IT Proforma for FY 14-15

39
DATA SHEET DESCRIPTION CONDITION AMOUNT 1 1 1 0 Maximum eligibility for self / spouse / children up to Rs. 15000/- 0 1 0 Maximum eligibility for dependant parents up to Rs. 15000/- (Rs. 20000/- if the beneficiary is a senior citizen) 1 0 Max. Rs. 50000/- at flat rate ( Rs. 100000/- in case of dependent with severe disability ) 1 0 Actual expenditure for treatment limited to Rs. 40000/- ( Rs. 60000/- in case of senior ci of age 60 years & above) 0 900 For claiming deduction U/S 80DD, the minimum amount of disability for normal cases is 40% and for severe disability cases is 80%. 0 2 0 Interest Payable on House Loans u/s 24, maximum Rs. 30,000/- for loans before 01-04-1999 & Rs. 1,50,000/- for loans on or after 01-04-1999 & Rs. 2,00,000/- from 01-04-2014. ENTER '1' in case of MALE & '2' in case of FEMALE in the CELL M4 ENTER '1' in case MARRIED & '2' in case BACHELOR in the CELL M6 ENTER '2' if you (your spouse) are (is) a SENIOR CITIZEN with age of 60 yrs or above, for eligibility of Medical Insurance Premium U/S 80D, in CELL M10 and ENTER the amount of Premium in CELL N10 ENTER '1' in case you are UNDER the NEW PENSION SCHEME U/S 80 CCD in the CELL M12 ENTER '1' in case of Medical Insurance Premium U/S 80D on a dependent parents & '2' in case the dependent parent is a Senior Citizen in CELL M16 and ENTER the amount of Premium in CELL N16 ENTER '1' in case of EXPENDITURE on a HANDICAPPED DEPENDENT U/S 80DD & '2' in case it is on a dependent with SEVERE DISABILITY in CELL M22 and ENTER the amount of EXPENDITURE in CELL N22 Enter '1' in case of Expenditure on Assessee / Dependent for Specified diseases U/S 80 DDB & '2' in case the Assessee / Dependent is a SENIOR CITIZEN in CELL M27 and ENTER the amount of EXPENDITURE in CELL N27 ENTER '1' in case YOU are a PHYSICALLY HANDICAPPED ASSESSEE & '2' in case YOU have SEVERE DISABILITY in CELL M33 and ENTER the maximum limit for the amount of conveyance allowance RECEIVED in the CELL N33 ENTER the amount of INTEREST payable on LOAN taken for the HIGHER EDUCATION of the ASSESSEE in CELL N38 ENTER '1' if INTEREST payable on HOUSE LOAN taken before 01-04-1999 & 2' if INTEREST payable on HOUSE LOAN taken on or after 1-4-99 in CELL M42 and ENTER the amount of INTEREST in CELL N42

description

HI

Transcript of IT Proforma for FY 14-15

Page 1: IT Proforma for FY 14-15

DATA SHEET

DESCRIPTION CONDITION AMOUNT1

1

1 0 Maximum eligibility for self / spouse / children up to Rs. 15000/-

0

1 0 Maximum eligibility for dependant parents up to Rs. 15000/-

(Rs. 20000/- if the beneficiary is a senior citizen)

1 0 Max. Rs. 50000/- at flat rate ( Rs. 100000/- in case of dependent with severe disability )

1 0 Actual expenditure for treatment limited to Rs. 40000/- ( Rs. 60000/- in case of senior citizen

of age 60 years & above)

0 900 For claiming deduction U/S 80DD, the minimum amount of disability for normal cases is 40%

and for severe disability cases is 80%.

0

2 0 Interest Payable on House Loans u/s 24, maximum Rs. 30,000/- for loans before 01-04-1999 &

Rs. 1,50,000/- for loans on or after 01-04-1999 & Rs. 2,00,000/- from 01-04-2014.

ENTER '1' in case of MALE & '2' in case of FEMALE in the CELL M4 →

ENTER '1' in case MARRIED & '2' in case BACHELOR in the CELL M6 →

ENTER '2' if you (your spouse) are (is) a SENIOR CITIZEN with age of 60 yrs or above, for eligibility of Medical Insurance Premium U/S 80D, in CELL M10 andENTER the amount of Premium in CELL N10 →

ENTER '1' in case you are UNDER the NEW PENSION SCHEME U/S 80 CCD in the CELL M12 →

ENTER '1' in case of Medical Insurance Premium U/S 80D on a dependentparents & '2' in case the dependent parent is a Senior Citizen in CELL M16 andENTER the amount of Premium in CELL N16 →

