FIRST NAME BALA KRISHNA

MIDDLE NAME

LAST NAME VUNDAVALLI

DESIGNATION SOFTWARE ENGINEER

Permanent A/C No.(PAN NO) AFPPV4648P

Gender ( Male or Female ) Male

DATE OF BIRTH 1/1/1984

Fill the employee's Salary Data

468766.88

Conveyance Allowances U/s 10(14)(i) 2000 Conveyance Allowances Maximum Rs. 9600/-P.A.

House Rent Allowances Received (Annually) 88661.25

Total P.Tax (Annually) 5000

Bonus if Any 0

House Building Loan Interest (Annually) 5000

Amount of City Allowances Exempted 0

Arrears Received if Any 0

Arrears Relief U/s 89(1) 0

Name & Address of the Employer

Pan No of Deductor/Employer AADCT2937R

Tan No of Deductor/Employer HYDT04164G

Automated Form- 16 for All Govt & Non-Govt Employees for the Financial Year 2010-2011 and Assessment year 2011-2012

( This Software's some Cell Are Locked, for Unlocked Cell [only Data Filling Cell] you have to pay only Rs. 125/-) For contact:- pranab.banerjee83@gmail.com

if any discripency is arise for calculation of income tax by this

software,I am not respoisible for that pranab

banerjeeForm 16

Gross Income from Salary(Basic Pay+Grade pay+D.A.+M.A.+Educ.Allownc+ Ors Allownc+Hill/Rural Allwncs +Citi

Allwncs) Annually

TSN DISTRIBUTION PRIVATE LIMITED

SUTIE # 303, DEGA TOWERS, RAJ BHAVAN ROAD, SOMAJIGUDA, HYDERABAD - 500081

PARTICULARS OF SALARY

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

2 a) G.P.F./CPF 0

3 b) L.I.C. 100000

4 c ) N.S.C. 60000

5 d) H.B. Loan Principal 0

6 e) GROUP INSURANCE (G.I.)/GISL 0

7 f) Tax Savings Bond ( Maximum Rs. 20,000/-) 0

8 g) Tuition Fees 5000

9100000 Total Deduction Amount of U/S 80 C

10 Income from Bank Interest/N.S.C/Others Source 0 Any Income from Bank Interest OR N.S.C. OR Others

11 Income from House Property 0 Any Income from House Property

12 80G 0 Donation in Charitable Fund

13 80D 2000 (Health Insurance Premium Maximum Rs. 15000/-

14 80E 0 (For Higher Education Loan )

15 80DD 0 Medical Treatment for self or Dependent as Handicapped

16 80DDB 0 Medical Treatment for self or Dependent for Sever Desease

17 80CC 0 Deposite in Pension Fund

18 80CCD 0 New Pension Scheme

19 House Rent Paid 9500

20 80U 2000 Permanent Disability as Handicapped

TOTAL DEDUCTION CHAPTER VI-A Rs. 104000 Total Deduction Amount of 80C + Chaptrar-VA

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

Fill the employee's Salary Data

Conveyance Allowances Maximum Rs. 9600/-P.A.

Automated Form- 16 for All Govt & Non-Govt Employees for the Financial Year 2010-2011 and Assessment year 2011-2012

( This Software's some Cell Are Locked, for Unlocked Cell [only Data For contact:- pranab.banerjee83@gmail.com

PARTICULARS OF SALARY

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

###

###

Medical Treatment for self or Dependent as Handicapped

Medical Treatment for self or Dependent for Sever Desease

www.pranab.jiaganj.com 5/15

Signature of Employee

Designation

Date

www.pranab.jiaganj.com 6/15

FORM NO.16

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

- VUNDAVALLI

PAN NO.of Deductor PAN NO. of the Employee

AADCT2937R HYDT04164G AFPPV4648P

Assessment Year Period

2011 2012

Summary of tax deducted at source

Quarter

Q 1 0005 4500 4500

Q 2 0005 4500 4500

Q 3 0005 3000 3000

Q 4 0005 800 800

Total 12800 12800

PART-B(Refer Note 1)

Details of Salary paid and any other income and tax deducted

1 Gross Salary IN RUPEES IN RUPEES IN RUPEES

557428.13

0

0

TOTAL 557428.12 cnv alw

Allowance Rs. ###

2000 20003 Balance(1-2) Rs. 555428.14 Deductions :

(a) 5000

(b) Tax on employment 50005 Aggregate of 4(a) to (b) 10000

6 545428.13

7

a)Income form N.S.C./Bank int.etc. Rs. 08 Gross total income (6+7) Rs. 545428.139 Deductions under Chapter VIA

A Deductible Amount Rs.

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

Rs. 165000

[See rule 31(1)(a)]

TSN DISTRIBUTION PRIVATE LIMITED SUTIE # 303, DEGA TOWERS, RAJ BHAVAN ROAD,

SOMAJIGUDA, HYDERABAD - 500081

BALA KRISHNA

SOFTWARE ENGINEER

TAN No.of the Deductor

CIT (TDS) Address………………………………………………………………………………………………………….. City……………………Pin Code…………………...

