FIRST NAME Pranab

MIDDLE NAME Kumar

LAST NAME Bandyopadhyay

DESIGNATION Snr.Accounts Clerk

Permanent A/C No.(PAN NO)

Gender ( Male or Female ) MaleNo

DATE OF BIRTH

EMPLOYEE'S RESIDENTIAL ADDRESS

Flat/Door/Block No.

Village

Post Office:

Area/Locality:

If you live in Metro City Type Yes ,else Type No No

District:

PIN CODE:

State:

Designation of Assessing Officer ( Ward/Circle)

Date of Submit this RETURN

First Fill the Pay Sheet Office Address

STATUS- Govt/PSU/Others DIN NO

Name & Address of the Deductor Pan No. of DeductorName & Address of the Employer Tan No. of Employer

Income Tax Preparation(Quarterly/Annualy) FOR Financial YEAR 2010-11 This Calculation sheet Only for West Bengal Govt. Employees Prepared by Pranab Banerjee,Kalisthanpara, Jiaganj,Murshidabad,W.B.,

pranab.banerjee83@gmail.com or 9474316768, 8906279547,

Note:-If any discrepency is arise about calculation of income Tax,I am

not responsible for that

New I T R -I ,For Assessment Year 2011-2012,which recent published by the MINISTRY OF FINANCE(Deptt.of

Revenue)Central Board of Taxes,New Delhi. Notification Dated 23/04/2010 in the Gazette of India Extraordinary,Part-II, Section 3,

(Sub Sec(ii)]

If Handicapped Employee Pl. put "Yes" If General put "No"

This Auto Income Tax Calculation Software only for West Bengal Govt Employees. As the D.A. is not mached with other State or Central Govt Employees.(In this Software Prepared Salary Statement+Form-16 + ITR-I + Form 10E)

PARTICULARS OF SALARY

281392 This Cell is Auto filled( The Data Comes from Pay Sheet)

Total Income from Salary( This Cell Auto filled) 279832 This Cell is Auto filled (The Data comes from Pay Sheet)

114183

1 Deduction under chapter VI-A (LIC,PF,Tuition Fees,H.B.Principal):80C (Maximum Deposit Rs.1,00,000)+20,000/- Flixible Bond

2 a) G.P.F. 48000

b) P.P.F 0

3 c) L.I.C. 38000

4 d) N.S.C.

5 e) H.B. Loan Principal 12600

6 f) GROUP INSURANCE (G.I.) 480

7 g)New Flexible Tax Savings Bond ( Maximum Rs. 20,000/-) 0

h)Equity linked savings scheme/tax savings bond etc. 0

8 i) Tuition Fees

999080

10 Income from Bank Interest/N.S.C/Others Source

11 Income from House Property

12 80G Donation in Charitable Fund Maximum 100% of donation)

13 80D

14 80E For Higher Education Loan

15 80DD Medical treatment for self or dependent as Handicapped

16 80DDB 0 Medical Treatment for self or dependent for sever desease

Gross Income from Salary (Salary+H.R.A.+Bonus+Arrear if any+Int.Bank/NSC+House Property)

Taxable income of financial year 2008-09 (Col-11) of Form No. 16

( For Financial Year 2008-2009) ) For Calculating Form 10E

For Calculation of Arrears Relief U/s 89(1). Put your Taxable Income of 2008-2009

DEDUCTION ONLY U/S 80C, 80CC (MAXIMUM LIMIT NOT EXCCEED RS.1,20,000/- including New Tax

Savings Bond(Max Rs.20000/-)

TOTAL DEDUCTION U/S 80C Max. Rs 1,00,000/- + 20,000 Infrustructure Bond, Total Rs.1,20,000/-

Total Deduction U/S 80C (Max.limit 1,00,000/-) + 20,000/- New declared Infrustructure Bond

Premium in health insurance of self,spouse,children,dependent,Maximum Rs 15000/-

17 80CC Deposit in Pension Fund (Maximum Rs. 1,00,000/-

18 80CCD New Pension Scheme (Maximum 10% or Salary)

19 House Rent Paid 72000 For Rented House. Must Submit the receipt of House Rent.

20 Conveyance Allowances U/s 10(14)(i) 0 Maximum Rs. 9600 P.A.

21 80U Permanent disability including blindnes as handicapped(Max Rs.75000/-)

TOTAL DEDUCTION CHAPTER VI-A Rs. 99080 TOTAL DEDUCTION CHAPTER VI-A Rs.

