In LJeu of fomi No.

ITS 12C 3ATT 75 far ad 2022-2023, Aufv ao 2023-2024

STATEMENTOF ESTIMATEDINCOME FIN. YEAR2022-2023FORTHE ASSESSMENT YEAR2023-2024
Name of employee

Deslgnatlon PAN No.

Office of the

Perma. Resi. AddressL

AADHAR CARD No.

a T qyT/COMPUTATION OF TAXABLE INCOME (OLD TAX REGIME)
1. 07 T Gross Salary Income
A , BIT MI, va, 3Tx. V.
***************** ************
Salary, D.A., A.D.A., H.RA. -
B. 14T d1 Arears
*********************

E 1 . ¥617 fNTAT 4I UIA

10 A
(Excess of rent paid over 10% of salary or HRA Which ever is
*******************************

less).*****************************

2.
T F/Standrad Ded U/S 16(1) Rs. 50,000 **

3.
g /Professional Tax U/S 16(3) *********************

************************************

2.u a di Naxable Salary

3. HDT HHIT I T
Income from House Property ************************************

Other Income (NSC Interest, Bank Interest etc.) ****************************

5. EERT
qT(2+3+4)
Less: Interest of House Building Loan (Due/Paid for the year)
******************** *************
6.H ST (2+3+4-5)
GROSS TOTAL INCOME (2+3+4-5)
(A) ETE Tifdai eTRT 8OC/LESs DEDUCTION U/S 8OC
1. FTHT Hu AA/GP.F.
***********************

2 uReTR
7rTM/FT THI TII/F.B.F./G.I.S. *********************
3. TT ea yAZTu-M/NSC, NSS
*****************************

4. TT AAan /INSURANCE PRE.

*******************************
5. HTA T /PPF.
** ************

6. TT zd 7 I3yfsa am/ Accured Int. NSC

******************************

7. TE Puu &g f a House Building Loan paid (No Limilt) *****************"

*******
8.T fIET R ZR A Tuition
9. H eT eT T
Fees (No Limit)
Tax Saver FD
**********************

*****************
10.37 other
********************
g7 fea ziHT Maximum Rebate 1,50,000)
A)
(B) fakaT E (80 80U)
(80TTA a7 4 aAT Saving Bank Interest Max. 10,0001-) **********************|
(80TTB «Ra f a i a ds z e Bank Interest for St Cliz. Max. 50,000) "******'********

3 (80CCD(18) ngu dai da NPS (Max.Limit Rs.50,000)

**
4 (80D ffeprl rat tza Rs. 25,000 gi n foa fo
250005. T flkaT e) (afT K B 4 50,000)
Pre. paid for Ins. of health up lo Rs. 25,000 & Rs. 25000 extra dedu (for sr. citiz. Rs. 50,000) ****'***********'*****

5. 80DD afaa faeI t Rs. 75,000 1 80% 3afa farai grM w

1,25,000) *********************

handicapped dependent Rs 75,000

For or more than 80% disability 1,25,000)
6. 80DDB i aeI AlA I faf?NE ahil zT B Rs. 40,000/1,00,000
Medical Exp. on Specified diseases etc. Rs. upto 40,000/ for sr. citiz.1,00,000

7 (80E Ta fmm
Intrest paid Higher Education Loan
8. 80GT Donation
.*
9. (BoU ftuaim da vx Rs. 75,000 r 80% * skr» faweil e uw 1,25,000) ********************* **

For Handicapped Person Rs 75,000 or more than 80% disability 1,25,000

10. 3 Other ***** ******* (B). *******
ETETST - g TEdt 7A+B/Less Total Dedutions U/S 80

8. 7 a y 3T (6-7AB) NETTAXABLEINCcOME
 8. R IE STT (6-7AB) NETTAXABLE INCOME (CF)
cOMPUTATION OF INCOME TAX

yrr4 Rs 3,00,000 T8 NILL

1. P7 Rs 2.50.000 R u m NILL

2 3Td Rs2,50,001 to 5,00.000u5% 2 4Td Rs.3,00,001 to5,00,000 T5%

3 37T Rs.5.00,001 to 10,00,000 20% T Rs 5,00.001 to 10,00,000 T 20%

h Rs. 10 IRT N3tTth 3A77 30% 4 7 Rs. 10ar à af 3AT7 30%

9A. 3T4R/Net tax payable

LESS: Rebate upto 12,500 1- /s 87 A)
(Total Income does not exceed 5 Lakhs)

B.+4% IET,UTVTHT J y / Educlion, Med. Cess

STYR/TOTAL INCOME TAX

* ************************** *********

(9A+B)
10. VTBT US 89 TT41TRT Y D ATR/ Arear Diff. of Tax: ******************
*************

11. da PTET TT 3T777/ TaxAreadydeducledfrom salary: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

12. T TTA fT T4T 3TY5R/Balance Tax to be deducted from Salary ***************************"

. .
**************************************************************

GT 2,25,000/ H a77- Ar 2.25,000/ T 3,00,000/ 74 1500/

3,00,000/ T4,00,000/H 74 2000/ 4,00,000/ ae 9 2500/

a earuit/Salary Statement
Cash Net
Grade HETIS it. i. gi. |L3T PTax. .Tax. Paid
HIE Pa D.A. H.R.A. Total G.P.F.
Pay

3TH

Arrears

TT

31 fH 2023 T7 5000/yd 31 fèH. 2023 a TRUa V Y 10,000/ tuii 3 5 TRA t TT 1000/

H T 7A: 233610
a H, ITRYEI VS, 9AIG 5 ,