IT FORM Nursing SuptI 2016.1

INCOME TAX CALCULATION STATEMENTFINANCIAL YEAR 2015-2016 ASSESSMENT YEAR 2016-2017

NAME : TMT T.RAMESWARI PAN NO:

DESIGNATION : STAFF NURSE TAN NO:

OFFICE : GOVT.RAJAJI TB HOSPITAL,TRICHY-1. F/TPF/CPS

S.No. Details1 Total Salary with all allowances including allowances2 Less: HRA exempt u/s 10 (13)A and Rule 2A

a) Actual Rent Paid 12 X =b) 10% of Pay + DAc) Excess over 10% (a-b)d) HRA received( The actual HRA exemption shall be the least of c , d )

3 Salary after the relief under HRA ( 1 - 2 )4

(for houses constructed after 1.4.99 )..(max.2,00,000)5 Salary after the relief under section16(iii)and 24(b) ..(3-4)6 ADD : Other income including NSC accrued interest7 Gross total Income (5+6)8 Less: Housing Loan interest Paid U/S 24(b) (Max.Rs.2,00,000/-)9 Deductions Under Chapter VI A Amount

U/s 80C

51504

3601680

05940

g.NSC accruited Interest 0h.Housing Loan -Principal amount paid 105701

00

U/s 80CCC Insurance -Pension scheme(Max Rs.100000) 0U/s 80CCD Central Govt.Pension Scheme 0

Total 165185Total ( The actual amount paid under sections 80C,80CCC

and 80CCD or Rs. 1.5 lakh whichever is less)Other Deductions Under Chapter VI Au/s 80 D Medical Insurance Premia-(max.10000 senior 15000)u/s 80DD Medical-dependent-(max Rs.50000, severe Rs. 75000)u/s80DDB Medical -self, dependent(max Rs.40000,senior 60000)u/s 80E Repayment of Educational Loan ( Max 40000)u/s 80G Donations (50% or 100 %)(CMPRF,Tsunami,flood,Cyclone, etc-100%)

u/s 80U Physically Handicapped(>50 %50000, >80%severe 75000)Grand Total Deductions Under Chapter VI A

a)Less: Professional Tax Paid u/s 16 (iii)b)Less:- HBA Interest paid u/s 24(b) max 30,000

a.Contribution to GPF/TPF/CPSb.Contribution to PPFc.Contribution to FPF d.Contribution to SBFe.Investment in NSC/NSSf.Premium paid for PLI

i.Tuition fees for two childrenj.Premium paid for LIC

INCOME TAX CALCULATION STATEMENTASSESSMENT YEAR 2016-2017

ASEPR8184Q

CHEGO8730B

7022454/MEDL

Amount Amount568348

00

5683482500

119423

4464250

446425446425

150000

1800000

14990

153299 153299

S.No. Details10 Net Taxable Income as shown in col 8

11 LESS:Total deuctions under Chapter VI A as per col.912 Net taxable Income ( 9 - 10 )

(rounded to the nearest ten rupees) Rounded Figure13 Total Tax

Taxable amount Male Female Amount Tax(I) 000000-2,50,000 0% 0% 250000 0(ii) 2,50,001-5,00,000 10% 10% 43130 4313(iv)5,00,001-10,00,00 20% 20% 0 0(v) 10,00,001 & above 30% 30% 0 0

Total (Rounded to Nearest One Rupee) 4313

14 Less: Relief u/s 89 (for previous years arrear salaries)

15 Tax Payable (col 12 - 13 )

16 Add:Surcharge @ 10% ( When total income exceeds 10 lakhs)

17 Tax including surcharge ( col 14 +15)

18(if Total taxable income does not Exceed Rs 500000 - 2000)

19 Net Tax Payable

20Total Cess 3%

21 Total Tax Payable

22 Less: Tax so far deducted

23 Balance Tax to be deducted at source or to be refunded.(minus symbol on the above denotes amounts to be refunded)

Certificate1.Certified that I am occupying a house allotted by PWD/TNHB on on payment of Rs. p.m2.Certified that I am occupying a rental house paying a monthly rent of3.Certified that I am paying a sum of towards Life insurance premiumand the policies are kept alive.