ENTER '1' in case of EXPENDITURE on a HANDICAPPED DEPENDENT U/S80DD & '2' in case it is on a dependent with SEVERE DISABILITY in CELL M22 andENTER the amount of EXPENDITURE in CELL N22 →

Enter '1' in case of Expenditure on Assessee / Dependent for Specified diseases U/S 80 DDB & '2' in case the Assessee / Dependent is a SENIOR CITIZEN in CELL M27 and ENTER the amount of EXPENDITURE in CELL N27 →

ENTER '1' in case YOU are a PHYSICALLY HANDICAPPED ASSESSEE& '2' in case YOU have SEVERE DISABILITY in CELL M33 and ENTER the maximum limit for the amount of conveyance allowance RECEIVED in the CELL N33 →

ENTER the amount of INTEREST payable on LOAN taken for the HIGHER EDUCATION of the ASSESSEE in CELL N38 →

ENTER '1' if INTEREST payable on HOUSE LOAN taken before 01-04-1999 &2' if INTEREST payable on HOUSE LOAN taken on or after 1-4-99 in CELL M42 andENTER the amount of INTEREST in CELL N42 →

Page 2: IT Proforma for FY 14-15

00

1

15 1-Jan-14

0 2000

20

10-Apr-15 20

From Cash w.e.f. 90

From Cash w.e.f. 100

From Cash w.e.f. 107

01-Jul-13 01-Mar-14 01-Jan-14 01-May-14 01-Jul-14 01-Oct-14

H. No. Name of Street

5-11-629, Naimnagar,

15

For the Contribution to specified funds U/S 80 G :ENTER the amount in the CELL N 47 if 50% of the amount is eligible for deductionENTER the amount in the CELL N 48 if 100% of the amount is eligible for deduction

ENTER '2' if you are a SENIOR CITIZEN with age of 60 yrs or above & '3' if your age is 80 yrs or above in CELL M51 →

ENTER No. of DAYS of SEL in the CELL M53, if you have claimed SEL in the months Jan-14 to Mar-14 and ENTER Month of SEL (mm/dd/yyyy) in the CELL N53

ENTER '1' if you are a PRINCIPAL before 1-3-2014, in the CELL M56 and ENTER the amount ofSpecial Allowance for Principals' in the CELL N56 →

ENTER the % rate of HRA for your town / city in the CELL M58 (10% / 20% / 30%) →

ENTER the date of Transfer, if any (mm/dd/yyyy), in the CELL M59 and NEW % rate of HRA in the CELL N59 (10% / 20% / 30%) →

D.A. RATES →

ENTER the Name and Place of your COLLEGE in the CELLS A113 and Q113 of this sheet i.e. DATA SHEET

ENTER Your Name and Designation in the CELLS P115 and U115 of this sheet i.e. DATA SHEET

ENTER Your H. No., name of Street and Town in the CELLS Q73 to U73 and of this sheet i.e. DATA SHEET OR DELETE THE DATA in these CELLS.

ENTER the Pay, AGP, FPI, PP, SA to PRLs, AHRA & SCA in CELLS C120, E120, F120, G120, H120, L120 & M120 and the deductions in CELLS from Q20 to V120 & X120 for MARCH month. All other values will automatically develop.

ENTER the PAY or DEDUCTION in any month where ever they are changed.

ENTER the month of SEL in the CELL B135 (mm/dd/yyyy) and the SEL amounts will automatically generate. If SEL is not received / applied for, delete the month in that CELL to make the SEL amounts NIL.

ENTER the Number of days for which SEL of current yer received in the CELL Q82 ( 15 / 30 days )

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3000

AGWPG4582FHYDG02658F

P.P.F.

0 0

0 1

CHECK the Amounts of DA Arrears - 1 & 2 to GPF developed in the CELLS J137 & J138. If the amounts developed are WRONG, ENTER the CORRECT Amounts of DA Arrears - 1 & 2 to GPF in the CELLS J137 & J138

ENTER the CAS Arrears, if any, in the CELL O139 & CAS Arrears to GPF in the CELL Q139 & the INCOME TAX deducted (if any) from it in the CELL Y139

ENTER the Other Arrears, if any, in the CELL O140 & PRC Arrears to GPF in the CELL Q140 & the INCOME TAX deducted (if any) from it in the CELL Y140

ENTER the OTHER AMOUNTS received, if any, in the CELL O141 & the INCOME TAX deducted (if any) from it in the CELL Y141

ENTER the RENT PAID per MONTH, if any, in the CELL Q95

ENTER Your PAN number in the CELL Q97 and Your Institution TAN in the CELL Q98

ENTER Your PRIVATE SAVINGS in the CELLS from Q101 to AI101ULIP / LIC, Mutual

Funds etc.

