NAME Khaja Kharibun Navas M

DESIGNATION Deputy Tahsildar (Under Training)

Employee Details
PAN NO DMWPK8022B

OFFICE NAME Taluk Office, Palayamkottai

1 Actual Monthly Rent paid by you 10000

2 Professional tax 2500

3 80 EEA and 24 Housing loan interest paid Particulars of NMutual Fu

S
LIC/PLI/ULIP Premium paid 75512 C

N
repayment of Housing loan Principal u
m
investment NSC VIII issue / NSC accrued interest b
e
80 C r
4 Tuition fees paid for two of your children Particulars of NSC VIII
/ issue /
U
deposits under Mutual funds T
I

Contribution to CPS 73474 a

c
80 CCC/ CCD NPS / Deposits in Pension plan /Fixed Deposits c
c
80 G Donations made to Charitable trust / CM relief fund o
u
In
80 E Interest on Education Loan taken tn
v
5 80 D Expenses u/s 80 D Mediclaim policy n
e
Particulars of Other
so Inves
80 CCD (1B) Contribution to CPS in addition to Sec 80C t
m
80 U Expenses u/s 80 u Handicapped assessee e
n
6 Advance tax TDS TCS if any paid 0 t
7 u/s 89 Arrear / Advance salary if any received D
a
8 Other income if any t
e
 d

S.Pirama Nayagam MCA

ne

APO , DRDA , Kanniyakumari Enter your Pay drawn details 22-23

sig
...

94 86 33 02 14
De
by

PP/Spl GPF TOTAL

Month PAY GP DA HRA CCA MA FTA Others TOTAL GPF CPS SPF FBF NHIS NET IT EC
PAY ADVANCE DEDN

Mar-22 45300 14043 1300 2900 720 300 64563 5934 70 110 300 398 6812 57751
Apr-22 45300 14043 1300 2900 720 300 64563 5934 70 110 300 398 6812 57751
May-22 45300 14043 1300 2900 720 300 64563 5934 70 110 300 398 6812 57751
Jun-22 45300 14043 1300 2900 720 300 64563 5934 70 110 300 398 6812 57751
Jul-22 45300 14043 1300 2900 720 300 64563 5934 70 110 300 398 6812 57751
Aug-22 45300 15402 1300 2900 720 300 65922 6070 70 110 300 398 6948 58974
Sep-22 45300 15402 1300 2900 720 300 65922 6070 70 110 300 398 6948 58974
Oct-22 46700 15878 1300 2900 720 300 67798 6258 70 110 300 398 7136 60662
Nov-22 46700 15878 1300 2900 720 300 67798 6258 70 110 300 398 7136 60662
Dec-22 46700 15878 1300 2900 720 300 67798 6258 70 110 300 398 7136 60662
Jan-23 46700 17746 1300 2900 720 300 69666 6445 70 110 300 398 7323 62343
Feb-23 46700 17746 1300 2900 720 300 69666 6445 70 110 300 398 7323 62343
Surrender Salary 0 0 0
DA arrear 0 0 0 0
DA arrear 0 0 0
Pongal bonus 0 0
Arrears drawn 0 0 0
TOTAL 550600 0 184145 15600 34800 8640 3600 0 0 797385 0 73474 840 1320 3600 4776 0 0 84010 713375 0 0
 Select your Option
Net
Deduction
Option No allowed Taxable Rebate
income

I 240900 556490 0

II 0 797390 0
Option
Edu
Net tax +
cess

23798 + 952

44609 + 1784
 INCOME TAX CALCULATION STATEMENT
financial year 2022-23 / Assessment year 2023-24)

NAME Khaja Kharibun Navas M PAN NO DMWPK8022B

DESIGNATION Deputy Tahsildar (Under Training) OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 797385

i actual rent paid 120000
LESS HRA amont of
exempted u/s a ii 10 % salary exemption shall 75035
2
10(13A) and be least of a 34800
iii rent in excess of 10% salary
( iii ) and b
44965
rule 2A
b Actual HRA received 34800
3 Salary after giving relief under the head HRA ( 1 - 2 ) 762585
4 Less Professional Tax+ Std deduction u/s 16 2500 + Rs 50000 52500
5 Salary after giving relief under the head Professional tax and Std dedn ( 3 - 4 ) 710085
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 710085
8 LESS Housing loan interest paid u/s 24 0
9 GROSS TOTAL INCOME ( 7 - 8 ) 710085
DEDUCTIONS UNDER CHAPTER VI A

Contribution to GPF
LIC + mutual funds 75512 75512
SPF + FBF 840 1320 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