22 Arrear Received if any 15703 Auto Filled Cell [the Data Comes Pay Sheet]

23 Relief under Section 89(1) 1,617 Auto Filled Cell [the Data Comes 10E ]

EMPLOYEE'S RESIDENTIAL ADDRESS

First Fill the Pay Sheet

Income Tax Preparation(Quarterly/Annualy) FOR Financial YEAR 2010-11 This Calculation sheet Only for West Bengal Govt. Employees

Prepared by Pranab Banerjee,Kalisthanpara, Jiaganj,Murshidabad,W.B., pranab.banerjee83@gmail.com or 9474316768, 8906279547,

New I T R -I ,For Assessment Year 2011-2012,which recent published by the MINISTRY OF FINANCE(Deptt.of

Revenue)Central Board of Taxes,New Delhi. Notification Dated 23/04/2010 in the Gazette of India Extraordinary,Part-II, Section 3,

(Sub Sec(ii)]

This Auto Income Tax Calculation Software only for West Bengal Govt Employees. As the D.A. is not mached with other State or Central Govt

(In this Software Prepared Salary Statement+Form-16 + ITR-I + Form 10E)

PARTICULARS OF SALARY

This Cell is Auto filled( The Data Comes from Pay Sheet)

This Cell is Auto filled (The Data comes from Pay Sheet)

264129

Deduction under chapter VI-A (LIC,PF,Tuition Fees,H.B.Principal):80C (Maximum Deposit Rs.1,00,000)+20,000/- Flixible Bond

Donation in Charitable Fund Maximum 100% of donation)

For Higher Education Loan

Medical treatment for self or dependent as Handicapped

Medical Treatment for self or dependent for sever desease

DEDUCTION ONLY U/S 80C, 80CC (MAXIMUM LIMIT NOT EXCCEED RS.1,20,000/- including New Tax

Savings Bond(Max Rs.20000/-)

Total Deduction U/S 80C (Max.limit 1,00,000/-) + 20,000/- New declared Infrustructure Bond

Premium in health insurance of self,spouse,children,dependent,Maximum

Deposit in Pension Fund (Maximum Rs. 1,00,000/-

New Pension Scheme (Maximum 10% or Salary)

For Rented House. Must Submit the receipt of House Rent.

Maximum Rs. 9600 P.A.

Permanent disability including blindnes as handicapped(Max Rs.75000/-)

TOTAL DEDUCTION CHAPTER VI-A Rs.

Auto Filled Cell [the Data Comes Pay Sheet]

D.A. H.R.A. M.A. Bonus G.P.F. P.Tax G.I.S.

Mar-10 14850 0 0 0 3267 22% 2228 300 1000 15703 20645 4000 130 40 1050 0 ###

Apr-10 14850 0 0 0 4010 27% 2228 300 21388 4000 130 40 10500

May-10 14850 0 0 0 4010 27% 2228 300 21388 4000 130 40 10500

Jun-10 14850 0 0 0 4010 27% 2228 300 21388 4000 130 40 10500

Jul-10 15300 0 0 0 4131 27% 2295 300 22026 4000 130 40 10500

Aug-10 15300 0 0 0 4131 27% 2295 300 22026 4000 130 40 10500

Sep-10 15300 0 0 0 4131 27% 2295 300 22026 4000 130 40 10500

Oct-10 15300 0 0 0 4131 27% 2295 300 22026 4000 130 40 10500

121

Nov-10 15300 0 0 0 4131 27% 2295 300 22026 4000 130 40 10500

100

Dec-10 15300 0 0 0 5355 35% 2295 300 23250 4000 130 40 10500

100

Jan-11 15300 0 0 0 5355 35% 2295 300 23250 4000 130 40 10500

100

Feb-11 15300 0 0 0 5355 35% 2295 300 23250 4000 130 40 10500

100

TOTAL 181800 0 52017 27272 3600 1000 15703 264689 48000 1560 480 12600 0 ### 521

Pay Calculation Sheet for -Income Tax Calculation ,for the financial year 2010-2011, Assessment Year 2011-12 Only For West Bengal Govt Employees

MONTH &Year

Basic +Grade

Pay

Conv. Allown.

