Oe lice. Tip: nancial Year. - ANNIXUREST ‘ment Year] l2oz0-2001 INCOME TAX CALCULATION AS PER OPT IN OLD REGIME(OLD TAX SLAB) J2oat-2022 IName of the employee] Design [Treasury id [Employee PAN No]_TAN NO ‘Office Mal TSURESH ——_[eenevaneoren] 1825970_| AHSPIONSD. rs Reem KASIET [Grose Salary “aap 7.05.50 l, Less: Allowance to the extent exempt U/s 10 Tfe} House rent allowance under section 10(13A) [Whether living, m—Rented House 53h Actual HIRA received 35656 ‘ i Actual House Rent pal minus 10% of Salary (Rent @ 100007-PW 59,534 ii} 40% of Sala 1862 [Bjgxeuplon rom Conveyance ATowance U7s 100 0) A [fel Amount oF any other exemption under secion 10 a “Total amount of exemption claimed under section 10 - A as {ifess: Deductions under section 16 dard deluction under secon Ta] SOD {(b)Enleiainment allowance under section 150) = (Tax on employment under section Foi) 00. ‘Total amount of deductions under section 16 [a)=O#3(. 6 ld-Income chargeable under the head "Salaries" [(1-(2+3]] = 5,53.558 [House property 1] Add income from house properly Rent Received = Tijlos: Interest on Housing Loan Advance U/s 245] = = Tincome from house property [Ad Any other ineome report bythe employee und a) incom from other sources = : ‘bLInterst rom come Tax Refund = = z 17;Gross total income (4+5+6) . 593,558 Deductions under Chapter VI A = Geass | Qualifying | Deductible a) Daductionin respect of Hit insurance promi, condibalans tO wt. 80C | Amouat_| “Amoune_| Amount ZPGDF (No: 15608) a12ae | 412 TSGLINo —(LiGnWvAA 13.800] 13800 Gs 720 70 Lic Prema Dedacied in Say Savings SCRNE = PLTAnnual Prem. z : Sukanya samfidihi Scheme ‘Chiron Tution Fee ed Deposits aoe 500 | BSN 99268) 99264 264 Ip] Desiicton in expect of contribution to ceta [Employee contribution to CPSKNPS) ~ u/s — Total deduction under section 80C. HHCCT KWCH Limi ReasioIN-| 99264] 99.RET 35261 ld] AdgENPS Benen ws -A0CCD( 1) : e) Employer contribution to the Employee's NFS Account (@OCCDE) [f-Amount deductible under other provision(s) of Chapter VA EWFSWHCMRE - z ‘OF-Inierest on Etacaional Laan = ~ 80U eduction for disabled Person(STand PUT awe ab eaiaabilia ‘SOU-deductions for disable Person(iind, PY above Bibi “BOD Medical Insurance Premiui Self Spouse & Chil “Any olher deductions S| ee [8 3 Total amon deduce wade oar provionyarChapler VFA 135| 9 om ie amount under Chapter VIA 99,384 ded to nearest Rat) . 494,170 9. Aggregate of dedwi HiONet Taxable Income (7-9) (As per U/s 288. rif Tax on total income as per optin Old Regime(old ax Slab) 12.209 STAB fraxcscas] SAB [rax ware avoun [raxs.aa ooo [ 2st] We Afro Zoo000_[ ~2ast7o] sve —[aa0R | Tae tba fof | TfTax Rebate Wad? A (Tanable income =5,000 max oF TZ fa[Tax on tolal income after rebate — = Hafinx Surcharge © 10%/15%income more than S0Laky ex Acspelvely) Wedge 2) = fs eath and Education Cesv 4% “ 2 ofota Tax Payable (2391615) - : = hz tte U/S 89(1[ Arrears Relief from Salary] tach a 8|Net Tax Payable fe[bet of Advance Tax Deductions BI Ta at fat 000 Seiad ——- agar |= ANCETARTAYABLE Os} TapeFT. Suresh, mers Lambadi Tharda- FORM NO. 16 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 ADDRESS OF THE EMPLOYEE Acknowledgement Nos. of all quarterly statements of TDS under sub-section 200 joune[AcknowledgementNo| Amount