CHECK Your CONTRIBUTION to the NEW PENSION SCHEME U/S 80 CCD in the CELL AK101 (CORRECT, if necessary)

ENTER the OTHER INCOME (after deduction of municipal taxes & 30% of net rent as ad hoc deduction, in case of rent from house property), not being a loss, on which TDS has to be made, in the CELL Q103 and 1 in the CELL S103 in case the OTHER INCOME is from house property.

COMPLETE the ACKNOLEDGE DETAILS, TDS CERTIFICATE and OTHER DETAILS given in a small table at the bottom of this page AND FILL DETAILS required for COMPUTATION of REBATE U/S 89 (i) in another table at the bottom of this page i.e. DATA SHEET

For any month in which the staff member has worked at two stations, CHECK the sums received and deductions made at First station and ENTER the corrections, if any, in the Regular Month AND CHECK the sums received and deductions made at Second station and ENTER the corrections, if any, in the ROW 132 in this SHEET

Page 4: IT Proforma for FY 14-15

GOVERNMENT POLYTECHNIC, WARANGAL.

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2014-15STATEMENT SHOWING PAY & ALLOWANCES DRAWN BY Sri G. APPA RAO,

S.No. PERIOD PAY A.G.P. F.P.I. P.P. SA for PRLs D.A. H.R.A. AHRA S.C.A. C.C.A. OTH-ERS TOTALDEDUCTIONS

G.P.F. A.P.G.L.I.SUBSR LOAN SUBSR

1 Mar-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 02 Apr-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 03 May-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 04 Jun-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 05 Jul-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 06 Aug-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 07 Sep-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 08 Oct-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 09 Nov-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Dec-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 011 Jan-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 012 Feb-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 013 Apr-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SEL15 Jan-15 0 0 0 0 0 0 0 0 0 0 0 0 016 017 DA ARREARS - 1 TO GPF 0 0 018 DA ARREARS - 2 TO GPF 0 0 0

19 0 0 0

FILL UP the COMMON DATA like TAN, NAME & PLACE of your institution, ACKNOLEDGEMENT DETAILS of your institutional RETURNS, Date of issue of FORM 16 and NAME & DESIGNATION of the DDO AND SAVE THE FILE AS YOUR INSTITUTIONAL FILE AND THEN REUSE for other staff members

DO NOT INSERT ROWS or COLUMNS in DATA SHEET TO BREAK UP a MONTH in CASE OF TRANSFER. INSTEAD CHECK / ENTER the 2nd PART DATA FOR the SPLIT MONTH in the ROW 132.

CA for PH Emp-loyees

CAS ARREARS

Page 5: IT Proforma for FY 14-15

20 0 0 0

21 OTHERS 0 022 TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

CHECK 0

COMPUTATION OF TAX REBATE U/S 89(i)

Fill the details in the CELLS with GREY COLOUR BACKGROUND only.

NAME OF TG. APPA RAO, P.A.N. : AGWPG4582FHead of Civil Engg. Section. ASSESSMENT YEAR : 2015 -2016GOVERNMENT POLYTECHNIC, WARANGAL.

ITEM

TAXABLE INCOME & TAX LIABILITY ON TAXABLE INCOME & TAX LIABILITY ONRECEIPT BASIS FOR ASSESSMENT YEARS ACCRUAL BASIS FOR ASSESSMENT YEARS

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2006-07 2007-08 2008-09 2009-10

1 Total Salary 0 0 0 0 0 0 0 0 02 Arrears of Salary 0 0 0 03 a) HRA Deduction U/S 10 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

LESS : 3 (a) + 3 (b) U/S 10 0 0 0 0 0 0 0 0 04 Professional Tax U/S 16(iii) 0 0 0 0 0 0 0 0 05 a) Other income 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

TOTAL 5 (a) - 5 (b) 0 0 0 0 0 0 0 0 06 Deduction under chapter VI A

a) Deduction U/S 80 D 0 0 0 0 0 0 0 0 0

b) Deduction U/S 80 DD 0 0 0 0 0 0 0 0 0

c) Medical expenditure U/S 80 DDB 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

e) Deduction U/S 80 U 0 0 0 0 0 0 0 0 0

f) Contributions U/S 80 G 0 0 0 0 0 0 0 0 07 Total Savings U/S 80 C & CCC 0 0 0 0 0 0 0 0 08 Total Savings U/S 80 CCF 0 0

OTHER ARREARS

S.NO.