If any

Others Allwnc

Spl. Allwnc

Put D.A. Rate of

%

Arrears Received

TOTAL

(ExcludingBonus+ Arrears)

H.B. Loan. Princpl

H.B.Int Paid

TUTION FEES

Advance Income tax Paid

Pre

par

ed b

y P

ran

ab B

aner

jee,

Kal

isth

anp

ara,

Jiag

anj,

Mu

rsh

idab

ad, W

est

Ben

gal

THIS SHEET IS NOT FOR PRINT. THIS SHEET IS REQUIRED ONLY PAY CALCULATION FOR ONE YEAR

Auto Salary Statemenr

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2010-2011ASSESSMENT YEAR 2011-2012

A. Name & Designation of the Assesses Pranab Kumar Bandyopadhyay B. Residential Address - - - Pin Code No. - C. Pan Card No. - 1 a) Salary income with allowance excluding H.R.A.:-……………………… Rs. 237417

b) House Rent Allowance :-…………………………………………………… Rs. 27272

c) Bonus :-………………………………………………………………………… Rs. 1000

d) Arrear,if any :-…………………………………………………………………… Rs. 15703

2 Any other income as stated by the Assesses :-a) Income from N.S.C./Bank interest etc:-…………………………………… Rs. 0

b) Income from House Property:-……………………………………………… Rs. 0

3 Gross Income(Col.1 + 2 ) :-…………………………………………………… Rs. 281392

4 Interest paid as H.B.Loan (1.5 Lacks maximum) U/S 24(B):-………… Rs. 0

5 Professional Tax U/S 16(iii) :-………………………………………………… Rs. 1560

6 Exemption of Conveyance Allowances U/s 10(14)(i)[Max.Rs 9600/-P.A. 0

7 Exemption U/S 10(13A) :- ###

a) H.R.A.Received :-………………………………………… Rs. 27272b) House Rent paid :-…………………………………………………… Rs. 72000 ###

c) Expenditure on rent in excess of 50% of B.Pay In Metropol City ors 40%................. 72,720 Rs. 72,720 10% of B.Pay ………………………………………………… 53,820 Rs. 53820e) Amount exempted (Least of a,c):- - Rs. 0 Rs. 0

8 Total Income(Col.3-4-5-6-7) :-…………………………………………………… Rs. 279832

9 Deduction U/S 80 C (Maximum Rs.1,20,000/- including T.Svngs Bond) ###

a) Contribution to G.P.F.:- ……………………………………………. Rs. 48000 ###

b) Contribution to P.P.F…………………………………………………… Rs. 0b) Group Insurance Savings Scheme :-………….. Rs. 480 ###

c) L.I.C./P.L.I./U.Lip Premiam paid(including Notified Charg of H.R.A

(Pension Scheme for maximum Rs.10,000/-:-)………………….. Rs. 38000d)Purchase of N.S.C. :-………………………………………….. Rs. 0e) Amount paid as excluisively tuition fees to anyUniversity/College/School for maximum of twoChildren( 2 )Maximum Rs.1,00,000/-) Rs. 0f) Payment of H.B.Loan (Principal) :- Rs. 12600g) Nes Flexible Bond Max Rs. 20,000/-)………………………………… Rs. 0g) Equity linked savings scheme/tax savings bond etc.{Max-20000/-) Rs. 0 ###

h) Others, if any as notified :- 80DDB 0 ii)80G 0 ###

80U 0 iii)80DD 0 iv)80D 0 v)80E 0 ###

10 Total Amount Deducted (a to h) :-……………………………………….. Rs. 99080 Rs. 99080

11 Taxable Income (8-10) :-[Rouned to the next 10]……………….. Rs. 180760

12 i) Upto Rs.1,60,000/- Tax Nil, (ii)Rs.1,60,001/-to 5,00,000/-Tax 10%(iii) 500000 -8000020%, iv)Rs.8,00,001/-to Onwards Tax 30%, For Female Up to 190000/- Tax NIL