10
Tuition fees paid for two of your children
Contribution to CPS 73474 153600
u/s80CCC&CCD NPS / Deposits in Pension plan / Fixed Deposits
Sum of deposits made u/s 80 C,u/s 80 CCC,u/s 80 CCD 151146
u/s 80 CCE
Max 1,50,000 150000
u/s 80 G Donations made to charitable trust / CM relief fund
u/s 80 U Expenses / Maintenance of Handicapped assessee
u/s 80 E Interest on Education loan
u/s 80 CCD(1B) Contribution to CPS in addition to Sec 80 c

u/s 80 D Mediclaim policy +NHIS 0 3600 3600

11 Net taxable income ( 9 - 10 ) rounded to nearest ten rupees 556485 556490
upto Rs 2,50,000 = nil 250000 ----
Rs 2,50,001 to Rs 5,00,000 = 5% 250000 12500
12 Tax liability Rs 5,00,001 to Rs 10,00,000 = 20 % 56490 11298 23798
above Rs 10,00,000 = 30 % 0
Total 556490 23798
13 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11< 5,00,000 0
14 GROSS Tax Liability ( 12 - 13 ) 23798
15 Education Cess 4% ( for sl no 14 ) 952
16 Total tax payable ( 14 + 15 ) 24750
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 23798 952 24750
19 LESS advance tax … if any paid
Income tax
0 Education Cess 0 0
4%
Balance tax to be
20
deducted (18-19)
23798 952 24750
 INCOME TAX CALCULATION STATEMENT (Metropolitan city only )
Financial year 2022-23 / Assessment year 2023-24)

NAME Khaja Kharibun Navas M PAN NO DMWPK8022B

DESIGNATION Deputy Tahsildar (Under Training) OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 797385

i actual rent paid 120000
LESS HRA a ii 10 % salary amont of 75035
exempted u/s exemption
2
10(13A) and
iii rent in excess of 10% salary
shall be least of 44965 34800
a ( iii ) b and c
rule 2A b Actual HRA received 34800
c 50 % of Basic Pay 375175
3 Salary after giving relief under the head HRA ( 1 - 2 ) 762585
4 Less Professional Tax+ Std deduction u/s 16 2500 + Rs 50000 52500
5 Salary after giving relief under the head Professional tax and Std dedn ( 3 - 4 ) 710085
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 710085
8 LESS Housing loan interest paid u/s 24
9 GROSS TOTAL INCOME ( 7 - 8 ) 710085
DEDUCTIONS UNDER CHAPTER VI A
Contribution to GPF
LIC + mutual funds 75512 75512
SPF + FBF 840 1320 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

10
Tuition fees paid for two of your children
Contribution to CPS 73474 153600
u/s80CCC&CCD NPS / Deposits in Pension plan / Fixed Deposits
Sum of deposits made u/s 80 C,u/s 80 CCC,u/s 80 CCD 151146
u/s 80 CCE
Max 1,50,000 150000
u/s 80 G Donations made to charitable trust / CM relief fund
u/s 80 U Expenses / Maintenance of Handicapped assessee
u/s 80 E Interest on Education loan
u/s 80 CCD(1B) Contribution to CPS in addition to Sec 80 c

u/s 80 D Mediclaim policy +NHIS 0 3600 3600

11 Net taxable income ( 9 - 10 ) rounded to nearest ten rupees 556485 556490
upto Rs 2,50,000 = nil 250000 ----
Rs 2,50,001 to Rs 5,00,000 = 5% 250000 12500
12 Tax liability Rs 5,00,001 to Rs 10,00,000 = 20 % 56490 11298 23798
above Rs 10,00,000 = 30 % 0
Total 556490 23798
13 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11 < 5,00,000 0
14 GROSS Tax Liability ( 12 - 13 ) 23798
15 Education Cess 4% ( for sl no 14 ) 952
16 Total tax payable ( 14 + 15 ) 24750
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 23798 952 24750
19 LESS advance tax … if any paid
Income tax 0 Education Cess 0 0
4%
Balance tax to be deducted
20 (18-19)
23798 952 24750
 Particulars of LIC

Policy Number Name of the Company Nature of the Policy Sum Assured Annual Premium

Particulars of Mutual Fund

Policy Number Name of the Company Nature of the Policy Sum Assured Annual Premium

Particulars of NSC VIII issue / UTI units

NSC Number /UTI
acccount no
Name of the issuing Post office Date of Investment Amount