b) Conveyance Allownce paid to PH employees U/S 10 (14) (ii)

b) Interest Payable on House Loans, U/S 24

d) Interest paid on Educational loan U/S 80 E

Page 6: IT Proforma for FY 14-15

TOTAL TAX PAID = 0

Acknoledgement details

1234567890000

1234567890000

1234567890000

1234567890000

Signature of the person responsible for deduction of taxPlace : WARANGAL. Full name : Smt A. HEMALATHADate : 15-05- 2015 Designation : Administrative Officer

Note: i) The Total Taxable Income at S.No. 11 a) is rounded off to nearest 10/- rupees. ii) The Gross Income Tax at S.No. 12 d) is rounded of to nearest 10/- rupees, after

ignoring decimal part of rupee (i.e. paise).

NORMAL RATES OF INCOME TAX, FOR THE FINANCIAL YEAR 2013-14

Up to Rs 2,50,000/- → N I L Rs. 2,50,001/- to 5,00,000/- → 10% of amount exceeding 2,50,000/- Rs. 5,00,001/- to 10,00,000/- → Rs. 25,000+20% of amount exceeding 5,00,000/- Rs. 10,00,001/- & above → Rs. 1,25,000+30% of amount exceeding 10,00,000/-

* A tax relief / break of Rs. 2000/- is permitted for tax payers with income upto Rs. 5,00,000/-

RATES OF INCOME TAX FOR WOMEN, FOR THE FINANCIAL YEAR 2014-15

Up to Rs 2,50,000/- → N I L Rs. 2,50,001/- to 5,00,000/- → 10% of amount exceeding 2,50,000/- Rs. 5,00,001/- to 10,00,000/- → Rs. 25,000+20% of amount exceeding 5,00,000/- Rs. 10,00,001/- & above → Rs. 1,25,000+30% of amount exceeding 10,00,000/-

CORRECT THE DETAILS IN CELLS with GREY COLOUR BACKGROUND of the following TABLE for getting the CORRECT & FINAL PRINT of FORM 16

Details of quarterly returns filed by the institution Certified that a sum of Rs. 0,00,000=00 ( in words ) ……………… Lakh ……….. Thousand .............…… Hundred and ……………............. only has been deducted at source and

paid to the credit of Central Government. Further certified that the above information is true and correct as per records.1st quarter returns

2nd quarter returns

3rd quarter returns

4th quarter returns

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* A tax relief / break of Rs. 2000/- is permitted for tax payers with income upto Rs. 5,00,000/-

RATES OF INCOME TAX FOR SENIOR CITIZENS, FOR THE FINANCIAL YEAR 2014-15 WITH AGE OF 60 YEARS AND ABOVE

Up to Rs 3,00,000/- → N I L Rs. 3,00,001/- to 5,00,000/- → 10% of amount exceeding 3,00,000/- Rs. 5,00,001/- to 10,00,000/- → Rs. 20,000+20% of amount exceeding 5,00,000/- Rs. 10,00,001/- & above → Rs. 1,20,000+30% of amount exceeding 10,00,000/-

* A tax relief / break of Rs. 2000/- is permitted for tax payers with income upto Rs. 5,00,000/-

RATES OF INCOME TAX FOR SENIOR CITIZENS, FOR THE FINANCIAL YEAR 2014-15 WITH AGE OF 80 YEARS AND ABOVE

Up to Rs 5,00,000/- → N I L Rs. 5,00,001/- to 10,00,000/- → Rs. 20% of amount exceeding 5,00,000/- Rs. 10,00,001/- & above → Rs. 1,00,000+30% of amount exceeding 10,00,000/-

Page 8: IT Proforma for FY 14-15

Name of Street Name of Town

Naimnagar, Hanamkonda.

Page 9: IT Proforma for FY 14-15

N.S.C.

0 0 0 0 0 0 0 0 0

1

ULIP / LIC, Mutual Funds etc.

Interest on N.S.C.

House loan repayment

Tuition fees paid on children's education

L.I.C. Premia paid

P.L.I. Premia paid

Contributions to L.I.C. & other pension funds

Savings into Tax Saving Infra-

structural Bonds

Page 10: IT Proforma for FY 14-15

WARANGAL.

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2014-15G. APPA RAO, Head of Civil Engg. Section.

DEDUCTIONSA.P.G.L.I.