13 Total Tax :-……………………………………………………………………… Rs. 2,076

14 3% Educational cess on tax :-…………………………………………………… Rs. 62

15 Tax Payable including educational cess(Col.12+13) :-………………….. Rs. 2,138

16 Relief U/S 89(1)[Arrears Relief from Salary] Rs. 1,617

17 Net Tax Payable ( 13-14) Rs. 521

18 Tax Paid from Salary Anually or Monthwise……………………………………………… 521

19 Balance Tax Payable/Refundable……………….. ………………………………….. Rs. 0

###

Date:- Signature of the employeeDesignation

Snr.Accounts Clerk

Salary Statement for the Year 2010-2011

Salary Statement of Sri Pranab Kumar Bandyopadhyay

D.A. H.R.A. M.A. G.P.F. P.Tax G.I.S. H.B.Int Paid

Mar-10 14850 0 0 0 3267 2228 300 4000 130 40 1050 0 0

Apr-10 14850 0 0 0 4010 2228 300 4000 130 40 1050 0 0

May-10 14850 0 0 0 4010 2228 300 4000 130 40 1050 0 0

Jun-10 14850 0 0 0 4010 2228 300 4000 130 40 1050 0 0

Jul-10 15300 0 0 0 4131 2295 300 4000 130 40 1050 0 0

Aug-10 15300 0 0 0 4131 2295 300 4000 130 40 1050 0 0

Sep-10 15300 0 0 0 4131 2295 300 4000 130 40 1050 0 0

Oct-10 15300 0 0 0 4131 2295 300 4000 130 40 1050 0 121

Nov-10 15300 0 0 0 4131 2295 300 4000 130 40 1050 0 100

Dec-10 15300 0 0 0 5355 2295 300 4000 130 40 1050 0 100

Jan-11 15300 0 0 0 5355 2295 300 4000 130 40 1050 0 100

Feb-11 15300 0 0 0 5355 2295 300 4000 130 40 1050 0 100

TOTAL 181800 0 0 0 52017 27272 3600 48000 1560 480 12600 0 521

Dated:- Signature of Employee

Designation:-

Snr.Accounts Clerk

MONTH &Year

Basic +Grade

Pay

Conv. Allown. If any

Others Allwnc

Spl. Allwnc

H.B. Loan. Princpl

Advance Income tax Paid

FORM NO.16

PRART A

Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source from Salary

Name and address of the Employer Name and designation of the employee

- Pranab Kumar Bandyopadhyay

PAN NO.of Deductor PAN NO. of the Employee DIN NO

- - - -

CIT (TDS)Assessment Year

Period

Address - From To

- 2011 2012 1/4/2010 31/3/2011

City - Pin Code -

Quarter

Q 1

Q 2

Q 3

Q 4TOTAL

PART B (Refer Note )

Details of Salary Paid and any other income and tax deducted

1 Gross Salary IN RUPEES IN RUPEES IN RUPEES

(a) 281392

(b) 0

(c) 0

(d) TOTAL 281392

2

Allowance Rs.

0

0 0

3 Balance(1-2) Rs. 2813924 Deductions :

(a) 0

(b) Tax on employment 1560

5 Aggregate of 4(a) to (b) 1560

6 279832

7 ###

a)Income form N.S.C./Bank int.etc. Rs. 0 ###

8 Gross total income (6+7) Rs. 279832

[See rule 31(1)(a)]

Snr.Accounts Clerk

TAN No.of the Deductor

Receipt Numbers of original statements of TDS under sub-

section (3) of section 200

Amount of tax deducted in respect of the employee

Amount of tax deposited remitted in respect of the employee

Salary as per provisions contained in section 17(1)

Value of perquisites under section 17(2)(as per Form No. 12BA,wherever applicable)

Profits in lieu of salary under section 17(3)(as per Form No. 12BA, wherever applicable)

Less: Allowance to the extent exempt u/s 10

HRA Exempt( U/s 10(13A)Conv.Alw.exempt(U/s 10(14)(i)

H.B.Loan Int.(Max-1,50,000/-) u/s 24(B)

Income chargeable under the head 'salaries' (3-5) Add: Any other income reported by the employee

9 Deductions under Chapter VIA

A Deductible Amount Rs.

(a)(i)Sec.80C-G.P.F. Rs. 48000(ii)P.P.F. Rs. 0(ii) G.I.S. Rs. 480

Rs. 38000

(iv) H.B.L.(Principal) Rs. 12600 99080 99080

B Gross Amount Deductible Amount Rs.

