FORM No.

16 1962) "salaries"
IncomeTax Rules, the head EMPLOYEE
(Vide rule 31(1)(a) of chargeable under
for Tax deducted at source from income DESIGNATIONOF
AND
NAME
NAME AND ADDRESS OF THE SUDEE BLAJI
EMPLOYER
P PADNMA KUMARI PANCHAYAT,
Engineering Assistant BOMMANACHERUVU.
Panchayat Secre tary Gr IV BOMMANACHERUVUGRAMA PAI
BOMNANACHERUVU GRAMA PANCHAyAT ROMMANACHERUVU Tre.ID :

DDO TAN DDO PAN No: EMPLOYEE PAN : DZGPB3268B

Assessment

Quarter Acknowledgement No Period Year

Amount
Quarter To
From
Quarter-2 2023-24
Quarter-3 31 March 2023
1 April2022
Quarter-4
DEDUCTED
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX 297.208
1Income from Gross Salary 297208 50,000
Standard deduction. Sec-16(ia) 50000 Sec-16(ia)
247.208
2HRA Exemption. Sections
Sec.10(13-A) Rented House Rent 0/
|Total Bas1c Pay 239680 Actual HRA Received 21560
Total DA 35968 olSec 10(13A)
Rent Paid minus10% Salary
Total HRAReceved 110259
21560 40% Salary (Basic+ D.A)
247,208
3 Deductions from Salary Income
Conveyance Allowance
Other Allowance 1,600
Profession Tax 1600 Sec.16(ii)
245,608
4 Income from Other Sources
Incorme from Short Term Capital gains
|Income from Pension / Family Pension
21,568
|Income from Savings Banks Interest
NPS Management Share Add 21568 80CCD-2
267,176
5Income or Loss from House Property Sec.24. <2,00,000
Rent fron House Property (A)
Municipal Tax Paid (B)
30% as Maintenance (C)
|Interest on Housing Loan (D)
267,176
6 Deductions U/S (80C, 80cCD-1= Limit to 1,50,000), 80CCD-2,, 80G, 80D, Section Gross Qualify
CPS APGLI GIS

SALARY and 21568 5650 120 80c 5770 27338 27,338

Other SAVINGS 80CCD-1 21568

|NPS Managerment Share Less 80CCD-2 21568 21568 21,568

E.W.F &SWF& CMR 80G 100 100

Medical Insurance Premium 80D 1800 1800 1,900

(Total Income) (5-6) Rounded nearest 10 rupees 216,370

7 Net Taxable Income
TENALI GUNTUR
KSS PRASAD
B
TOTAL Tax on (7) Income
Upto 2,50,000 NetTa
216370

No Tax

Less Tax Rebate

|Add Edu Ces6
Less Tay Relet

9 Advance Tax Deductions

01 Mar-22 To May-22
|Q2 Jun-22 Dec-22 Pad in Jan-23
To Aug 22 Q4
03 Sep 22 To Jan-23 Pad i Feb 23
NOv 22
Feb-23 Pad in Mar-23

10Total Tax to be Paid now (8-9) No Tax

Taz To be paid now

CENTRAL GOVERNMENT ACCOUNT

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO
(The employer is to provide tranction -wise details of tax deducted and deposted)
Transferocher
S TDS Date on
Surcharge Education Total Tax Cheque/DD BSR Code of Bank Which Tax /chalena
No Rs. Cess Deposited No. (if any) Branch Deposited Centficion Nio
Rs.
1
2

3
4

5
6

10
1
12

P PADMA KUMARI working in the capacity of

do hereby certify that the sum of Rs No Tax/ rupees in words
Panchayat Secretary Gr-IV
has been deducted at source
#VALUEI
that the information given above is true
and paid to the credit of the central Government. TTUrtner certity
account,documents and other available records
complete and correct based on the books of

Sign-
BOMMANACHERUVU Signature of the persan resppnsibl for deduction of tax
Place: Full Name PPADRAUWXSecretary
HommH.
Date:
8-Feb-24
Designation PanthayatSethetary trt (G.P.)
BOEkuvlEAEhnHAYAT,
Annammayya Dist.,A.R.

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