NAME Mohamed Ali Labbai, M.R.

DESIGNATION Senior Revenue Inspector

Employee Details
PAN NO CZDPM0335C

OFFICE NAME Taluk Office, Palayamkottai

1 Actual Monthly Rent paid by you 5000

P
2 Professional tax 2500 o
l
i
3 80 EEA and 24 Housing loan interest paid Particulars of NcMutual Fu
S
y
LIC/PLI/ULIP Premium paid C
N
N
u
repayment of Housing loan Principal u
m
m
b
investment NSC VIII issue / NSC accrued interest b
e
e
r
80 C 24000 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 54180 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 33100 10261 1700 400 300 45761 4336 70 110 300 4816 40945
Apr-22 33100 10261 1700 400 300 45761 4336 70 110 300 4816 40945
May-22 33100 10261 1700 400 300 45761 4336 70 110 300 4816 40945
Jun-22 33100 10261 1700 400 300 45761 4336 70 110 300 4816 40945
Jul-22 33100 11254 1700 400 300 46754 4436 70 110 300 4916 41838
Aug-22 33100 11254 1700 400 300 46754 4435 70 110 300 4915 41839
Sep-22 33100 11254 1700 400 300 46754 4435 70 110 300 4915 41839
Oct-22 34100 11594 1700 400 300 48094 4569 70 110 300 5049 43045
Nov-22 34100 11594 1700 400 300 48094 4569 70 110 300 5049 43045
Dec-22 34100 11594 1700 400 300 48094 4569 70 110 300 5049 43045
Jan-23 34100 12958 1700 400 300 49458 4706 70 110 300 5186 44272
Feb-23 34100 12958 1700 400 300 49458 4706 70 110 300 5186 44272
Surrender Salary 0 0 0
DA arrear 603 603 60 60 543
DA arrear 0 0 0
Pongal bonus 3000 3000 3000
Arrears drawn 3000 510 3510 351 351 3159
TOTAL 405200 0 136617 0 20400 4800 3600 0 3000 573617 0 54180 840 1320 3600 0 0 0 59940 513677 0 0
 Select your Option
Net
Deduction
Option No allowed Taxable Rebate
income

I 142258 431360 9068

II 0 573620 0
Option
Edu
Net tax +
cess

--- + ---

19862 + 794
 INCOME TAX CALCULATION STATEMENT
financial year 2022-23 / Assessment year 2023-24)

NAME Mohamed Ali Labbai, M.R. PAN NO CZDPM0335C

DESIGNATION Senior Revenue Inspector OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 573617

i actual rent paid 60000
LESS HRA amont of
exempted u/s a ii 10 % salary exemption shall 54182
2
10(13A) and be least of a 5818
iii rent in excess of 10% salary
( iii ) and b
5818
rule 2A
b Actual HRA received 20400
3 Salary after giving relief under the head HRA ( 1 - 2 ) 567799
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 ) 515299
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 515299
8 LESS Housing loan interest paid u/s 24 0
9 GROSS TOTAL INCOME ( 7 - 8 ) 515299
DEDUCTIONS UNDER CHAPTER VI A

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

10 24000
Tuition fees paid for two of your children
Contribution to CPS 54180 83940
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 80340
u/s 80 CCE
Max 1,50,000 80340
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 431359 431360
upto Rs 2,50,000 = nil 250000 ----
Rs 2,50,001 to Rs 5,00,000 = 5% 181360 9068
12 Tax liability Rs 5,00,001 to Rs 10,00,000 = 20 % 0 9068
above Rs 10,00,000 = 30 % 0
Total 431360 9068
13 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11< 5,00,000 9068
14 GROSS Tax Liability ( 12 - 13 ) ---
15 Education Cess 4% ( for sl no 14 ) ---
16 Total tax payable ( 14 + 15 ) ---
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 0 0 ---
19 LESS advance tax … if any paid
Income tax
0 Education Cess 0 0
4%
Balance tax to be
20
deducted (18-19)
0 0 NIL
 INCOME TAX CALCULATION STATEMENT (Metropolitan city only )
Financial year 2022-23 / Assessment year 2023-24)

