Financial Year 2020-21 ANNEXURE - II Assessment year 2021-22
INCOME TAX CALCULATION 2020-21
Name Sri. I MATHRU NAIK Office/ School: GOVT HIGH SCHOOL , ALLAGADDA (Mandal)
Designation S.A(ENGLISH) Address: GOVT HIGH SCHOOL,ALLAGADDA,ALLAGADDA ( Mand
Whether living in --------- Rented House PAN No : BKCPM7624P Treasury Id. No. 0945875
1 Gross Salary……… Rs. 886,399
2 H.R.A. Exemption as per eligibility U/s 10(13-A)
a) Actual HRA received Rs.
b) Actual House Rent paid by you minus 10% of your Salary Rs.
c) 40% of Salary (Salary means Basic Pay+D.A) Rs. -
Rs. -
3 Total Salary (1-2) Rs. 886,399
4 Deductions from Salary Income
a) Exemption from Conveyance Allowance U/s. 10(14) (i) Rs. -
b) Profession Tax U/s 16 (3) B Rs.
5 Income From Salary (3-4) Rs. 886,399
6 Less: Standard deduction- u/s16 (Ia)
7 Net Income from Salary (5-6) 886,399
8 Income From other sources -
Income From Capital Gains -
9 Income from House Property U/s 24 (vi) -
10 Gross Total Income (7+8+9) 886,399
11 Deductions
a) 80G E.W.F. & S.W.F & CMRF Rs.
b) 80EE Interest of Housing Loan 80EE Rs. -
c) 80EEA Interest of HBA Loan 80EEA Rs. -
d) 24B Interest of Housing Loan Section 24 Rs. -
e) 80U Disabled Person (PH)-above 40% disability ( Rule 11A) Rs. -
f) 80d Employees Health Cards Premium in AP Rs.
TOTAL----------- Rs. - -
12 Gross Total Income (10-11) Rs. 886,399
13 Savings U/s 80C ( Limited to Rs.1,50,000 )
a) CPS Employees Contribution Amount U/s 80CCD 1 No. : Rs. 68,525
b) APGLI A/C No: 0 Rs. -
c) GIS Rs. -
d) LIC Policies Monthly Premium in Salary Rs. -
e) LIC Policies premium - Yearly Rs. -
f) Exide Life Insurance Rs. -
g) Sukanya Samruddhi Yojana Rs. -
h) PLI (Postal Life Insurance) Rs. -
j) Tuition Fee for Two children Rs. -
Total Savings (Deductions) u/s 80C, 80CCC, 80CCD Rs. 68,525 68,525
Additional Benefit CPS Employees NPS U/s 80CCD 1B Rs. - -
80TTA Intrest on Saving Account ( Not Fixed Deposit ) - -

14 Net Taxable Income (12-13) Rounded nearest 10 ruppes 817,870

15 Tax on Income Tax Rs. 318790
a) Upto-2,50,000 Rs. Nil
b) 2,50,001/- to 5,00,000/- 5% ( 250000 @ 5% ) Rs. 12,500
c) 5,00,001/- to 7,50,000/- 10% ( 250000 @ 10% ) Rs. 25,000
d) 7,50,001 to 10,00,000 - 15% ( 67870 @ 15% ) Rs. 10,181
e) 10,00,000 to 12,50,000 - 20% 0
f) 12,50,000 to 15,00,000 - 25%
g) Above 10,00,000 - 30%
16 Tax Rebate ( U/s 87 A) ( Rs. 12500/-upto Rs.5,00,000 Taxble Income ) Rs. -
17 Total Tax Payable (15-16) 47,681
18 Cess (Health 1% + Education 3% ) Rs. 1907
19 Total (17+18) Rs. 49,588
20 Less Relief Under Section 89 (1) (Attatched details) Rs. -
21 Total Advance Tax Deductions -
Details of Adv.Tax Deductions
Mar-20 Sep-20
Apr-20 Oct-20 Net Tax to be Paid 49,588
May-20 Nov-20
Jun-20 Dec-20
Jul-20 Jan-21
Aug-20 Feb-21
For U
Selec
in DA
 Signature of the Drawing Officer Signature of the Employee

