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Certificate No. : 1 FORM NO.

16 [See rule 31(1)(a)] PART A 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 designation of the Employee NETHAJI SUBASH CHANDRABOSE GOVT. HIGHER M.SELVARAJ SECONDARY SCHOOL THALATHERU TGT NA, MIDDLE STREET, THALATHERU-609605 PONDICHERRY PAN of the Deductor TAN of the Deductor PAN of the Employee PANNOTREQD CHEO03925F AAZPS1572J CIT (TDS) Assessment Year Period THE COMMISSIONER OF INCOME TAX (TDS) From To 44, WILLIAMS ROAD, TRICHY-620001 2013-2014 Summary of tax deducted at source Quarter Receipt Numbers of original statements of TDS Amount of tax deducted in respect Amount of tax under sub-section (3) of section 200 of the employee deposited/remitted in respect of the employee Quarter 1 GPFXXCGD Nil Nil Quarter 2 GPFXXCHE Nil Nil Quarter 3 GPFXXCIF Nil Nil Quarter 4 GPFXXCJG Nil Nil Total NIL NIL Part B (Refer Note 1) Details of Salary paid and any other income and tax deducted
1. Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever applicable) (d) Total 2. Less: Allowance to the extent exempt under section 10 (a) T.A. 3. Balance (1-2) 4. Deductions: (a) Entertainment allowance (b) Tax on employment 5. Aggregate of 4(a) and (b) 6. Income chargeable under the head 'salaries' (3-5) 7. Add: Any other income reported by the employee 8. Gross total income (6 + 7) 9. Deductions under Chapter VIA (A) Sections 80C, 80CCC and 80CCD (a) Section 80C 60.00 (1) UTGEGIS 80.00 (2) GSLIS-LIC 502.00 (3) L.I.C. (b) Section 80CCC (c) Section 80CCD (B) Other Sections under Chapter VIA Gross Amount (a) 10. Aggregate of deductible amount under Chapter VIA 11. Total income (8 - 10) 12. Tax on total income 13. Education cess @ 3% (on tax at S. No. 12) 14. Tax payable (12+13) 15. Less : Relief under section 89 (attach details) 16. Tax payable (14-15) 94,954.00 Nil Nil Nil 94,954.00

2752.00 Nil Nil

2752.00

Nil 92,202.00 Nil Nil Gross Amount Deductible Amount

642.00 Nil Nil Qualifying Amount

100,000.00 Nil Nil Deductible Amount Nil 91,560.00 Nil Nil Nil Nil Nil

Verification I, A DIBANADANE, son/daughter of S ANTHONISAMY working in the capacity of PRINCIPAL (designation) do hereby certify that NIL AMOUNT has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the book of accounts, documents, TDS statements, TDS deposited and other available records.

Place THALATHERU Date 09/04/2013 Designation: PRINCIPAL

Signature of person responsible for deduction of tax A DIBANADANE Full Name:

ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) S. No. Tax Deposited in respect of the employee (Rs.) Challan identification number (CIN) BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number

1 2 3 4 Total

Certificate No. : 3 FORM NO. 16 [See rule 31(1)(a)] PART A 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 designation of the Employee NETHAJI SUBASH CHANDRABOSE GOVT. HIGHER H. MAHALAKSHMI SECONDARY SCHOOL THALATHERU TGT NA, MIDDLE STREET, THALATHERU-609605 PONDICHERRY PAN of the Deductor TAN of the Deductor PAN of the Employee PANNOTREQD CHEO03925F BYMPM8465N CIT (TDS) Assessment Year Period THE COMMISSIONER OF INCOME TAX (TDS) From To 44, WILLIAMS ROAD, TRICHY-620001 2013-2014 Summary of tax deducted at source Quarter Receipt Numbers of original statements of TDS Amount of tax deducted in respect Amount of tax under sub-section (3) of section 200 of the employee deposited/remitted in respect of the employee Quarter 1 GPFXXCGD Nil Nil Quarter 2 GPFXXCHE Nil Nil Quarter 3 GPFXXCIF Nil Nil Quarter 4 GPFXXCJG Nil Nil Total NIL NIL Part B (Refer Note 1) Details of Salary paid and any other income and tax deducted
1. Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever applicable) (d) Total 2. Less: Allowance to the extent exempt under section 10 (a) T.A. 4560.00 (b) H.R.A. 9770.00 3. Balance (1-2) 4. Deductions: (a) Entertainment allowance (b) Tax on employment 5. Aggregate of 4(a) and (b) 6. Income chargeable under the head 'salaries' (3-5) 7. Add: Any other income reported by the employee 8. Gross total income (6 + 7) 9. Deductions under Chapter VIA (A) Sections 80C, 80CCC and 80CCD (b) Section 80C 54.00 (1) UTGEGIS (b) Section 80CCC (c) Section 80CCD (B) Other Sections under Chapter VIA Gross Amount (a) 10. Aggregate of deductible amount under Chapter VIA 11. Total income (8 - 10) 12. Tax on total income 13. Education cess @ 3% (on tax at S. No. 12) 14. Tax payable (12+13) 15. Less : Relief under section 89 (attach details) 16. Tax payable (14-15) 1,86,083.00 Nil Nil Nil 1,86,083.00

14,330.00 Nil Nil

1,71,753.00

Nil 1,71,753.00 Nil Nil Gross Amount 54.00 Nil Nil Qualifying Amount Deductible Amount 100,000.00 Nil Nil Deductible Amount Nil 1,71,699.00 Nil Nil Nil Nil Nil

Verification I, A DIBANADANE, son/daughter of S ANTHONISAMY working in the capacity of PRINCIPAL (designation) do hereby certify that NIL AMOUNT has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the book of accounts, documents, TDS statements, TDS deposited and other available records.

Place THALATHERU Date 09/04/2013 Designation: PRINCIPAL

Signature of person responsible for deduction of tax A DIBANADANE Full Name:

ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) S. No. Tax Deposited in respect of the employee (Rs.) Challan identification number (CIN) BSR Code of the Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number

1 2 3 4 Total

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