Form No.16 Aa-1

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FORM NO.

16 AA
(Sce rule 31(1)(a))
Certificate under section 203 of the incomc-tax deducied at source from income chargable under thehead "Salarics"
Name and |Nane A, SANDHYA
&dcsignation
Iddress of employer :O/o Commissioner of Policc, Rachakonda. of cinploycc : Women Police Constable - 8852 - 2400201
DAN NO., of the Deductor AN NO. of the Deductor : PAN NO. of thc Employcc:
HYDCO7829D BOLPA6120K
Acknowledgement Nos. of allquarterlystatement of TDS under
sub-section (3) of section 200 as provided by Facilitation Centre or Period Assess1ncnt ycar
NSDL web-site.
Quarter Acknowlcdge No. From To

01-03-2022 28-02-2023 2023-2024

DETAILS OF SALARY PAID AND OTHER INCOME AND TAX DEDUCTED


1. Gross Salary:

(a) Salary as per provisions contained in Section 17 (1) Rs. 517148

(b) Value of perquisites u/S 17(2) (as per Form No. 12BA, wherever appicable) Rs.

(c) Profits in lieu of salary u/S 17(3) (as per Form No. 12 BA, wherever appicable Rs.
Rs. 517148
(d) Total
2. Less: Allowance to the extent exempt U/s 10 (13A)
(a) Least of : (i) Actual Amount of HRA received Rs. Rs
(ii) Expenditure of rent in excess of 10% of salary (Indicate Rs.
the amount of rent paid Rs 0 per annum)
(iii) 40% of Salary (Basic + DA) Rs.
Rs. 3180 Rs. 3180
(b) (i) Transport Allowance
3. Balance (1-2) Rs. 513968

4. Deductions
(a) Entertainment allowance Rs.

(b) Tax on employment - (Prof. Tax) Rs. 2200

(c) KMA /RA Rs. 3575


Rs. 5775
5. Aggregate of 4(a) to 4(b)
6. Income chargeable under the head 'Salaries(3-5) Rs. 508193

7. Add: Any other income reported by the employee


Rs.
Income from House Property
Rs. 508193
8. Gross total income(6+7)

9. Deduction under chapter VIA Gross Amt. Ded Amt.

(A) Section 80C, 80CCC AND 80CCD


(a)Section 80C
Rs.
(i) GPF
(ii) APGLI Rs. 11000
(ii) GIS Rs. 330
(v) EWF Rs.
(vi) HBA Principal Amt. Rs.
(vii)LIC RS.
(viii)Pvt. LIC RS
(ix) RD (PLI) RS
Rs
(x) UTI
(xi) Child Education Expenses Rs.
Rs
(xii) Invest in MF's/Eqity Shares/Debntrs/Bonds Rs Rs. 11330
(xii)FD'S (more than Five year's)
Rs.
(b)Section 80 CCA (NSC)
Rs.
(c) Section 80 CCB (ELSS)
Rs.
(d) Section 80CCC(Other Pension Funds)
Pension Schcnne) |Rs. 17000 Rs, 49) l6
(c) Section 80 CCD(Contributory Rs. 49) l6 Rs I50000
Total Section 80C
Qu:al. At. Ded Amt.
Chapler VI A Gross At.
(B) Other Scction (For c , 80E, 80G ctc) under R
(a) Scction 192 2(B)(HBA lnt) Rs.
(d) Scction 80 D (Medical lnsurance Premium)
Rs.
(C) Scction 80 DD (Mcdical Expenses)
() Section 80E (nt. on Lon taken on Higher Education
Rs.
Rs.
(g) Scction 80 G (DonationsFunds)
Rs.
(h) Scction 80 U (Person with Disability)
Rs.
(i) LTAExemption Rs.
() Othcr Excmptions
Rs. S0000
(C) Standard Deduction U/s 16 (ia) Rs 992 36
Rs. S0000
10. Aggregate of Deductible amount Chapter VIA Rs, 408957
l1. Total incomc(8-10) Rs, 7948
12 Tax on Total income Rs. 7948
13. Rebate under Section 87A (Total lIncome < 5,00,000) Rs
14. Relief under Section 89(attach details)
Rs, 0
15. Tax payable (12 - (13+14))
Rs.
l6. Surcharge (on tax computcd at S.No. 15)
Rs.
17. Education Cess a3% (on tax at S.No. 15 and Surcharge at S.No. l6)
Rs.
18. Tax payable (15+16+17)
19. Less (a) Tax deduction at source ws 192(1) Rs.
(b) Tax paid by the employer on behalf of the
employee ws 192(1lA) on perquisitics u's Rs
17(2)(1)
Rs
20. Tax payable/refundable(17-18)
INTO CENTRAL GOVERNMENT ACCOUNT
DETAILS OF TAX DEDUCTION AND DEPOSITED
BSR Code of Datc on which Transfer Voucher/
S.NO. TDS Education Total Chequc/DD Challan identification
Cess tax
Bank Branch tax depositcd

capacity of Asst. Accounts Officcr (designation)


I. P. Pradeep Kumar Son of P. Venkanna working in the
(in words) has been deducted at source and paid to the credit of the
do hereby cerífy that a sum of Rs. 0 (Rupees zeroOnly) given
Central Governmcnt. Ifurther certify that the information abovc is true and corrcct bascd on the books of Account, document
and other available records.

Signature of the person respon_iðlofor deduction of tav


Full Namne
Place :
Designation
Date :

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