L.I.C. G.I.S. P.T. E.H.S I.T. OTH-ERS TOTALLOAN

0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0

0 0 00 0 0

0 00 0

0 0 0

NET SALARY

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0 0 0

0 0 00 0 0 0 0 0 0 0 0

TAXABLE INCOME & TAX LIABILITY ONACCRUAL BASIS FOR ASSESSMENT YEARS

2010-11 2011-12 2012-13 2013-14 2014-15

0 0 0 0 0

Page 12: IT Proforma for FY 14-15

Signature of the person responsible for deduction of taxSmt A. HEMALATHAAdministrative Officer

……………… Lakh ……….. Thousand .............…… Hundred and ……………............. only has been deducted at source and paid to the credit of Central Government. Further certified that the above information is true and correct as per records.

Page 13: IT Proforma for FY 14-15

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GOVERNMENT POLYTECHNIC, WARANGAL.

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2014-15STATEMENT SHOWING PAY & ALLOWANCES DRAWN BY Sri G. APPA RAO, Head of Civil Engg. Section.

S.No. PERIOD PAY A.G.P. F.P.I. P.P. D.A. H.R.A. AHRA S.C.A. C.C.A. TOTALDEDUCTIONS

G.P.F. A.P.G.L.I.L.I.C. G.I.S. P.T. E.H.S I.T. TOTAL

SUBSR LOAN SUBSR LOAN1 Mar-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 02 Apr-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 03 May-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 04 Jun-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 05 Jul-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 06 Aug-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 07 Sep-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 08 Oct-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 09 Nov-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 010 Dec-14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 011 Jan-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 012 Feb-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SEL15 Jan-15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 017 DA ARREARS - 1 TO GPF 0 0 0 0 0 018 DA ARREARS - 2 TO GPF 0 0 0 0 0 0

19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

21 OTHERS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

22 TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SIGNATURE OF STAFF MEMBER SIGNATURE OF D.D.O.

SA for PRLs

CA for PH Emp-

loyees

OTH-ERS

NET SALARYOTH-

ERS

CAS ARREARS

OTHER ARREARS

Page 14: IT Proforma for FY 14-15

Page 14 of 27

INCOME - TAX STATEMENT FOR THE FINANCIAL YEAR 2014-2015

Name of the Employee G. APPA RAO,Designation Head of Civil Engg. Section.Department / Office GOVERNMENT POLYTECHNIC, WARANGAL.Residential Address H. No. : 5-11-629, Naimnagar, Hanamkonda.INCOME TAX PERMANENT A/C No. (PAN) AGWPG4582F

Rs. Rs. Rs.1. Estimated Gross Income for the financial year 2014-2015 PAY 0

A.G.P. 0F.P.I. 0P.P. 0SA for PRLs 0CA for PH Emp-loyees 0D.A. 0H.R.A. 0AHRA 0S.C.A. 0C.C.A. 0OTH-ERS 0TOTAL 0

2. Deductions U/S 10 i) Whether living in a rented house and actually No incurring expenditure on rent. ii) Deduction in respect of H.R.A. exemption a) Actual HRA + AHRA (if any) received 0 b) 10% of salary 0 c) Actual rent paid 0 d) Excess rent paid above 10% of salary 0 e) 40% of salary 0 f) Least of a,d,e 0 iii) H.R.A. Deduction U/S 10 (13A) 0 iv) Conveyance Allownce deduction U/S 10 (14) (ii) a) Actual Conveyance Allowance received 0 b) deduction U/S 10 (14) (ii) limited to Rs. 1600/- 0 per month TOTAL DEDUCTION U/S 10 [ 2 (iii) + 2 (iv) (b) ] 0

3. Balance [ 1 - 2 ] 0

4. LESS: Professional Tax U/S 16 (iii) 0

5. Gross Total Income chargable under the head 0 SALARIES [ 3 - 4 ]

6. a) Other income not being a loss on which T.D.S. 0 has to be made

b) Interest Payable on House Loans 0 c) Deduction of interest permissible U/S 24 0 TOTAL [ 6 (a) - 6 (c) ] 0

0

8. Deductions under chapter VI A GROSS QUALI -AMOUNT FYING

a) Medical insurance premium U/S 80 D i) for self / spouse / children up to Rs. 15000/- 0 0 ii) for dependant parents up to Rs. 15000/- 0 0 (Rs. 20000/- if beneficiary at (ii) is a senior citizen)

b) Interest paid on loan taken for Higher Education 0 0 of the assessee / relative, U/S 80 E c) Expenditure on a handicapped dependant, 0 0

7. Net income [ 5 + 6 ]

max. Rs. 50000/- at flat rate ( Rs. 100000/- in

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case of dependent with severe disability ) U/S 80 DD