(a) Section 80 E Rs. 0 0(b) Section 80 G Rs. 0 0© Section 80U Rs. 0 0(d) Section 80DD Rs. 0 0(e) Section 80D Rs. 0 0f) Section 80CC Rs. 0 0G) Section 80DDB Rs. 0 0

10 99080

11 Total Income (8-10) 18075212 Tax on total income 2,07613 Surcharge on col.12 0

14 Education & cess @3% on col.no.12 6215 Tax payable (12+13+14) 213816 Relief U/s 89(1) 1,61717 52118 Less (a) Tax deducted at source 521

19 Refundable Tax payable 0

Verification

I son/daughter of

working in the capacity of(designation do hereby certify that a sum of Rs [Rs.

(in words)] has been deducted and deposited to the credit of the Central Governement. I further

certifify that the information given about is true, complete and correct and is based on the books of account, documents, TDS

statement ,TDS deposited and other available records.

Place:-

Date:- Signature of person responsible for deduction of tax

Full Name:-

Note:-

1 If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A

of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each

of the employers. Part B may be issued by each of the employers or the last employer at the option of the

assessee.

U/s 80C (Aggregate amount Max.Rs.1,20,000/-)

Gross Amount

(iii) L.I.C.+P,L.I.+U.LIP+Tuition Fees+NSC+Tax Savings Bond

Other sections e.g.,80E,80G,etc under chapter VI

Qulfy amount

Aggregate of deductible amount under Chap. VIA

Tax payable/refundable (15-16)

Net Tax col.No.17-18)

Designation

2 Government deductors to enclose Annexure-A if tax is paid without production of an income-tax challan and Annexure-B if tax is paid accomanied by an income-tax challan.

3 Non-Government deducto5rs to enclose Annexure-B

4 The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdictionas regards TDS statements of the assesee.

5 This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.

ANNEXURE-A

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENT5RAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY

(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

Sl.No Book Identification Number (BIN)

Note:-1. In the column for TDS, give total amount for TDS,Surcharge(if applicable) and education cess.

ANNEXURE-BDETAILS 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 employee)

Sl.No

Challan Identification Number ( C I N )

BSR Code of the Bank Branch

1 - - -

2 - - -

3 - - -

4 - - -

5 - - -

6 - - -

7 - - -

8 121 28/11/2010 8

9 100 28/12/2010 9

10 100 28/1/2011 10

Tax Deposited in respefct on of the employee (Rs.

Receipt Numbers of Form No 24G

DDO Sequence Number in the Book Adjustment Mini

Statement

Date on which tax deposited

(dd/mm/yy)

Tax Deposited in respect on of the employee (Rs.) Date on which tax deposited

(dd/mm/yy)Challan Serial

Number

11 100 28/2/2010 11

12 100 28/3/2010 12

Total 521

1 In the Column for TDS, give total amount for TDS, Surcharge(if applicable) and education cess

1

FO

RM

INDIAN INCOME TAX RETURN Assessment Year

2 0 1 1 - 1 2

(Please see Rule 12 of the Income-tax Rules, 1962)(Also see attached instuctions)

PER

SO

NA

L I

NFO

RM

ATIO

N

First name Middle name Last name PAN NO DIN NO

Pranab Kumar - - Flat /Door/Block No. Name Of Premises/Building/Village Date of Birth

- - 12/30/1899

Road/Street/Post Office Area/Locality Employer Category √

- - √ Govt. PSU Others

Town/City/District State Pin code Employer Category

- - - √ male√ -

Email Addrs. (STD Code) - Phone Number

FIL

ING

STA

TU

S

Designation of Assessing Officer (Ward/Circl Return Filed Under Section- 1 1

- [Please see instruction number-9(i)]

Whether original or Revised return? (Ti √ √ Original Revised

ORIGINAL

Original return(DD/MM/YYYY) -

Residential Status (Tick√ √ Resident Non-Resident Resident but not ordinarily Res

INC

OM

E &

DED

UC

TIO

NS

1 Income chargeable under the Head 'Salaries',Pension 1 279832

2 Income chargeable under the Head 'House Property'(enter-ve sign in case 2 0

3 3 0

4 4 2798325 Deductions under chapter VIA (Section

a 80C 99080 e 80DD 0 I 80GG

b 80CCC 0 f 80DDB 0 j 80GGA

c 80CCD g 80E 0 k 80GGC

d 80D 0 h 80G 0 l 80U 0

6 Deductions (Total of 5a to5i) 6 99,080

7 Total Income (4-6) 7 180752

TA

X C

OM

PU

TA

TIO

N

8 Tax Payable on 'Aggregate Income' 8 2076 ###9 Education Cess on (on 8) 9 62

### Total Tax, Surcharge and Education cess payable (8 ### 2138### Relief under Section 89 ### 1,617 ###### Relief under Section 90/91 ### 0

### Balance Tax Payable (10-11-12) ### 52114 Total interest payable u/s 234A/234B/234C ### 0

### Total Tax and Interest payable (12+13) ### 521Seal and signature of receiving official

Receipt No.