Station :

Signature of the Assessee

Date :

Signature of the Pay drawing Authority

LESS: TAX REBATE u/s 87 A

Add: Education Cess @ 2% on Tax with surchargeAdd: Higher Education Cess @ 1% on Tax with surcharge

I hereby authorise the drawing and disbursing officer to deduct the balance amount of tax from my February month salary

Amount Amount446425

153299293126293130

0

4313

4313

4313

2000

2313

4623

69

2382

0To be…Deducted 2382

2382Certificate

1.Certified that I am occupying a house allotted by PWD/TNHB on on payment of Rs. p.m2.Certified that I am occupying a rental house paying a monthly rent of3.Certified that I am paying a sum of towards Life insurance premiumand the policies are kept alive.



Particulars of LIC / ULIP / PLI

S.No Policy Number Name of the Company

12345

Particulars of PLI1234

Particulars of N.S.CS.No Name of Post Office Issue No

Particulars of N.S.C

S.NoN.S.C & Name of Post Office

Particulars about the Payment of Tution Fees

S.No

Details of Fixed Deposits

S.No Date Bank Receipt No

Place:

Signature of the AssesseeDate:

Name of the insured & Relationship

Name of Policy

Date of Purchase of the NSC

Name of the Childand the course

Name of the schoolor college

Particulars of LIC / ULIP / PLI

Particulars of PLI

Total

Particulars of N.S.CN.S.C No Amount

Total 0

Particulars of N.S.C

Amount

Total 0

Particulars about the Payment of Tution Fees

Total 0

Details of Fixed Deposits

Amount

Total 0


Amount Insured

Annual Premium Paid

Rate of Interest

Date ofPayment

Amount Paid

Period / years

PAY DRAWN PARTICULARS FOR THE PURPOSE OF INCOME TAX -2015-2016

NAME :TMT T.RAMESWARI DESIG:STAFF NURSE GPF/TPF/CPS No :7022454/MEDL

OFFICE :GOVT.RAJAJI TB HOSPITAL,TRICHY TAN :CHEGO8730B PAN :ASEPR8184Q

PAY AND ALLOWANCES OFFICIAL DEDUCTIONS FROM THE SALARY

Pay G.P PP DA HRA+CCA MA others CA TOTAL FBF NHIS SSA PLI I.T I.T Cess

Mar-15 14990 4450 0 20801 1600 100 500 290 0 42731 4024 140 30 150 1674 495 0 0

Apr-15 14990 4450 0 20801 1600 100 500 290 0 42731 4024 140 30 150 1674 495

May-15 14990 4450 0 21967 1600 100 500 290 0 43897 4141 140 30 150 1674 495

Jun-15 14990 4450 0 21967 1600 100 500 290 0 43897 4141 140 30 150 1674 495

Jul-15 14990 4450 0 21967 1600 100 500 290 0 43897 4141 140 30 150 1674 495

Aug-15 14990 4450 0 21967 1600 100 500 290 0 43897 4141 140 30 150 1674 495

Sep-15 14990 4450 0 21967 1600 100 500 290 0 43897 4141 140 30 150 1674 495

Oct-15 15580 4450 0 23836 1720 100 500 290 0 46476 4387 140 30 150 1674 495

Nov-15 15580 4450 0 23836 1720 100 500 290 0 46476 4387 140 30 150 1674 495

Dec-15 15580 4450 0 23836 1720 100 500 290 0 46476 4387 140 30 150 1674 495

Jan-16 15580 4450 0 23836 1720 100 500 60 0 46246 4387 140 30 150 1674 495

Feb-16 15580 4450 0 23836 1720 100 500 290 0 46476 4387 140 30 150 1674 495 0 0

Total 182830 53400 0 270617 19800 1200 6000 3250 0 537097 50688 1680 360 1800 20088 5940 0 0 0