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Rs. Rs. Rs. d) Actual expenditure on assessee / dependant 0 0 patient for treatment of specified diseases

e) Relief to physically handicapped / mentally 0 0

f) Contribution to specified funds U/S 80 G 0 0TOTAL 0 0

0

0

U/S 80 C a) G.P.F. 0 b) A.P.G.L.I. 0 c) L.I.C. & P.L.I. (Salary deduction) 0 d) G.I.S. 0 e) P.P.F. 0 f) ULIP / LIC, Mutual Funds etc. 0 g) N.S.C. 0 h) Interest on N.S.C. 0 i) House loan repayment. 0 j) Tuition fees paid on children's education 0 k) L.I.C. Premia paid 0 l) P.L.I. Premia paid 0

0

0 m) TOTAL [ A + B + C ] 0

0 tural Bonds U/S 80 CCF

0

11. a) Total Taxable Income [ 9 - 10 (n) ] 00

12. a) Income Tax on income at S.No. 11 (b) 0.00Up to Rs 2,50,000/- N I L

Rs. 2,50,001/- to 5,00,000/- 10% of amount exceeding 2,50,000/-

Rs. 5,00,001/- to 10,00,000/- Rs. 25,000+20% of amount exceeding 5,00,000/-

Rs. 10,00,001/- & above Rs. 1,25,000+30% of amount exceeding 10,00,000/-

b) Tax relief / break upto income of Rs. 5,00,000/- 0.00 c) Tax Payable [ 12 (a) - 12 (b) ] 0.00 d) Surcharge @ 10% of tax payable, if income 0.00 is above Rs. 1,00,00,000/- [ 10% of 12 (c) ] e) Educational cess @ 3% of / on [ 12 (c) + 12 (d) ] 0.00 f) Gross income tax [ 12 (c) + 12 (d) + 12 (e) ] 0.00

0

13. a) Tax relief on arrears U/S 89 [ Rule 21A ] 00

14. a) LESS: Tax already deducted up to Nov, 2014 0 b) Tax to be deducted from Dec, 2014 onwards 0

In Dec, 2014 In Jan, 2015 In Feb, 2015Rs. 0 0 0

TAX TO BE PAID THROUGH CHALLAN Rs. 0Name G. APPA RAO,

Designation Head of Civil Engg. Section.

limited to Rs. 40000/- ( Rs. 60000/- in case of

senior citizen, 60 yrs & above) U/S 80 DDB

retarded assessee, Rs. 50000/- ( in case of

severe disability, Rs. 100000/- ) U/S 80 U

g) TOTAL QUALIFYING AMOUNT (DEDUCTION)

9. Total income [ 7 - 8 (g) ]

10. A) Specified savings qualifying for deduction

B) Contributions to L.I.C. & other pension schemes U/S 80 CCC C) Contributions to pension schemes U/S 80 CCD

D) Specified savings into Tax Saving Infrastruc-

n) QUALIFYING AMOUNT for DEDUCTION

b) Total Taxable Income (rounded off to nearest 10/-)

g) Gross income tax (rounded off to nearest 10/-)

b) Tax Liability during 2014-15 [ 12 (g) - 13 (a) ]

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Place of working WARANGAL. Signature of staff memberGOVERNMENT POLYTECHNIC,

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FORM No. 16[ See rule 31 (1) (a) ]

Certificate under section 203 of Income Tax Act 1961 for tax deducted at source from income chargeable under the head "Salaries"

Name and Address of the EmployerName and Designation

of the EmployeePRINCIPAL, G. APPA RAO,

GOVERNMENT POLYTECHNIC, Head of Civil Engg. Section.

WARANGAL. WARANGAL.

H. No. : 5-11-629, Naimnagar, Hanamkonda.

GIR No. TAN No. HYDG02658F PAN No. AGWPG4582F

T.D.S. Circle where Annual Return / Statement PERIOD Assessmentunder section 206 is to be filed FROM TO Year

01-Apr-14 31-Mar-15 2015 - 2016Details of quarterly returns filed by the institution Acknoledgement details

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DETAILS OF SALARY PAID & ANY OTHER INCOME AND TAX DEDUCTED

Rs. Rs. Rs. Rs. 1. Gross Salary 0

2. Less: Allowance to the extent exempted 0 under section 10

3. BALANCE [ 1 - 2 ] 0

4. LESS: Tax on Employment U/S 16 (iii) 0

5. INCOME CHARGEABLE UNDER 0 THE HEAD SALARIES [ 3 - 4 ]

6. a) Add: Any other income reported by the employee 0 b) Deduct: Interest on house loan payable U/S 24 0 c) TOTAL [ 6 (a) - 6 (b) ] 0