Date

SARAL-II (ITR-I)

[For Individual having Income from Salary/Pension/income from One House Property(Excluding loss brought forward from previous

years)/Income from Other Sources (Excluding Winning from Lottery and income from Race Horses)]

Bandyopadhyay

If revised, enter Receipt No and Date of filing original return (DD/MM/YYYY)

Income chargeable under the Head 'Other Sources' (enter-ve sign in case of loss, if any)Gross Total Income (1+2+3)

Do not write or stamp in this areas for office use only

2

TA

XES

PA

ID16 Taxes Paid

a Advance Tax (from item 25) 16a 0

b TDS (column 7 of item23+column 7 of i 16b 521

c Self Assessment Tax (from item 2 16c 0

17 Total Taxes paid (16a+16b+16c) 17 521

18 18 0 ###

REFU

ND

19 19 0

20 Enter your bank account number (mandatory in case o 0

21 Do you want your refund by or √

22 Give additional details of your bank account

MICR Code 0 √ Savings

23 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

TD

S O

N S

ALA

RY TAX

-

(1) (2) (3) (4) (5) (6) (7) (8)

- - 279,832 99,080 521 521 0

24 Details of Tax Deducted at Source other than salary

TD

S O

N I

NTER

ES

T

(1) (2) (3) (4) (5) (6) (7)

- -

-

- NOTE Enter the total of column (7) of 23and column (7) of 17 of TAXES PAID

25 Details of Advance Tax and Self Assessment Tax Payments

TA

X P

AY

MEN

TS BSR Code Amount (Rs.)

(i)

(ii)

(iii)

(iv)NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.17 of TAX -

26

Sl. Code Amount (Rs.) Sl. Code Amount (Rs.) Sl Code Amount (Rs.)

a 001 e 004 h 007

b 002 f 005 i 008

c 003 g 006 j

27 Exempt income only for reporting purposes(from Dividend, Capital 27

VERIFICATION

I, son/ daughter of solemnly

Place Date Sign here

28 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below :

Identification No. of TRP Name of TRP Counter Signature of TRP

Tax payable(15-17)(enter if 15 is greater than 17, else leave blank)

Refund (18-17) (enter if 15d is greater than 14, also give Bank account details below)

cheque deposited directly into your bank account? (tick as applicable

Type of Account (tick as applicable)

Sl No

Tax Deduction Account Number(TAN) of the Employer

Name and address of the

Employer

Income chargeable under the head salaries

Deduction under

Chapter VI-A

Tax payable

(incl. surch. And edn. Cess)

Total tax deposited

Refundable

Sl No

Tax Deduction Account

Number(TAN) of the Deductor

Namee and address of the

Deductor

Amount paid/ credited

Date of Payment /Credit

Total tax deposited

Amount out of

(6) claim for this year

Sl No

Name of Bank & Branch

Date of Deposit (DD/MM/YYYY)

Serial Number of Challan

Other Information (Transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)

declare that to the best of my knwledge and belief, the information given in the return thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and in accordance with the provisions of the Income -tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the Assessment Year 2010-11

2

29 29If TRP is entitled for any reimbursement from the Government, amount thereof (to be filled by TRP)

Government of India

INCOME TAX DEPARTMENT ACKNOWLEDGEMENT

Received with thanks form: Pranab Kumar Bandyopadhyay a return of income &/return of fringe benefits in Form No ITR - 1 for assessment year 20011-2012, having the following particulars:

PE

RS

ON

AL

IN

FO

RM

AT

ION Name Pan No. DIN NO

Pranab Kumar Bandyopadhyay - -

Flat/Door/Block No: Name of Premises/Building/Village:

- -

Road/Street/Post Office: Area/Locality:

- -

Town/City/District: State: Status(fill the code)