ARREARS DRAWN PARTICULARSD.A 1 4664 4664 466

D.A 2 4084 4084 350

E.L.S 21503 21503

BONUS 1000 1000

Arr.1 0 0

Arr.2 0 0

Arr.3 0 0

TOTAL 205333 53400 0 279365 19800 1200 6000 0 0 568348 51504 1680 360 1800 20088 5940 0 0 0

Pay,PP,SP.GP DA 10% of Pay +DA236230 270617 506847 50685

Signature of the Assessee Signature of the Pay drawing Authority

Month & Year

SplAll

GPF/CPS/TPF

SPF/ SPF 2000

1 NAME :

2 DESIGNATION:

3 GPF/TPF/CPS No :

4 OFFICE :

5 TAN NO :

6 PAN NO :7 BASIC PAY

Mar-15Apr-15

May-15Jun-15Jul-15

Aug-15Sep-15Oct-15Nov-15Dec-15Jan-16Feb-16

8 GRADE PAY

9 P.P

10 HRA+CCA

11 D.A 1

12 D.A 2

13 E.L.S

14 BONUS

15 Arr.1

16 Arr.2

17 Arr.3

18 Professional Tax Paid19 HOUSE BUILDING ADV Interest paid

U/s 80C

20

21 e.Investment in NSC/NSS

22 g.NSC accruited Interest23 h.Housing Loan - Principal amount paid

IT FORM VERION 2016.1- ENTRY PAGE(enter your data's in yellow box)

f.Contribution to PLI (ONE MONTH ONLY)

24 i.Tuition fees for two children

25 j.Premium paid for LIC

26

27 U/s 80CCD Central Govt.Pension Scheme

28

29

30

31

32

33

34 IT ADVANCE PAID IF ANYMar-15Apr-15

May-15Jun-15

Jul-15

Aug-15

Sep-15

Oct-15

Nov-15

Dec-15

Jan-16

Feb-1635

CPS ARREAR IF ANYMar-15Apr-15

May-15Jun-15Jul-15

Aug-15Sep-15Oct-15Nov-15

U/s 80CCC Insurance -Pension scheme(Max Rs.100000)

u/s 80 D Medical Insurance Premium(Max.10000 senior 15000)

u/s 80DD Medical-dependent(Max Rs.50000, Severe Rs. 75000)

u/s 80DDB Medical - Self, dependent(Max Rs.40000,senior 60000)

u/s 80E Repayment of Educational Loan (Max 40000)

u/s 80G Donations (50% or 100 %)(CHIEF MINISTER'S PUBLIC RELIEF FUND,Tsunami,flood,Cyclone, etc-100%)

u/s 80U Physically Handicapped (>50 % 50000, >80% Severe 75000)

35

Dec-15Jan-16Feb-16

35 ENTER UR GPF AMOUNT

www.kalvisolai.come.mail id : [email protected]

TMT T.RAMESWARI

STAFF NURSE

7022454/MEDL

GOVT.RAJAJI TB HOSPITAL,TRICHY

CHEGO8730B

ASEPR8184Q

14990 enter your data14990 enter your data14990 enter your data14990 enter your data14990 enter your data14990 enter your data14990 enter your data15580 enter your data15580 enter your data15580 enter your data15580 enter your data15580 enter your data

4450 enter your data

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U/s 80C

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IT FORM VERION 2016.1- ENTRY PAGE(enter your data's in yellow box)

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IT ADVANCE PAID Cess 3%enter your data

4000 120 enter your data4000 120 enter your data

4000 120 enter your data








0 0 enter your data

CPS enter your data

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IT FORM Nursing SuptI 2016.1

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