7. GROSS TOTAL INCOME [ 5 + 6 (c) ] 0

8. DEDUCTIONS UNDER CHAPTER VI A

a) Medical insurance premia paid U/S 80 D i) for self / spouse / children 0 0 ii) for dependant parents 0 0 b) Interest paid on Educational loan U/S 80 E 0 0 c) Expenditure on dependants U/S 80 DD 0 0 d) Expenditure on assessee / dependants 0 0 U/S 80 DDB e) Relief to physically handicapped / mentally 0 0 retarded assessee U/S 80 U f) Contribution to specified funds U/S 80 G 0 0

TOTAL 0 0

9. Aggregate of deductible amount under 0 Chapter VI A

10. Total Income [ 7 - 9 ] 0

U/S 80 C a) G.P.F. 0 b) A.P.G.L.I. 0 c) L.I.C. & P.L.I. (Salary deduction) 0

GOVERNMENT POLYTECHNIC,

1st quarter returns

2nd quarter returns

3rd quarter returns

4th quarter returns

GROSS AMOUNT

QUALIFYING AMT

11. A) Specified savings qualifying for deduction

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d) G.I.S. 0

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Rs. Rs. Rs. e) P.P.F. 0 f) ULIP / LIC, Mutual Funds etc. 0 g) N.S.C. 0 h) Interest on N.S.C. 0 i) House loan repayment. 0 j) Tuition fees paid on children's education 0 k) L.I.C. Premia paid 0 l) P.L.I. Premia paid 0

0 schemes U/S 80 CCC

0 m) TOTAL [ A + B + C ] 0

0

tural Bonds U/S 80 CCF0

12. a) Total Taxable Income [ 10 - 11 (n) ] 0 b) Total Taxable Income (rounded to nearest 10/-) 0

13. a) Income Tax on income at S.No. 12 (b) 0.00 b) Tax relief / break upto income of Rs. 5,00,000/- 0.00 c) Tax Payable [ 13 (a) - 13 (b) ] 0.00 d) Surcharge @ 10% of tax payable, if income 0.00 is above Rs. 1,00,00,000/- [ 10% of 13 (c) ] e) Educational cess @ 3% of / on [ 13 (c) + 13 (d) ] 0.00 f) Gross income tax [ 13 (c) + 13 (d) + 13 (e) ] 0.00

0

14. a) Tax relief on arrears U/S 89 [ Rule 21A ] 00

15. LESS: TAX DEDUCTED AT SOURCE 0

16. TAX PAYABLE 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

NAME OF THE BANK BRANCH WHERE TAX DEPOSITED

0 Mar-14 DEDUCTED THROUGH SALARY0 Apr-14 - do -0 May-14 - do -0 Jun-14 - do -0 Jul-14 - do -0 Aug-14 - do -0 Sep-14 - do -0 Oct-14 - do -0 Nov-14 - do -0 Dec-14 - do -0 Jan-15 - do -0 Feb-15 - do -0 T.D.S. ON SEL, CAS, PRC & OTHER ARREARS0 TOTAL TAX DEDUCTED AT SOURCE

Signature of the person responsible for deduction of taxPlace : WARANGAL. Full name : Smt A. HEMALATHADate : 15-05- 2015 Designation : Administrative Officer

Note : See sections 15 and 17 and rule 3. Furnish separate details of value of perquisites and profits

B) Contributions to L.I.C. & other pension

C) Contributions to pension schemes U/S 80 CCD

D) Specified savings into Tax Saving Infrastruc-

n) QUALIFYING AMOUNT for DEDUCTION

g) Gross income tax (rounded off to nearest 10/-)

b) Tax Liability during 2014-15 [ 13 (g) - 14 (a) ]

AMOUNT Rs.MONTH / DATE OF

PAYMENT

Certified that a sum of Rs. 0,00,000=00 ( in words ) ……………… Lakh ……….. Thousand .............…… Hundred and ……………............. only has been deducted at source and paid to the credit of Central Government. Further certified that the above information is true and correct as per records.

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in lieu of or in addition to salary or wages

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COMPUTATION OF TAX REBATE U/S 89 [ RULE 21A ]

NAME OF THE ASSESSEE : G. APPA RAO, P.A.N. : AGWPG4582FHead of Civil Engg. Section. ASSESSMENT YEAR : 2015 - 2016GOVERNMENT POLYTECHNIC, WARANGAL.