Period 7 From To Financial Year ‘Assessment| Year 2 3 April, 2020 4 Mar,2021 2020-2021 2021-2022 PART B (Annexure) Details of Salary Paid and any other income and tax deducted Rs Be Ke 1. Gross Salary (@) Salary as per provisions contained in sec, 17(1) (b) Value of perquisites u/s 17(2) (c) Profits in lieu of salary under section 17(3) (a) Total |2. Less: Allowance to the extent exempt U/s 10 (a) House rent allowance under section 10(13A) (b)Exemption from Conveyance Allowance U/s. 10(14) (i) (©) Amount of any other exemption under section 10 [Total amount of exemption claimed under section 10 |3.Less: Deductions under section 16 } {a Standard deduction under section 16(ia) (b) Entertainment allowance under section 16(i (c) Tax on employment under section 16(ii) [Total amount of deductions under section 16 [(a)+(b)+(c)] 4. Income chargeable under the head "Salaries" [1-(2+3)] [5 House property Add:Income from house property /Rent Received loss: Interest on Housing, Loan Advance U/s 24[B] [Income (or admissible loss) from house property a) |income from other sources [b) [Interest from Income Tax Refund 7. Gross Total income (4+5+6) |S. Deductions under Chapter VI A (a) Deduction in respect of life insurance premia, contributions toPF etc, u, 6. Add: Any other income reported by the employee under as per section 192 (2B) Grows Amount 's 80C 705,492 ‘Qualifying ‘Amount | 5.93558 7,05,492 593,558 5,93,558 Deductible ‘Amount ‘ZP-GPE_(No : 13603) 41244 4,244 TSGLINo _ (L1600979A) 13,800 13,800 Gs 720 720 LIC Premium Deducted in Salary Savings Scheme PLI Annual Premuim ‘Sukanya Samriddhi Scheme Children Tution Fee 43,500 5 Years Fixed Deposits (oabove Any other deductable (u/s 800) ‘Total Deduction in respect of life insurance premia,PF etc (U/s 80 ©) [b) Deduction in respect of contribution to certain pension funds u/s B0CCC [) Employee contribution te CPS(NPS) ~ u/s 80 CCD (1) Total deduction under section 80C, 80CCC & 80CCD(1) Limit-Rs.150000/- SD. RAFIYA REHANA,HEADMASTER J. SURESH,SECONDARY GRADETEACHER, MP? S. La mera ‘COMPLEX ZPHS KASIPET MPPS-MUTHYAMPALLY) Mdl KASIPET 1 Tan PAN of the Deductor| _ TAN of the Deductor PAN of the Employee Employee Reference No| ‘AHSPJ0413D 1325370[Deductions under Chapter VI A acorns AZo a eneates) | Ja) AdalNPS benefit u/s -B0CD(1B) - - : \e) Employer contribution to the Employee's NPS Account (80CCD(2) = a - [Amount deductible under other provision() of Chapter VA < = EWESWE,CMRF 120 0} 420 | sore tntereston Educational Loan | $0U- deductions for disabled Person(bind PH) above 40% disability 7 - - '80U-deductions for disabled Person(blind,PH)-above 80% disability - = : ~~ 80D-Medical Insurance Premium-Self Spouse & Children - - - ~ Any other deductions - - = “Total amount deductible under other provision(s) of Chapter VI-A 120 120 120 | lo. Aggregate of deductible amount under Chapter VI-A - - 99,384 | !10. Total taxable income (7-9) (Round off to nearest ten As per U/s 288 A) _ 4,94,170 I11. Tax on total income 7 12,209 | 112. Rebate under section 87A, if applicable 12,209 |13, Surcharge, wherever applicable 114. Health and education cess =| 115. Tax payable (11+13+14)-12) : 116. Less: Relief under section 89 (attach details) __- 117. Net tax payable (15-16) No