Particulars of Other Investment

Investment Date Particulars Amount

CERTIFICATE
Certified that I am occupying a house alloted by the TNHB on payment of Rs……………….Per Month
Certified that I am occupying a house paying a monthly rent of Rs 10000 Per Month
Certified that I am paying a sum of Rs… …….towards Life Insurance Premia and the policies are kept alive

Designed by S.Piramanayagam
APO , DRDA , Kanniyakumari
9486330214
Signature of the Assessee

03/25/2023 page 2 01:04:32

 INCOME TAX CALCULATION STATEMENT
inancial year 2022-23 / Assessment year 2023-24 )

NAME Khaja Kharibun Navas M PAN NO DMWPK8022B

DESIGNATION Deputy Tahsildar (Under Training) OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 797385

i actual rent paid 120000
LESS HRA amont of
exempted u/s a ii 10 % salary exemption shall 75035
2
10(13A) and iii rent in excess of 10% salary
be least of a
44965
( iii ) and b
rule 2A
b Actual HRA received 34800
3 Salary after giving relief under the head HRA ( 1 - 2 ) 797385
4 Less Professional Tax+ Std deduction u/s 16
5 Salary after giving relief under the head Professional tax and Std dedn ( 3 - 4 ) 797385
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 797385
8 LESS Housing loan interest paid u/s 24
9 GROSS TOTAL INCOME ( 7 - 8 ) 797385
DEDUCTIONS UNDER CHAPTER VI A

Contribution to GPF
LIC + mutual funds 75512 75512
SPF + FBF 840 1320 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

10
Tuition fees paid for two of your children
Contribution to CPS 73474
u/s80CCC&CCD NPS / Deposits in Pension plan / Fixed Deposits
Sum of deposits made u/s 80 C,u/s 80 CCC,u/s 80 CCD 151146
u/s 80 CCE
Max 1,50,000 150000
u/s 80 G Donations made to charitable trust / CM relief fund
u/s 80 U Expenses / Maintenance of Handicapped assessee
u/s 80 E Interest on Education loan
u/s 80 CCD(1B) Contribution to CPS in addition to Sec 80 c

u/s 80 D Mediclaim policy +NHIS 0 3600 3600

11 Net taxable income ( 9 - 10 ) rounded to nearest ten rupees 797385 797390
upto Rs 2,50,000 = nil 250000 ----
Rs 2,50,001 to Rs 5,00,000 = 5% 250000 12500
Rs 5,00,001 to Rs 7,50,000 = 10 % 250000 25000
Rs 7,50,001 to Rs 10,00,000 = 15 % 47390 7109
12 Tax liability
Rs 10,00,001 to Rs 12,50,000 = 20 % 0
44609
Rs 12,50,001 to Rs 15,00,000 = 25 % 0
above Rs 15,00,000 = 30 % 0
Total 797390 44609
13 LESS Rebate u/s 87A ###
14 GROSS Tax Liability ( 12 - 13 ) 44609
15 Education Cess 4% ( for sl no 14 ) 1784
16 Total tax payable ( 14 + 15 ) 46393
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 44609 1784 46393
Education Cess
Income tax
4%
19 LESS advance tax … if any paid 0 Education Cess 0 0
Income tax
4%
Balance tax to be deducted
20 (18-19)
44609 1784 46393
 Financial year 2022-23
Salary Particulars of Thiru / Thirumathi /Selvi Khaja Kharibun Navas M
INCOME PARTICULARS
PP/Spl
Month PAY GP DA PAY HRA CCA MA Others TOTAL
Mar-22 45300 14043 1300 2900 720 300 64563
Apr-22 45300 14043 1300 2900 720 300 64563
May-22 45300 14043 1300 2900 720 300 64563
Jun-22 45300 14043 1300 2900 720 300 64563
Jul-22 45300 14043 1300 2900 720 300 64563
Aug-22 45300 15402 1300 2900 720 300 65922
Sep-22 45300 15402 1300 2900 720 300 65922
Oct-22 46700 15878 1300 2900 720 300 67798
Nov-22 46700 15878 1300 2900 720 300 67798
Dec-22 46700 15878 1300 2900 720 300 67798
Jan-23 46700 17746 1300 2900 720 300 69666
Feb-23 46700 17746 1300 2900 720 300 69666
Surrender Salary

DA
DA
Pongal bonus
Arrears drawn

750345 550600 0 184145 15600 34800 8640 3600 0 797385

DEDUCTION PARTICULARS
TOTAL
Month GPF /CPS SPF FBF NHIS DEDN
Income Tax Edu cess 4 %