- - - 11

Designation of Assessing Officer Original/Revised Original

1 Gross total income 1 279832

2 Deduction under Chapter-VI-A 2 99080

3 Total Income 3 180752

4 Net tax payable 4 521

5 Interest payable 5 0

6 Total tax and interest payable 6 521

7 Taxes paid

a Advance Tax 7a -

b TDS 7b 521

c TCS 7c -

d Self Assessment Tax 7d -

e Total Taxes paid (7a+7b+7c+7d) 7e 521

8 Tax payable (6-7e) 8 - ###

9 Refund (7e-6) 9 - ###

10 Value of Fringe Benefits 10 NA

11 Total fringe benefit tax liability 11 NA

12 Total interest payable 12 NA

13 Total tax and interest payable 13 NA

14 Taxes paid NA

a Advance Tax 14a

b Self Assessment Tax 14b

c Total Taxes paid (14a+14b) 14c NA

15 Tax payable (13-14c) 15 NA

16 Refund (14c-13) 16 NA

Receipt No. Seal and Signature of receiving official:

Date:

CO

MP

UT

AT

ION

OF

INC

OM

E &

TA

X T

HE

RE

ON

Co

mp

uta

tio

n o

f In

co

me

&

Fri

ng

e B

en

efi

ts &

Ta

x T

he

reo

n

FORM NO.10 E[See rule 21AA]

1 Name and address of the employee Pranab Bandyopadhyay

2 Permanent account number 0

3 Residential status PERMANENT RESIDENT

1 (a) 15703(b)

Not Applicable

(c)

Not Applicable

(d)Not Applicable

2ANNEX-I

…………………………………………..Signature of the employee

Verification

I, _______,do hereby declare that what is stated above

is true to the best of my knowledge and belief.Verified today, the Day of

Place: …………………….………………………………………

Date:…………………… Signature of the employee

Form for furnishing particulars of income under section 192(2A) for the year ending 31 st March, 2010 for claiming relief under section 89(1) by a Government servant or an employee in a 2[company,co-operative society,local authority ,university, instituty

Particulars of income referred to in rule 21A of the Income-tax Rules, 1962,during the previous year relevant to assessment year 2010-11

Salary received in arrears or in advance in accordance with the provisions of sub-rule (2) of rule 21A.

Payment in the nature of gratuity in respect of past services, extending over a period of not less than 5 years in accordance with the provisions of sub-rule (3) of rule 21A.

Payment in the nature of compensation from the employer or former employer at or in connection with termination of employment after continuous service of not less than 3 years or where the unexpired portion of term of employment is also not less than 3 ye

Payment in commutation of pension in accordance with the provisions of sub-rule (5) of rule 21A

Detailed particulars of payments referred to above may be given in Annexure I,II,IIA,III, or IV as the case may be.

ANNEXURE-I[See item 2 of Form No.10E]

Arrears or advance salary

Sl No. Particulars Amount (Rs.)

1 Total income (excluding salary received in arrears or advance) 165,057

2 Salary received in arrears or advance 15703

3 180,760

4 Tax on total income [as per item 3] 2,138 ###

5 Tax on total income [as per item 1] 521 ###

6 1,617

7 0

8 1,617

TABLE "A"[See item 7 of Annexure 1]

(1) (2) (3) (4) (5) (6) (7)

2008-09 114,183 15703 129,886 0 0 0 ###

###

Signature:

Place: Name:

Date: Designation:

Dept:

Total income (as increased by salary received in arrears or advance) [Add item 1 and item 2]

Tax on salary received in arrears or advance [Difference of item 4 and item 5]

Tax computed in accordance with Table "A" [Brought from column 7 of Table A]

Relief under Section 89(1) [Indicate difference between the amounts mentioned against item 6 and item 7]

Previous year

Total income of the

relevent previous

year (Rs.)

[ Including 1st & 2nd

Instlmnt of

Salary received in arrears or advance

relating to the relevent

previous year as mentioned

in column (1) (Rs.)

Total income (as increased by

salary received in arrears or

advance) of the relevent previous year mentioned in column (1)

[add colmn 2 & 3] (Rs.)

Tax on total income [as per

column (2)-After Rebate and

including Edn Cess and

Surcharge] (Rs.)

Tax on total income[as

per column (4) After

Rebate and including

Edn Cess and Surcharge] (Rs.)

Difference in tax [Amount under

column (6) minus amount under column (5)] (Rs.)