S.NO. ITEM TAXABLE INCOME & TAX LIABILITY ON TAXABLE INCOME & TAX LIABILITY ON

RECEIPT BASIS FOR ASSESSMENT YEARS ACCRUAL BASIS FOR ASSESSMENT YEARS2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2006-07 2007-08 2008-09 0 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

1 Total Salary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 02 Arrears of Salary 0 0 0 0 0 0 0 0 0 0 03 GROSS SALARY [ 1 + 2 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

5 BALANCE [ 3 - 4 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 LESS: Professional Tax U/S 16(iii) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 GROSS TOTAL INCOME [ 5 - 6 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 a) Other income 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL [ 2 (a) - 2 (c) ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 09 Net income [ 7 + 8 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Deduction under chapter VI Aa) Deduction U/S 80 D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0b) Deduction U/S 80 DD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

e) Deduction U/S 80 U 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0f) Contributions U/S 80 G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 LESS : TOTAL DEDUCTIONS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 012 Total income [ 9 - 11 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 013 Total Savings U/S 80 C & CCC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 014 Total Savings U/S 80 CCF 0 0 0 0 0 0 0 0 0 015 TOTAL [ 13 + 14 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

17 Total Taxable Income 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 TAX ON NET INCOME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0020 ADD : EDUCATIONAL CESS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

21 0.00 0.00 0.00 0.00

22 TAX LIABILITY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

24 TAX LIABILITY OF 6 YEARS ON RECEIPT BASIS 025 TAX LIABILITY OF 6 YEARS ON ACCRUAL BASIS 026 TAX REBATE U/S 89(i) 0 - 0 = 0

INCOME TAX FOR THE ASSESSMENT YEAR 2015 - 2016 = 0 - 0 = 0

LESS : HRA & CA Deduction U/S 10

b) Interest Payable on House Loans, U/S 24

c) Medical expenditure U/S 80 DDB

d) Interest paid on Educational loan U/S 80 E

Total Qualifying Amount for Deduction

Total Taxable Income (rounded to nearest 10/-)

TAX Break / Relief upto income of Rs. 5,00,000/-

TAX LIABILITY (rounded off to nearest Rs 10/-

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SIGNATURE OF STAFF MEMBER

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FORM NO. 10E

[ See rule 21AA ]

2015 FOR CLAIMING RELIEF UNDER SECTION 89 [Rule 21A]

1. Name and address of the employee G. APPA RAO,Head of Civil Engg. Section.

GOVERNMENT POLYTECHNIC,

WARANGAL.

2. Permanent Accont Number (PAN) AGWPG4582F

3. Residential status RESIDENT INDIAN

Particulars of income referred to in rule 21A of the income tax rules, 1962, during the previous year relevant to assessment year 2015

1. (a)

0

(b)

NIL

(c)

NIL

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

Signature of the employee

VERIFICATION

I, G. APPA RAO, do hereby declare that what is stated above is ture to thebest of my knoledge and belief.

Verified today, the Twenty Seventh day of January 2015

Place WARANGAL. Signature of the employee

Date 27-01- 2015

YEAR ENDING 31ST MARCH OF

BY AGOVERNMENT SERVANT OR AN EMPLOYEE IN A COMPANY, CO-OPERATIVE SOCIETY, LOCAL AUTHORITY, UNIVERSITY, INSTITUTION, ASSOCIATION OR BODY

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 extendigng over a period of not less than 5 years in accordance with the provisions of sub-rule (3) of rule 21A.

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

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ANNEXURE I

[ See item 2 of Form No. 10E ]

Arrear or advance salary

1. Total income 0(excluding salary received in arrears or advance)

2. Salary received in arrears or advance 0

3. Total income (as increased by salary received in arrears or advance) 0[ Add item 1 and item 2 ]

4. Tax on total income (as per item 3) 0

5. Tax on total income (as per item 1) 0

6. Tax on salary received in arrears or advance [ differene of 0item 4 and item 5 ]

7. Tax computed in accordance with Table "A" 0[ Brought from column 7 of Table "A" ]

8. Relief under section 89 [ Rule 21A ] 0[ Indicate the difference between the amounts mentioned against item 6 and 7 ]

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

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

2006-07 0 0 0 0 0 0

2007-08 0 0 0 0 0 0

2008-09 0 0 0 0 0 0

2009-10 0 0 0 0 0 0

2010-11 0 0 0 0 0 0

2011-12 0 0 0 0 0 0

2012-13 0 0 0 0 0 0

2013-14 0 0 0 0 0 0

2014-15 0 0 0 0 0 0

2015-16 0 0

TOTAL 0 0 0

Previous Year(s)

Total income of the relevant previous year

Salary received in arrears or advance relating to the relevant previous year as mentioned in column (1)

Total income (as increased by salary received in arrears or advance) of the relevant previous year as mentioned in column (1) [Add columns (2) and (3)]

Tax on total income [as per column (2)]

Tax on total income [as per column (4)]

Difference in tax [Amount under column (6) minus amount under column (5)]

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Signature of the employee