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
Certificate No. __________ Last updated on __/__/____
Name and address of the Employer Name and address of the Employee
SKYACH SOFTWARE SOLUTIONS PRIVATE LTD SMILEY
PAN of the Deductor TAN of the Deductor PAN of the Employee Employee Reference No. provided by the
Employer (If available)
AAQCS8163H AMRS17150A FDZPS1032K -
CIT (TDS) Assessment Year Period with the Employer
The Commissioner of Income Tax (TDS) From To
C.r. Building, Sector 17 E, Himalaya Marg, Chandigarh-160017 2016-17 01-Apr-2015 31-Mar-2016
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
Quarter(s) Receipt Numbers of original statements of TDS Amount paid/credited Amount of tax deducted Amount of tax
under sub-section (3) of section 200 (Rs.) deposited/remitted
(Rs.)
Q1 45000 Nil Nil
Q2 60000 Nil Nil
Q3 64000 Nil Nil
Q4 84000 Nil Nil
Total (Rs.) 253000 Nil Nil
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The Deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
S. No. Tax Deposited in Book identification number (BIN)
respect of the Deductee Receipt numbers of DDO Sequence Number in the Book Date on which tax Status of matching
(Rs.) Form No. 24G Adjustment Mini Statement deposited (dd/mm/yyyy) with Form No. 24G
Total (Rs.) Nil
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
S. No. Tax Deposited in Book identification number (BIN)
respect of the Deductee BSR Code of the Bank Date on which tax deposited Challan Serial Number Status of matching
(Rs.) Branch (dd/mm/yyyy) with OLTAS
Total (Rs.) Nil
Verification
I, RAHUL RANCHAL, son/daughter of SH working in the capacity of DIRECTOR (designation) do hereby certify that a sum of Rs. Nil [Rs. Nil (in words)] 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 PATHANKOT
Date (Signature of person responsible for deduction of tax)
Designation: DIRECTOR Full Name: RAHUL RANCHAL
TAN of Employer Name of Employee PAN of Employee Assessment Year
AMRS17150A SMILEY FDZPS1032K 2016-17
PART B (Annexure)
Details of Salary paid and any other income and tax deducted
1. Gross Salary
(a) Salary as per provisions contained in section 17(1) 253000.00
(b) Value of perquisites under section 17(2) (as per Form No. 12BA, wherever Nil
applicable)
(c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever Nil
applicable)
(d) Total 253000.00
2. Less: Allowance to the extent exempt under section 10 Nil
3. Balance (1-2) 253000.00
4. Deductions:
(a) Entertainment allowance Nil
(b) Tax on employment Nil
5. Aggregate of 4(a) and (b) Nil
6. Income chargeable under the head 'salaries' (3-5) 253000.00
7. Add: Any other income reported by the employee Nil
8. Gross total income (6 + 7) 253000.00
9. Deductions under Chapter VIA
(A) Sections 80C, 80CCC and 80CCD Gross Amount Deductible Amount
(a) Section 80C
(1) - 0.00 0.00 0.00
(b) Section 80CCC Nil Nil
(c) Section 80CCD Nil Nil
(B) Other Sections under Chapter VIA Gross Amount Qualifying Amount Deductible Amount
(a)
10. Aggregate of deductible amount under Chapter VIA 0.00
11. Total income (8 - 10) 253,000.00
12. Tax on total income Nil
13. Education cess @ 3% (on tax at S. No. 12) Nil
14. Tax payable (12+13) Nil
15. Less : Relief under section 89 (attach details) Nil
16. Tax payable (14-15) Nil
Verification
I, RAHUL RANCHAL, son/daughter of SH working in the capacity of DIRECTOR (designation) do hereby certify that the information given above is true, complete and
correct and is based on the book of accounts, documents, TDS statements, and other available records.
Place PATHANKOT
Date (Signature of person responsible for deduction of tax)
Designation: DIRECTOR Full Name: RAHUL RANCHAL