NAME Mohamed Ali Labbai, M.R. PAN NO CZDPM0335C

DESIGNATION Senior Revenue Inspector OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 573617

i actual rent paid 60000
LESS HRA a ii 10 % salary amont of 54182
exempted u/s exemption
2
10(13A) and
iii rent in excess of 10% salary
shall be least of 5818 5818
a ( iii ) b and c
rule 2A b Actual HRA received 20400
c 50 % of Basic Pay 270910
3 Salary after giving relief under the head HRA ( 1 - 2 ) 567799
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 ) 515299
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 515299
8 LESS Housing loan interest paid u/s 24
9 GROSS TOTAL INCOME ( 7 - 8 ) 515299
DEDUCTIONS UNDER CHAPTER VI A
Contribution to GPF
LIC + mutual funds
SPF + FBF 840 1320 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest
24000
10
Tuition fees paid for two of your children
Contribution to CPS 54180 83940
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 80340
u/s 80 CCE
Max 1,50,000 80340
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 431359 431360
upto Rs 2,50,000 = nil 250000 ----
Rs 2,50,001 to Rs 5,00,000 = 5% 181360 9068
12 Tax liability Rs 5,00,001 to Rs 10,00,000 = 20 % 0 9068
above Rs 10,00,000 = 30 % 0
Total 431360 9068
13 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11 < 5,00,000 9068
14 GROSS Tax Liability ( 12 - 13 ) ---
15 Education Cess 4% ( for sl no 14 ) ---
16 Total tax payable ( 14 + 15 ) ---
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 0 0 ---
19 LESS advance tax … if any paid
Income tax 0 Education Cess 0 0
4%
Balance tax to be deducted
20 (18-19)
0 0 NIL
 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 5000 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 01:04:33

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

NAME Mohamed Ali Labbai, M.R. PAN NO CZDPM0335C

DESIGNATION Senior Revenue Inspector OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 573617

i actual rent paid 60000
LESS HRA amont of
exempted u/s a ii 10 % salary exemption shall 54182
2
10(13A) and iii rent in excess of 10% salary
be least of a
5818
( iii ) and b
rule 2A
b Actual HRA received 20400
3 Salary after giving relief under the head HRA ( 1 - 2 ) 573617
4 Less Professional Tax+ Std deduction u/s 16
5 Salary after giving relief under the head Professional tax and Std dedn ( 3 - 4 ) 573617
6 ADD other income reported by the employee , if any
7 TOTAL INCOME ( 5 + 6 ) 573617
8 LESS Housing loan interest paid u/s 24
9 GROSS TOTAL INCOME ( 7 - 8 ) 573617
DEDUCTIONS UNDER CHAPTER VI A

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

10 24000
Tuition fees paid for two of your children
Contribution to CPS 54180
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 80340
u/s 80 CCE
Max 1,50,000 80340
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 573617 573620
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 % 73620 7362
Rs 7,50,001 to Rs 10,00,000 = 15 % 0
12 Tax liability
Rs 10,00,001 to Rs 12,50,000 = 20 % 0
19862
Rs 12,50,001 to Rs 15,00,000 = 25 % 0
above Rs 15,00,000 = 30 % 0
Total 573620 19862
13 LESS Rebate u/s 87A ###
14 GROSS Tax Liability ( 12 - 13 ) 19862
15 Education Cess 4% ( for sl no 14 ) 794
16 Total tax payable ( 14 + 15 ) 20656
17 LESS u/s 89 against arrear / advance salary if any received ---
18 Net tax payable(16 - 17 ) 19862 794 20656
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)
19862 794 20656
 Financial year 2022-23
Salary Particulars of Thiru / Thirumathi /Selvi Mohamed Ali Labbai, M.R.
INCOME PARTICULARS
PP/Spl
Month PAY GP DA PAY HRA CCA MA Others TOTAL
Mar-22 33100 10261 1700 400 300 45761
Apr-22 33100 10261 1700 400 300 45761
May-22 33100 10261 1700 400 300 45761
Jun-22 33100 10261 1700 400 300 45761
Jul-22 33100 11254 1700 400 300 46754
Aug-22 33100 11254 1700 400 300 46754
Sep-22 33100 11254 1700 400 300 46754
Oct-22 34100 11594 1700 400 300 48094
Nov-22 34100 11594 1700 400 300 48094
Dec-22 34100 11594 1700 400 300 48094
Jan-23 34100 12958 1700 400 300 49458
Feb-23 34100 12958 1700 400 300 49458
Surrender Salary

DA 603 603
DA
Pongal bonus 3000 3000

Arrears drawn 3000 510 3510

541817 405200 0 136617 0 20400 4800 3600 3000 573617

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

Mar-22 4336 70 110 300 4816

Apr-22 4336 70 110 300 4816
May-22 4336 70 110 300 4816
Jun-22 4336 70 110 300 4816
Jul-22 4436 70 110 300 4916
Aug-22 4435 70 110 300 4915
Sep-22 4435 70 110 300 4915
Oct-22 4569 70 110 300 5049
Nov-22 4569 70 110 300 5049
Dec-22 4569 70 110 300 5049
Jan-23 4706 70 110 300 5186
Feb-23 4706 70 110 300 5186
others 411 411

54180 840 1320 3600 0 0 59940 0 0

Signature of Assessee Taluk Office, Palayamkottai HEAD OF THE INSTITUTION

25-Mar-23 Page 2 1:04:33 AM

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

NAME Mohamed Ali Labbai, M.R.

