INCOME TAX CALCULATION STATEMENT

FINANCIAL YEAR 2015-2016

ASSESSMENT YEAR 2016

NAME :

TMT T.RAMESWARI

PAN NO:

DESIGNATION :

STAFF NURSE

TAN NO:

OFFICE :

GOVT.RAJAJI TB HOSPITAL,TRICHY-1.

F/TPF/CPS

S.No.
Details
1
Total Salary with all allowances including allowances
2
Less: HRA exempt u/s 10 (13)A and Rule 2A
a) Actual Rent Paid
12 X
=
b) 10% of Pay + DA
c) 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
a)Less: Professional Tax Paid u/s 16 (iii)
b)Less:- HBA Interest paid u/s 24(b) max 30,000
(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 interest
7
Gross total Income (5+6)
8
Less: Housing Loan interest Paid U/S 24(b) (Max.Rs.2,00,000/-)
Deductions Under Chapter VI A
Amount
9
a.Contribution to GPF/TPF/CPS
51504
b.Contribution to PPF
c.Contribution to FPF
360
d.Contribution to SBF
1680
e.Investment in NSC/NSS
0
U/s 80C
f.Premium paid for PLI
5940
g.NSC accruited Interest
0
h.Housing Loan -Principal amount paid
105701
i.Tuition fees for two children
0
j.Premium paid for LIC
0
U/s 80CCC Insurance -Pension scheme(Max Rs.100000)
0
U/s 80CCD Central Govt.Pension Scheme
0
Total
165185
Total ( The actual amount paid under sections 80C,80CCC
and 80CCD or Rs. 1.5 lakh whichever is less)
Other Deductions Under Chapter VI A
u/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)
Donations (50% or 100 %)(CMPRF,Tsunami,flood,Cyclone, etc-100%)
u/s 80G
u/s 80U Physically Handicapped(>50 %50000, >80%severe 75000)

Grand Total Deductions Under Chapter VI A

CALCULATION STATEMENT
ASSESSMENT YEAR 2016-2017
ASEPR8184Q
CHEGO8730B
7022454/MEDL

Amount

Amount
568348

0
0
568348
2500
119423
446425
0
446425
446425

150000
1800
0
0
0
1499
0
153299

153299

S.No.
Details
10 Net Taxable Income as shown in col 8
11
12
13

LESS:Total deuctions under Chapter VI A as per col.9

Net taxable Income ( 9 - 10 )
(rounded to the nearest ten rupees) Rounded Figure
Total Tax
Taxable amount
Male
Female
Amount
(I) 000000-2,50,000
0%
0%
250000
(ii) 2,50,001-5,00,000
10%
10%
43130
(iv)5,00,001-10,00,00
20%
20%
0
(v) 10,00,001 & above 30%
30%
0

Tax
0
4313
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

LESS: TAX REBATE u/s 87 A

(if Total taxable income does not Exceed Rs 500000
Net Tax Payable

19

- 2000)

20

Add: Education Cess @ 2% on Tax with surcharge

Add: Higher Education Cess @ 1% on Tax with surcharge
Total 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)
I hereby authorise the drawing and disbursing officer to deduct the
balance amount of tax from my February month salary

Certificate
1.Certified that I am occupying a house allotted by PWD/TNHB on on payment of Rs.
2.Certified that I am occupying a rental house paying a monthly rent of
3.Certified that I am paying a sum of
towards Life insurance premium
and the policies are kept alive.
Station :

Signature of the Assesse

Date

Signature of the Pay drawing Authority

Signature of the Pay drawing Authority

Amount

Amount
446425
153299
293126
293130

4313

4313

4313

2000
2313
46
23
69
2382
0
To be
Deducted

2382

2382
Certificate

d by PWD/TNHB on on payment of Rs.

paying a monthly rent of
towards Life insurance premium

Signature of the Assessee

e of the Pay drawing Authority

p.m

e of the Pay drawing Authority

Particulars of LIC / ULIP / PLI

S.No

Policy Number

Name of the Company

Name of the
Name of
insured &
Policy
Relationship

1
2
3
4
5

Particulars of

PLI

1
2
3
4

Particulars of N.S.C
S.No

Name of Post Office

Issue No

Particulars of N.S.C
N.S.C & Name of Post Office

S.No

Date of
Purchase of
the NSC

Particulars about the Payment of Tution Fees

Name of the Child
and the course

S.No

Name of the school

or college

Details of Fixed Deposits

S.No

Date

Bank

Receipt No

Place:
Date:

Signature of the Ass

culars of LIC / ULIP / PLI

Particulars of

Amount
Insured

Annual
Premium
Paid

PLI

Total

Particulars of N.S.C
N.S.C No

Amount

Total

Particulars of N.S.C
Rate of
Interest

Amount

Total

bout the Payment of Tution Fees

Date of
Payment

Amount
Paid

Total

tails of Fixed Deposits

Period /
years

Amount

Total

Signature of the Assessee

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

NAME : TMT T.RAMESWARI

GPF/TPF/CPS No : 7022454/MEDL

DESIG: STAFF NURSE

OFFICE : GOVT.RAJAJI TB HOSPITAL,TRICHY

PAY AND ALLOWANCES
Month &
Year
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16
Feb-16
Total
D.A 1
D.A 2
E.L.S
BONUS
Arr.1
Arr.2
Arr.3
TOTAL

Pay

G.P

PP

DA

HRA+CCA

PAN : ASEPR8184Q

TAN : CHEGO8730B

MA

OFFICIAL DEDUCTIONS FROM THE SALARY

Spl
All

others

GPF/CPS/
TOTAL
TPF

CA

14990
14990

4450
4450

0
0

20801
20801

1600
1600

100
100

500
500

290
290

0
0

42731
42731

4024
4024

14990
14990

4450
4450

0
0

21967
21967

1600
1600

100
100

500
500

290
290

0
0

43897
43897

14990
14990

4450
4450

0
0

21967
21967

1600
1600

100
100

500
500

290
290

0
0

14990
15580

4450
4450

0
0

21967
23836

1600
1720

100
100

500
500

290
290

15580
15580

4450
4450

0
0

23836
23836

1720
1720

100
100

500
500

15580
15580

4450
4450

0
0

23836
23836

1720
1720

100
100

182830

53400

270617

19800

1200

SPF/
SPF
2000

FBF

NHIS

SSA

PLI

I.T

I.T Cess

140
140

30
30

150
150

1674
1674

495
495

4141
4141

140
140

30
30

150
150

1674
1674

495
495

43897
43897

4141
4141

140
140

30
30

150
150

1674
1674

495
495

0
0

43897
46476

4141
4387

140
140

30
30

150
150

1674
1674

495
495

290
290

0
0

46476
46476

4387
4387

140
140

30
30

150
150

1674
1674

495
495

500
500

60
290

0
0

46246
46476

4387
4387

140
140

30
30

150
150

1674
1674

495
495

6000

3250

537097

50688

1680

360

1800

20088

5940

1680

360

1800

20088

5940

ARREARS DRAWN PARTICULARS

4664
4084
21503

4664
4084
21503

1000
0

1000
0

0
0

0
0

205333

Pay,PP,SP.GP
236230

53400

279365

DA
270617

Signature of the Assessee

19800

1200

506847

6000

568348

466
350

51504

10% of Pay +DA

50685

Signature of the Pay drawing Authority

IT FORM VERION 2016.1- ENTRY P

(enter your data's in yellow bo
1

NAME :

DESIGNATION:

GPF/TPF/CPS No :

OFFICE :

TAN NO :

6
7

PAN NO :
BASIC PAY

Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16
Feb-16
8

GRADE PAY

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
19

Professional Tax Paid

HOUSE BUILDING ADV Interest paid

U/s 80C
20

f.Contribution to PLI (ONE MONTH ONLY)

21

e.Investment in NSC/NSS

22
23

g.NSC accruited Interest

h.Housing Loan - Principal amount paid

24

i.Tuition fees for two children

25

j.Premium paid for LIC

26

U/s 80CCC Insurance -Pension scheme

(Max Rs.100000)

27

U/s 80CCD Central Govt.Pension Scheme

28

u/s 80 D Medical Insurance Premium

(Max.10000 senior 15000)

29

u/s 80DD Medical-dependent

(Max Rs.50000, Severe Rs. 75000)

30

u/s 80DDB Medical - Self, dependent

(Max Rs.40000,senior 60000)

31

u/s 80E Repayment of Educational Loan

(Max 40000)

32

u/s 80G Donations (50% or 100 %)

(CHIEF MINISTER'S PUBLIC RELIEF FUND,Tsunami,flood,Cyclone,
etc-100%)

33

u/s 80U Physically Handicapped

(>50 % 50000, >80% Severe 75000)

34

IT ADVANCE PAID IF ANY

Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16
Feb-16
35

CPS ARREAR IF ANY

Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15

Dec-15
Jan-16
Feb-16
35

ENTER UR GPF AMOUNT

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016.1- ENTRY PAGE

a's in yellow box)
TMT T.RAMESWARI
STAFF NURSE
7022454/MEDL
GOVT.RAJAJI TB HOSPITAL,TRICHY
CHEGO8730B
ASEPR8184Q
14990
14990
14990
14990
14990
14990
14990
15580
15580
15580
15580
15580

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4450

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1600

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4664

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4084

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21503

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1000

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2500

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1214

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120
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CPS

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