Prepared by: C.Ramanjaneyulu, S.A(P.S) www.teacherNews.in

 FORM No. 16 - Old Regime
( Vide rule 31(1)(a) of Income Tax Rules, 1962 )
for Tax deducted at source from income chargeable under the head "salaries"
NAME AND ADDRESS OF THE EMPLOYER NAME AND DESIGNATION OF THE EMPLOYEE
Sri./Smt. S MOHAN Sri. I MATHRU NAIK
Head Master S.A(ENGLISH)
GOVT HIGH SCHOOL GOVT HIGH SCHOOL, ALLAGADDA
ALLAGADDA ( Mandal) ALLAGADDA (Mandal)
PAN No. of Deductor TAN No. of Deductor PAN OF Employee Treasury Id. No.
AMOPM8431F HYDTO2218G BKCPM7624P 0945875
Acknowledgement Nos.of allquarterly statements of TDS under sub-section 200 as provided by TIN facilitation center or NSDL web-site
Quarter Acknowledgement No Amount Period Assessment
1 0 From To Year
2 0
3 0 Mar-20 Feb-21 2021 -2022
4 0
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary
a) Salary as per provisions cotained in section 17 (1) Rs. 886,399
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. 886,399 Rs. 886,399
2 Reported Total amount of salary received Rs. 886,399
3 Less: Allowance to the extent exempted U/s 10
a) Travel concession or assistance under section 10(5) Rs.
b) Death-cum-retirement gratuity under section 10(10) Rs.
c) Commuted value of pension under section 10(10A) Rs.
d) Cash equivalent of leave salary encashment u/s 10(10AA) Rs.
e) PH Allowence Rs. -
f) House rent allowance under section 10(13A) Rs. 61,903
Total amount of exemption claimed u/s 3 (a+f) Rs. 61,903
4 Income under the Head Salaries (2-3) Rs. 824,496
5 Less: Standard deduction- u/s 16
Standard deduction under section 16(ia) 50,000
Entertainment allowance under section 16(ii) -
Tax on employment under section 16(iii) 2,400 Rs. 52,400
6 Net Income from Salary 772,096
7 Any other income reported by the employee under as per section 192 (2B
Income From other sources Rs. -
Income From Capital Gains Rs. -
Incomefrom House Property U/s 24 (vi) Rs. -
8 Gross Total Income (6+7) Rs. 772,096
9 Deductions Under Chapter VI-A
A) UnderSection 80C,80CCC,80CCD,80CCF Gross Qualifying
a) Section 80C Amount Amount
80C CPS Employees Contribution Amount U/s 80CCD 1 Rs. - Rs. -
80C A.P.G.L.I Rs. 48,000 Rs. 48,000
80C G.I.S Rs. 720 Rs. 720
80C LIC Policies Monthly Premium in Salary Rs. - Rs. -
80C LIC Policies premium - Yearly Rs. 50,435 Rs. 50,435
80C Exide Life Insurance Rs. - Rs. -
80C Sukanya Samruddhi Yojana Rs. 24,000 Rs. 24,000
80C PLI (Postal Life Insurance) Rs. 35,400 Rs. 35,400
80C Tuition Fee for Two children Rs. 31,300 Rs. 31,300
Rs. 189,855 Rs. 150,000
Total Under Section 80C,80CCC,80CCD,80CC Rs. 150,000
80TTA Intrest on Saving Account ( Not Fixed Deposit ) Rs. 0 0

Prepared by: C.Ramanjaneyulu, S.A(P.S), www.teacherNews.in

 b) NPS U/s 80CCD 2(B)
Additional Benefit CPS Employees NPS U/s 80CCD 1B Rs. 68521 50000
Total Amount of Section a and b Rs. 200,000
B) Other Section Under Chapter VI A Gross Qualifying
( Under Section 80E, 80G, 80TTA, 80G, 80DD etc. ) Amount Amount
80G EWF , SWF & CMRF Rs. 70 70
24B Interest of Housing Loan Section 24 Rs. - -
80EE Interest of Housing Loan 80EE Rs. - -
80EEA Interest of HBA Loan 80EEA Rs. - -
80U Disabled Person (PH)-above 40% disability ( Rule 11A) Rs. - -
80D Employees Health Cards Premium in AP Rs. 3,240 3,240
Employees Contribution towards NPS U/s 80CCD (2) Rs. - -
Total Under Sections 80G,80E,80DD etc….. Rs. 3,310
10 Aggregate of Deductible Amounts U/Chapter VIA (A+B)… Rs. 203,310

11 Net Taxable Income ( Column 8- Column 10) Rs. 568,790

Tax on Income Tax Rs. 318790
a) Upto-2,50,000 Rs. Nil
b) 2,50,001/- to 5,00,000/- 5% ( 250000 @ 5% ) Rs. 12,500
c) 5,00,001/- to 10,00,000/- 20% ( 68790 @ 20% ) Rs. 13,758
d) Rs. -
e) Rs. -
f) Rs. -
g) Rs. -
12 TAX ON TOTAL INCOME Rs.
13 Tax Rebate Rs. 12500/-upto Rs.5,00,000 Taxble Income( U/s 87 A) Rs. -
14 TAX PAYBLE (12-13) Rs. 26,258
15 Health Cess @ 1% + Education Cess @ 3% Rs. 1050
16 TAX PAYABLE (14+15) Rs. 27,308
17 Less: (a) Tax deducted at source U/s 192(1) Rs.
(b)Tax Paid by the Employer on behalf of the Employee U/S 192 (1A) on perquisited U/S 17 (2) Rs. -
18 Less: Relief under section 89 (1) (attach details) Rs. -