Mar-22 5934 70 110 300 398 6812

Apr-22 5934 70 110 300 398 6812
May-22 5934 70 110 300 398 6812
Jun-22 5934 70 110 300 398 6812
Jul-22 5934 70 110 300 398 6812
Aug-22 6070 70 110 300 398 6948
Sep-22 6070 70 110 300 398 6948
Oct-22 6258 70 110 300 398 7136
Nov-22 6258 70 110 300 398 7136
Dec-22 6258 70 110 300 398 7136
Jan-23 6445 70 110 300 398 7323
Feb-23 6445 70 110 300 398 7323
others 0 0

73474 840 1320 3600 4776 0 84010 0 0

Signature of Assessee Taluk Office, Palayamkottai HEAD OF THE INSTITUTION

25-Mar-23 Page 2 1:04:32 AM

 F O R M ------ 16 21-22
Details Employee Employer /DDO

NAME Khaja Kharibun Navas M

DESIGNATION Deputy Tahsildar (Under Training)

PAN / TAN NO DMWPK8022B

OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 797385

2 Salary after giving relief under the head HRA 34800 762585
3 Less Professional Tax+ Std deduction u/s17(2) 2500 + Rs 50000 52500
4 Salary after giving relief under the head Professional tax and Std dedn 710085
5 ADD other income reported by the employee , if any
6 TOTAL INCOME 710085
7 LESS Housing loan interest paid u/s 24 0
8 GROSS TOTAL INCOME 710085
Contribution to GPF
LIC + mutual funds 75512
SPF + FBF 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

Tuition fees
9 153600
Contribution to CPS 73474

u/s80CCC&C NPS / Deposits in Pension plan / Fixed Deposits

u/s 80 G Donations made to charitable trust / CM relief fund

Expenses / Maintenance of Handicapped
u/s 80 U
assessee
u/s 80 E Interest on Education loan
u/s 80 CCD(1B) Contribution to CPS in addition to Sec 80 c

u/s 80 D Mediclaim policy +NHIS 0 3600 3600

10 Net taxable income rounded to nearest ten rupees 556485 556490
11 Tax liability 23798
12 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11 >5,00,000 0
13 GROSS Tax Liability 23798
14 Education Cess 4% 952
15 Total tax payable 24750
16 LESS u/s 89 against arrear / advance salary if any received ---
17 Net tax payable 24750
18 LESS advance tax … if any paid 0
19 Balance tax deducted 24750

03/25/2023 01:04:32 pirama2013@gmail,com page .... 1 ......

 Form - 16
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

(The Employer is to provide payment-wise details of tax deducted and deposited)

Total Tax Total Tax Date on

Sl. TDS Edu Cheque BSR code Bill No &
Month Deducted Deposited which
No Cess /DD no Bank branch Date
tax deposited

1 Mar-22

2 Apr-22

3 May-22

4 Jun-22

5 Jul-22

6 Aug-22

7 Sep-22

8 Oct-22

9 Nov-22

10 Dec-22

11 Jan-23

12 Feb-23

Arrears

TOTAL

I,
working in the capacity of
do hereby certify that Income Tax has been deducted at source (salary).
And I further certify that the information given above is true and correct
based on the registers regarding accounts, documents and other available records.

Signature of the person responsible for deduction of tax

Place:

Pirama 9486330214 03/25/2023 01:04:32 page .... 2 .....

 Date :

Pirama 9486330214 03/25/2023 01:04:32 page .... 2 .....

 Particulars of LIC

Policy Number Name of the Company Nature of the Policy Sum Assured Annual Premium

Particulars of Mutual Fund

Policy Number Name of the Company Nature of the Policy Sum Assured Annual Premium

Particulars of NSC VIII issue / UTI units

NSC Number /UTI
acccount no
Name of the issuing Post office Date of Investment Amount

Particulars of Other Investment

Investment Date Particulars Amount

CERTIFICATE
Certified that I am occupying a house alloted by the TNHB on payment of Rs……………….Per Month
Certified that I am occupying a house paying a monthly rent of Rs 10000 Per Month
Certified that I am paying a sum of Rs… …….towards Life Insurance Premia and the policies are kept alive

Designed by S.Piramanayagam
Block Development Officer
Tirunelveli 9486330214
Signature of the Assessee