From

01/04/2010

To

01/03/2011Receipt 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 employee

(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) Less: Allowance to the extent exempt u/s 10

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

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

Gross Amount

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

(iv) H.B.LOAN(PRINCIPAL) Rs. 0 165000 100000

B Other sections e.g.,80E,80G,etc under chapter VI Gross Amount Deductible Amount Rs.

(a) Section 80 E Rs. 0 0(b) Section 80 G Rs. 0 0© Section 80U Rs. 2000 2000(d) Section 80DD Rs. 0 0(e) Section 80D Rs. 2000 2000f) Section 80CC Rs. 0 0G) Section 80DDB Rs. 0 0

10 10400011 Total Income (8-10) 441428.1312 Tax on total income 28,14312 Education & cess @3% on col.no.12 84414 Tax payable (12+13+14) 2898715 Relief U/s 89(1) 016 28,98717 Less (a) Tax deducted at source 12800

18 - Tax payable 16187

Verification

I…………………………………………………Son/Daughterof……………………………………working in the capacity of (Desig)

……………………..do hereby certify that a sum of Rs……………………..[Rs……………………………………………………(words)]

has been deducted and deposited to the credit of the Central Government. I further certify 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

Designation Full Name:-

Notes:-1 If an assesse 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 lastemployer at the option of the assessee.

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 accompanied bny an income-tax challan.

3 Non-Government deductors to enclose Annexure-B4 The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdiction

as regards TDS statements of the assessee.5 This Form shall be applicable only in respect of tax deducted on or after 1st day of April,2010.

Qulfy amount

Aggregate of deductible amount under Chap. VIA

Tax payable/refundable (15-16)

Net Tax col.No.17-18)

ANNEXURE-A DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ENTTY (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)

Book Indentification Number (BIN)

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

ANNEXURE-B

DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL COVERNMENT ACCOUNT THROUGH CHALLAN

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

Challan Identification Number( C I N)

1 Qrt 1 4500 0008022 28/05/2011 0005

2 Qrt 2 4500 0008022 28/05/2011 0005

3 Qrt 3 3000 0008022 28/05/2011 0005

4 Qrt 4 800 0008022 28/05/2011 0005

Sl.No

Tax Deposited in respect 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)

Sl.No.

Tax Deposited in respect on of the employee (Rs.)

BSR Code of the Bank Branch

Date on which tax deposited (dd/mm/yy)

Challan Serial Number

Note

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

BALA KRISHNA - VUNDAVALLI AFPPV4648P Flat /Door/Block No. Name Of Premises/Building/Village Date of Birth

468766.88 2,000.00 1/1/1984

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

88,661.25 5,000.00 √ Govt. PSU Others

Town/City/District State Pin code Employer Category

- - 0 √ - √ -

Email Addrs. (STD Code) - Phone Number

FIL

ING

STA

TU

S

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

SOFTWARE ENGINEER [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 545428.1

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

3 3 0

4 4 5454285 Deductions under chapter VIA (Section

a 80C 100000 e 80DD 0 I 80GG 0

b 80CCC 0 f 80DDB 0 j 80GGA 0

c 80CCD 0 g 80E 0 k 80GGC 0

d 80D 2000 h 80G 0 l 80U 2000

6 Deductions (Total of 5a to5i) 6 104,000

7 Total Income (4-6) 7 441428

TA

X C

OM

PU

TA

TIO

N

8 Tax Payable on 'Aggregate Income' 8 28143 ###9 Education Cess on (on 8) 9 844

### Total Tax, Surcharge and Education cess payable (8 ###28987### Relief under Section 89 ### #REF! ###### Relief under Section 90/91 ### 0

### Balance Tax Payable (10-11-12) ### #REF!14 Total interest payable u/s 234A/234B/234C ### 0

### Total Tax and Interest payable (12+13) ### #REF!Seal 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)]

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

Government of India

INCOME TAX DEPARTMENT ACKNOWLEDGEMENT

Received with thanks form:ALA KRISHNA - VUNDAVALLI 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

BALA K - VUNDAVALLI AFPPV4648P

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

468,766.9 2,000

Road/Street/Post Office: Area/Locality:

88,661 5,000

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

- - 0 11

Designation of Assessing Officer Original/Revised Original

1 Gross total income 1 545428

2 Deduction under Chapter-VI-A 2 104000

3 Total Income 3 441428

4 Net tax payable 4 #REF!

5 Interest payable 5 0

6 Total tax and interest payable 6 #REF!

7 Taxes paid

a Advance Tax 7a 12,800

b TDS 7b 0

c TCS 7c 0

d Self Assessment Tax 7d 0

e Total Taxes paid (7a+7b+7c+7d) 7e 12800

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

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

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

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Ta

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he

reo

n

FORM NO.10 E[See rule 21AA]

1 Name and address of the employee BALA KRISHNA VUNDAVALLI

2 Permanent account number AFPPV4648P

3 Residential status PERMANENT RESIDENT

1 (a) #REF!(b)

Not Applicable

(c)

Not Applicable

(d)Not Applicable

2ANNEX-I

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) #REF!2 Salary received in arrears or advance #REF!

3 #REF! M 3%

4 Tax on total income [as per item 3] #REF!###

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

6 #REF!

7 #REF!

8 #REF!

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

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

2009-10 169,935 #REF! #REF! 1,024 #REF! #REF! ###

###

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.)

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.)