19 Net Tax to be Paid Rs. 27,308

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
( The employer is 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
2
3
4
5
6
7
8
9
10
11
12

I Sri./Smt. S MOHAN working in the capacity of Head Master do hereby certify that sum of Rs. 27308 Rupees in
words ( Twenty Seven Thousands Three Hundred and Eight 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: GOVT HIGH SCHOOL Signature of the person responsible for deduction of tax
Date: 10-Mar-2021 Full Name-- Sri./Smt. S MOHAN
Designation- Head Master

Prepared by: C.Ramanjaneyulu, S.A(P.S), www.teacherNews.in

 INCOME TAX RULES,1962
Form 12 BB

Statement showing particulars of claims by an employee for deduction of tax under section 192

1 Name and address of the Employee : I MATHRU NAIK, GOVT HIGH SCHOOL, ALLAGADDA
2 Permanent Account Number of the Employee : BKCPM7624P
3 Financial year 2020-21 Designation : S.A(ENGLISH)
Details of claims and Evidence thereof
S.No Nature of claim Amount(Rs) Evidence/particulars
1 House Rent Allowence:
1) Rent paid to the landlord 10900 x12 130,800 Receipt Produced
2) Name of the landlord
3) Address of the landlord
4) PAN number of the landlord
2 Leave travel concession or assistance
3 Deduction of interest on borrowing
1) Interest payable/paid to the lender
2) Name of the lender
3) Address of the lender
4) PAN number of the lender
a) Financial institutions (if available)
b) Employer (if available)
c) Others
4 Deduction under Chapter VI-A
A) Section 80C,80CC, 80CCC and 80CCD
a) 80C CPS Employees Contribution Amount U/s 80CCD 1 68,521 Salary deduction
b) 80C A.P.G.L.I 48,000 Salary deduction
c) 80C G.I.S 720 Salary deduction
d) 80C LIC Policies Monthly Premium in Salary -
e) 80C LIC Policies premium - Yearly 50,435 Receipt Added
f) 80C Exide Life Insurance -
g) 80C Sukanya Samruddhi Yojana 24,000 Receipt Added
h) 80C PLI (Postal Life Insurance) 35,400 Receipt Added
j) 80C Tuition Fee for Two children 31,300 Receipt Added
Total of ( 80C,80CCC,80CCD,80CCF ) 258,376
80TTA Intrest on Saving Account ( Not Fixed Deposit ) -
Other Sections (80E,80G,80TTA)ChapterVI-A
B)
i) 80G E.W.F. & S.W.F & CMRF 70 Salary deduction
ii) 80EE Interest of Housing Loan 80EE 0
iii) 80EEA Interest of HBA Loan 80EEA 0
iv) 24B Interest of Housing Loan Section 24 0
v) 80U Disabled Person (PH)-above 40% disability ( Rule 11A) 0
vi) 80d Employees Health Cards Premium in AP 3240 Salary deduction

Verification
I, I MATHRU NAIK son/daughter of
do hereby certify that the information given is above is complete and correct

Place
Date Signature of the Employee
 FORM NO.10E
[ See rule 21AA ]
1 Name and address of the Employee Sri. I MATHRU NAIK, S.A(ENGLISH), GOVT HIGH SCHOOL ,
ALLAGADDA, ALLAGADDA (Mandal)

2 Permanent Account Number BKCPM7624P

3 Residential Status Resident

Particulars of income referred to in rule 21A of the Income Tax rules, 1962, during
the previous year relevent to Assessment year 2020-2021
1 a. Salary received in arrears or in advance in accordance with the Rs. 0
provisions of sub-rule (2) of rule 21A

b. Pament in the nature of gratuity in respect of past services, Rs. Not Applicable
extending over a period of not less than 5 years in accordance with
the provisions of sub-rule (3) of rule 21A

c. Payment in the nature of compensation from the employer or Rs. Not Applicable
former employer at or in connection with termination of
employment after continuous service of not less than 3 years or
where the unexpired portion of term of employment is also not less
than 3 years in accordancewith the provisions of sub rule (4) of the
21A

d. Payment in commutation of pension in accordance with the Rs. Not Applicable

provisions of sub-rule (5) of rule 21A

2 Detailed particulars of payments refered to above may be given in Annexure-I

Annexure-I, II, IIA, III, or IV, as the case may be

Signature of the employee

Verification
I Sri. I MATHRU NAIK do here by declare that what is stated above is true to the best of my
knowledge and belief.