03/25/2023 page 2 01:04:32

03/25/2023 page 2 01:04:32
 Financial year 2022-23
Salary Particulars of Thiru / Thirumathi /Selvi Khaja Kharibun Navas M
INCOME PARTICULARS
PP/Spl
Month PAY GP DA PAY HRA CCA MA Others TOTAL
Mar-22 45300 14043 1300 2900 720 300 64563
Apr-22 45300 14043 1300 2900 720 300 64563
May-22 45300 14043 1300 2900 720 300 64563
Jun-22 45300 14043 1300 2900 720 300 64563
Jul-22 45300 14043 1300 2900 720 300 64563
Aug-22 45300 15402 1300 2900 720 300 65922
Sep-22 45300 15402 1300 2900 720 300 65922
Oct-22 46700 15878 1300 2900 720 300 67798
Nov-22 46700 15878 1300 2900 720 300 67798
Dec-22 46700 15878 1300 2900 720 300 67798
Jan-23 46700 17746 1300 2900 720 300 69666
Feb-23 46700 17746 1300 2900 720 300 69666
Surrender Salary
DA
DA
Pongal bonus
Arrears drawn

750345 550600 0 184145 15600 34800 8640 3600 0 797385

DEDUCTION PARTICULARS
TOTAL
Month GPF /CPS SPF FBF NHIS DEDN
Income Tax Edu cess 4 %

Mar-22 5934 70 110 300 398 6812

Apr-22 5934 70 110 300 398 6812
May-22 5934 70 110 300 398 6812
Jun-22 5934 70 110 300 398 6812
Jul-22 5934 70 110 300 398 6812
Aug-22 6070 70 110 300 398 6948
Sep-22 6070 70 110 300 398 6948
Oct-22 6258 70 110 300 398 7136
Nov-22 6258 70 110 300 398 7136
Dec-22 6258 70 110 300 398 7136
Jan-23 6445 70 110 300 398 7323
Feb-23 6445 70 110 300 398 7323
others 0 0

73474 840 1320 3600 4776 0 84010 0 0

Signature of Assessee Taluk Office, Palayamkottai HEAD OF THE INSTITUTION

25-Mar-23 Page 3 1:04:32 AM
 F O R M ------ 16 21-22
Details Employee Employer /DDO

NAME Khaja Kharibun Navas M

DESIGNATION Deputy Tahsildar (Under Training)

PAN / TAN NO DMWPK8022B

OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 797385

2 Salary after giving relief under the head HRA 34800
3 Less Professional Tax+ Std deduction u/s17(2) 2500

4 Salary after giving relief under the head Professional tax and Std dedn 797385
5 ADD other income reported by the employee , if any
6 TOTAL INCOME 797385
7 LESS Housing loan interest paid u/s 24
8 GROSS TOTAL INCOME 797385
Contribution to GPF
LIC + mutual funds 75512
SPF + FBF 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

Tuition fees
9
Contribution to CPS 73474

u/s80CCC&C NPS / Deposits in Pension plan / Fixed Deposits

u/s 80 G Donations made to charitable trust / CM relief fund

Expenses / Maintenance of Handicapped
u/s 80 U
assessee
u/s 80 E Interest on Education loan
u/s 80 CCD(1B) Contribution to CPS in addition to Sec 80 c

u/s 80 D Mediclaim policy +NHIS 0 3600 3600

10 Net taxable income rounded to nearest ten rupees 797385 797390
11 Tax liability 44609
12 LESS Rebate u/s 87A ###
13 GROSS Tax Liability 44609
14 Education Cess 4% 1784
15 Total tax payable 46393
16 LESS u/s 89 against arrear / advance salary if any received ---
17 Net tax payable 46393
18 LESS advance tax … if any paid 0
19 Balance tax deducted 46393

03/25/2023 01:04:32 pirama2013@gmail,com page .... 1 ......

 Form - 16
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

(The Employer is to provide payment-wise details of tax deducted and deposited)

Total Tax Total Tax Date on

Sl. TDS Edu Cheque BSR code Bill No &
Month Deducted Deposited which
No Cess /DD no Bank branch Date
tax deposited

1 Mar-22

2 Apr-22

3 May-22

4 Jun-22

5 Jul-22

6 Aug-22

7 Sep-22

8 Oct-22

9 Nov-22

10 Dec-22

11 Jan-23

12 Feb-23

Arrears

TOTAL

I,
working in the capacity of
do hereby certify that Income Tax has been deducted at source (salary).
And I further certify that the information given above is true and correct
based on the registers regarding accounts, documents and other available records.

Signature of the person responsible for deduction of tax

Place:

Pirama 9486330214 03/25/2023 01:04:32 page .... 2 .....

 Date :

Pirama 9486330214 03/25/2023 01:04:32 page .... 2 .....