DESIGNATION Senior Revenue Inspector

PAN / TAN NO CZDPM0335C

OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 573617

2 Salary after giving relief under the head HRA 5818 567799
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 515299
5 ADD other income reported by the employee , if any
6 TOTAL INCOME 515299
7 LESS Housing loan interest paid u/s 24 0
8 GROSS TOTAL INCOME 515299
Contribution to GPF
LIC + mutual funds
SPF + FBF 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

24000
Tuition fees
9 83940
Contribution to CPS 54180

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 431359 431360
11 Tax liability 9068
12 LESS Rebate u/s 87A ( 100 % IT or Rs 12500 whichever is less ) if sl.no 11 >5,00,000 9068
13 GROSS Tax Liability ---
14 Education Cess 4% ---
15 Total tax payable ---
16 LESS u/s 89 against arrear / advance salary if any received ---
17 Net tax payable ---
18 LESS advance tax … if any paid 0
19 Balance tax deducted NIL

03/25/2023 01:04:33 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 01:04:33 page .... 2 .....

 Date :

Pirama 9486330214 03/25/2023 01:04:33 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 5000 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 01:04:33

03/25/2023 page 2 01:04:33
 Financial year 2022-23
Salary Particulars of Thiru / Thirumathi /Selvi Mohamed Ali Labbai, M.R.
INCOME PARTICULARS
PP/Spl
Month PAY GP DA PAY HRA CCA MA Others TOTAL
Mar-22 33100 10261 1700 400 300 45761
Apr-22 33100 10261 1700 400 300 45761
May-22 33100 10261 1700 400 300 45761
Jun-22 33100 10261 1700 400 300 45761
Jul-22 33100 11254 1700 400 300 46754
Aug-22 33100 11254 1700 400 300 46754
Sep-22 33100 11254 1700 400 300 46754
Oct-22 34100 11594 1700 400 300 48094
Nov-22 34100 11594 1700 400 300 48094
Dec-22 34100 11594 1700 400 300 48094
Jan-23 34100 12958 1700 400 300 49458
Feb-23 34100 12958 1700 400 300 49458
Surrender Salary
DA 603 603
DA
Pongal bonus 3000 3000

Arrears drawn 3000 510 3510

541817 405200 0 136617 0 20400 4800 3600 3000 573617

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

Mar-22 4336 70 110 300 4816

Apr-22 4336 70 110 300 4816
May-22 4336 70 110 300 4816
Jun-22 4336 70 110 300 4816
Jul-22 4436 70 110 300 4916
Aug-22 4435 70 110 300 4915
Sep-22 4435 70 110 300 4915
Oct-22 4569 70 110 300 5049
Nov-22 4569 70 110 300 5049
Dec-22 4569 70 110 300 5049
Jan-23 4706 70 110 300 5186
Feb-23 4706 70 110 300 5186
others 411 411

54180 840 1320 3600 0 0 59940 0 0

Signature of Assessee Taluk Office, Palayamkottai HEAD OF THE INSTITUTION

25-Mar-23 Page 3 1:04:33 AM
 F O R M ------ 16 21-22
Details Employee Employer /DDO

NAME Mohamed Ali Labbai, M.R.

DESIGNATION Senior Revenue Inspector

PAN / TAN NO CZDPM0335C

OFFICE NAME Taluk Office, Palayamkottai

1 Total salary 573617

2 Salary after giving relief under the head HRA 5818
3 Less Professional Tax+ Std deduction u/s17(2) 2500

4 Salary after giving relief under the head Professional tax and Std dedn 573617
5 ADD other income reported by the employee , if any
6 TOTAL INCOME 573617
7 LESS Housing loan interest paid u/s 24
8 GROSS TOTAL INCOME 573617
Contribution to GPF
LIC + mutual funds
SPF + FBF 2160
repayment of housing loan principal
U/S 80 C
investment NSC VIII issue / NSC accrued interest

24000
Tuition fees
9
Contribution to CPS 54180

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 573617 573620
11 Tax liability 19862
12 LESS Rebate u/s 87A ###
13 GROSS Tax Liability 19862
14 Education Cess 4% 794
15 Total tax payable 20656
16 LESS u/s 89 against arrear / advance salary if any received ---
17 Net tax payable 20656
18 LESS advance tax … if any paid 0
19 Balance tax deducted 20656

03/25/2023 01:04:33 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 01:04:33 page .... 2 .....

 Date :

Pirama 9486330214 03/25/2023 01:04:33 page .... 2 .....