Tax 118.Less:(a) Tax deducted at source U/s 192(1) (byTax paid by the employer on behalf of the Employee U/S 192 (1A) on perquisited U/S 17 (2)... = l19.. AX PAYABLE / REFUNDABLE (17-18) No Tax LDETAMS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT (The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee) Ped Book Identification Number (BIN) Tax Deposited in Date of BNqQuarter(9)|~ Sotary Tax respect of the | Receipt numbers of Ladies transfer Beane ots Salary | deopasted | deductee(Rs.) | FormNoziG | WMC | voucher | RN ih | deposit orm No2AG | yy YE" Form No.2 1 [Mar-2020 | Apr-2020 0 2 1 [Apr-2020 | May-2020 0 3 [May-2020 | Jun-2020 0 4 fun-2020 |" Jul-2020 0 5 2 ful-2020__[Aug-2020 0 6 [Aug-2020 | Sep-2020 0 ¥ ISep-2020 | Oct-2020 0 EY 3 }Oct-2020 | Nov-2020 0 9 INov-2020 | Dec-2020 0 10 [Dec-2020 | Jan-2021 0 1 4 fan-2021_| Feb-2021 0 12 [Feb-2021_[ Mar-2021 0 Verifi¢ mn 1, SD. RAFIYA REHANA , working in the capacity of HEADMASTER (designation) do hereby certify lthat the sum of Rs. 0/-Rupees in words (Zero rupees only) deducted at source and paid to the credit of the central Government. further certify that the information given above is true complete and correct and is based lon the books of account documents TDS statements and other available records. O40, Orbos \eagipe. * SUMO [Place:COMPLEX ZPHS KASIPET Signature of peijon responsible for deduction of tax [Date: 15/02/2021 Full Name: SD; RAFIYA REHANA Designation: HEADMASTERSALARY STATEMENT FOR FY-2020-2021 OF J. SURESH,(SECONDARY GRADE TEACHER), ID NO: 1325370,MPPS LAM ®AD! THANDA (MUTHYAMPALLY. ii : Gross cmrF,S| Total 5 Period BasicPay| DA | HRA | Tol | SCA | AHRA| 775) | zpGPF | Tscul| Gis | PT | WF& |Deducti] Net | DA% | HRA% ewr | ons 1 |1-31/Mar/2020 35120] 11778| 5092} 390] 875| 2000| 55255} 1000] 1150] 60| 200) 20] 2430 52825 | 33.536) 14.5) 2 |1-30/Apr/2020 35120| 11778| s092| 390] 875] 2000] 55255] 1000) 1150] 60] 200 0| 2410] s2845| 33.536] 14.5] 3 |1-31/May/2020 35120| 11778| 5092] 390| 875] 2000] 55255] 1000] 1150] 60] 200 0| 2410 | 52845 | 33.536] 14.5) 4 |1-30/Jun/2020 35120| 11778] 5092} 390] 875] 2000| 55255} 1000} 1150| 60] 200 o| 2410] 52845 | 33.536] 14.5) 5 |1-31/sul/2020 35120| 11778| s092| 390] 875] 2000| 55255) 1000) 1150} 60] 200 | 2410 | 5284s | 33.536] 14.5] 6 |1-31/Aug/2020 35120| 11778| so92| 390] 875] 2000] s5255| 1000] 1150) 60] 200 0| 2410] 5284s | 33.536] 14.5 7 |1-30/Sep/2020 35120) 1178) 5092] 390) 875] 2000| 55255] 1000| 1150] 60| 200 o| 2410| s2eas | 33.536] 14.5 8 |1-31/0c/2020 35120| 11778] 5092} 390] 875] 2000) 55255] 1000 1150] 60] 200 | 2410] 52845 | 33.536] 14.5 9 |-s0/nev/20zoiacn | 36070| 13987] 5230] 390| 875] 2000) sass2| 1000] 1150] 60] 200 o| 2410] se1a2| 38.776) 14.5 10 |1-31/Dec/2020 36070| 13987| 5230} 390| 75| 2000] sg552} 1000| 1150) 60] 200/ 100} 2510 56042 | 38.76] 14.5 11 |2-31/san/2021 36070| 13987| 5230] 390) 875] 2000! 58552] 1000] 1150) 60] 200 0| 2410] s6142| 38.776] 145 12|1-28/Feb/2021 30070] 13987| s230| 390| 875] 2000| sass2| 1000| 1150] 60| 200 0} 2410] 56142 | 38.776| 14.5) 13 |DA- Jul/2019-0ct/2020] 0| 29244 0 ° 0 o| 29244) 29244 0 o 0 | 29244 0 Total 425240 |179416 | 61656 | 4680| 10500] 24000| 705492| 41244| 13800] 720] 2400| 120 | 58284 |647208 A Ce Employee oa