Verified today : 10-Mar-2021

Place : GOVT HIGH SCHOOL

Date : 10-Mar-2021 Signature of the employee

 Annexure-I
(See item 2 of Form No. 10E)
ARREARS OR ADVANCE SALARY
1 Total income (excluding salary received in arrars or advance) Rs. 542,700
2 Salary received in arrears or advance Rs. 0
3 Total income (as increased by salary received in arrears or advance) Rs. 542,700
4 Tax on total income (as per item 3) Rs. 27,309
5 Tax on total income (as per item 1) Rs. 21,881
6 Tax on salary received in arrears or advance Rs. 0
(Difference of item 4 and item 5)
7 Tax computed in accordance with table "A" Rs. 0
(Brought from column 7 of Table "A")
Relief under section 89(1) [Indicate the difference between the amounts
8 mentioned against items 6 and 7] Rs. 0

TABLE "A"
{See item 7 of Annexure I}
Previous Total income of Salary received Total income Tax on total Tax on total Difference in tax
Year(s) the relevent in arrears or (as increased by income {as per income {as {amount under
previous year advance salary received column (2)} per column column (6) minus
(Rs.) relating to the in arrears or (Rs.) (4)} (Rs.) amount under
previous year advance) of the column (5)} (Rs.)
as mentioned in relevent
column(1) (Rs) previous year
mentioned in
column 1 (Rs.)

1 2 3 4 5 6 7
2019-20 0 0 0 0 0 0
2018-19 0 0 0 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

Total 0 0 0 0 0 0

Signature :
Place : Name :
Designation:
Date: 10-Mar-2021 Department:
 AP Teachers & Employees July 2018 - 30.392%

CPS
Already
Month & Year Basic Pay Eligible DA DA Defference Adjustment CPS Cash 90%
Drawn DA
10%
July 2018 DA 30.392% 27.248% 3.144% www.teacherNews.in
Jul-18 41380 12576 11275 1301 130 1171
Aug-18 42490 12914 11578 1336 134 1202
Sep-18 42490 12914 11578 1336 134 1202
Oct-18 42490 12914 11578 1336 134 1202
Nov-18 42490 12914 11578 1336 134 1202
Dec-18 42490 12914 11578 1336 134 1202
Jan-19 42490 12914 11578 1336 134 1202
Feb-19 42490 12914 11578 1336 134 1202
Mar-19 42490 12914 11578 1336 134 1202
Apr-19 42490 12914 11578 1336 134 1202
May-19 42490 12914 11578 1336 134 1202
Jun-19 42490 12914 11578 1336 134 1202
Jul-19 42490 12914 11578 1336 134 1202
Aug-19 43680 13275 11902 1373 137 1236
Sep-19 43680 13275 11902 1373 137 1236
Oct-19 43680 13275 11902 1373 137 1236
Nov-19 43680 13275 11902 1373 137 1236
Dec-19 43680 13275 11902 1373 137 1236
Jan-20 43680 13275 11902 1373 137 1236
Feb-20 43680 13275 11902 1373 137 1236
Mar-20 43680 13275 11902 1373 137 1236
Apr-20 43680 13275 11902 1373 137 1236
May-20 43680 13275 11902 1373 137 1236
Jun-20 43680 13275 11902 1373 137 1236
Jul-20 43680 13275 11902 1373 137 1236
Aug-20 44870 13637 12226 1411 141 1270
Sep-20 44870 13637 12226 1411 141 1270
Oct-20 44870 13637 12226 1411 141 1270
Nov-20 44870 13637 12226 1411 141 1270
Dec-20 44870 13637 12226 1411 141 1270
Jan-21 44870 13637 12226 1411 141 1270
Total 1299770 395029 354165 40864 4087 36777

DA Table Developed by C.Ramanjaneyulu -www.teacherNews.in

AAS Arrears from

Surrender Leave Arrears Month of

Jan 2021 Month Salary Bassic Pay DA IR HRA Total

with New DA
Jan 2021 Month Salary
with New DA 44870 13637 12115 5384 76006
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 RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act )

Received a sum of House Rent 12 months amount

from Sri. I MATHRU NAIK (Tenant) Rs. 130,800
Amount in words One Lakh Thirty Thousands and Eight Hundred only
towards the rent @ 10900 Per Month during the financial year
in respect of House No: ……………………….., …………………………, …………………………,
…………………………. (Mandal), Kurnool (Dt.).

Owner's and Address :

Name:

Address:

PAN No:

(Affix
Revenue
Stamp of
Rs.1/-)

Signature of the Tenant Signature of the House Owner