FORM 16
FORM NO. 16
[See rule 31(1)(a)]
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source
from income chargeable under the head “Salaries”
Name and address of the Employer Name and designation of the Employee
PAN No. of the Deductor TAN No. of the Deductor PAN No. of the Employee
Acknowledgement Nos. of all quarterly statements of TDS under sub-section (3) of
section 200 as provided by TIN Facilitation Centre or NSDL web-site
Quarter Acknowledgement No. Period
Q1
From To
Q2
Q3
01-04-2008 31-03-2009
Q4
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1 Gross Salary
(a) Salary as per provision containing in section 17 (1) Rs.
(b) Value of perquisites u/s 17 (2) Rs.
(as per Form No.12BA,wherever applicable)
(c ) Profit in lieu of salary under section 17(3) Rs.
(as per Form No. 12BA,wherever applicable )
(d) Total Rs. -0
2 Less:Allowances to the extent exemt u/s 10
Rs
Rs Rs. -0
3 Balance ( 1- 2 ) Rs. -0
4 Deductions u/s 16
(a ) Entertainment allowances Rs.
(b ) Tax on Enployment Rs.
5 Aggregate of 4 (a) and (b ) Rs. -0
6 Income Chargeable under the head "Salaries " (3 - 5
7 Add: Any Other Income reported by the employee
Rs.
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FORM 16
Rs.
8 Gross total Income ( 6 + 7 )
9 Deduction under Chapter VI-A
(A) Section 80C, 80CCC, and 80CCD
(a) section 80C Gross Amount Deductible Amount
(ii) Providend Fund Rs.
(ii) Rs.
(iii) Rs.
(iv) Rs.
(v) Rs.
(vi) Rs. Rs. -0 Rs. -0
( b ) section 80CCC Rs. Rs. -0
( c ) section 80CCD Rs. Rs.
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FORM 16
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(B) Other sections (for e.g. 80E, 80G etc)under Chapter VIA
Section Gross Amount Qualifying Amount Deduction Amount
(a) Rs. Rs. Rs.
(b) Rs. Rs. Rs.
( c) Rs. Rs. Rs.
(d) Rs. Rs. Rs.
(e) Rs. Rs. Rs.
10 Aggregate of deductible amounts under chapter VI- A
11 Total Income ( 8 - 10 )
12 Tax on Total Income
13 Surcharge (on tax computed at S .No. 12)
14 Education Cess (on tax at S. No.12 and surcharge at S. No.13)
15 Tax payable (12+13+14)
16 Relief under section 89 (attach details)
17 Tax Payable (15 - 16)
18 Less:
(a) Tax deduction at source u/s 192(1) Rs. -0
(b) Tax paid by the employer on behalf of the Rs.
employee u/s 192(1A) on perqusites u/s 17(2)
19 Tax payable /(refundable) (17 - 18 )
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
Education Total tax
Surcharge Cheque / DD No. B S R Code of Date on which tax
S.No TDS Rs Cess deposited
Rs ( if any) Bank branch deposited dd/mm/yy
Rs Rs
1 -0
2 -0
3 -0
4 -0
5 -0
6 -0
7 -0
8 -0
9 -0
10 -0
11 -0
12
Total -0
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FORM 16
I son of working in the capacity of Accounts Manager designat
do hereby certify that a sum of Rs -0 /- {Rupees in words}
has been deducted at source and paid to the credit of the Cental Government. I further certify that the information
given above is true and correct based on the books of account, document and other available records
Place Signature of the person responsible for deduction of tax
Date: Full Name:
Designation :
For further updates visit at www.fastworking.blogspot.com
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FORM 16
ed at source
gnation of the Employee
of the Employee
Assessment Year
2009-2010
X DEDUCTED
Rs. -0
Page 5
FORM 16
Rs. -0
Rs. -0
Rs. -0
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FORM 16
Rs. -0
Rs. -0
Rs. -0
Rs. -0
Rs. -0
Rs. -0
Rs. -0
Rs.
Rs. -0
Rs. -0
Rs. -0
MENT ACCOUNT
Transfer Voucher /
Challan
Identification No.
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FORM 16
y of Accounts Manager designation
the information
s
esponsible for deduction of tax
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FORM 16A
FORM NO. 16A
[See rule 31(1)(b)]
Certificate of deduction of tax at source under section 203 of the Income-tax Act, 1961
For interest on securities; dividends; interest other than “interest on securities”; winnings from lottery or crossword puzzle ; winnings from
horse race; payments to contractors and sub-contractors; insurance commission; payments to non-resident sportsmen/sports associations;
payments in respect of deposits under National Savings Scheme; payments on account of repurchase of units by Mutual Fund or
Unit Trust of India; commission, remuneration or prize on sale of lottery tickets; rent; fees for professional or technical services;
income in respect of units; other sums under section 195; income of foreign companies referred to in section 196A(2); income
from units referred to in section 196B; income from foreign currency bonds or shares of an Indian company referred to in section 196C;
income of Foreign Institutional Investors from securities referred to in section 196D
Acknowledgement Nos. of all Quarterly Name and address of the pers
Name and address of the person Statements of TDS under sub-section (3) of
section 200 as provided by TIN Facilitation payment made or in whose a
deducting tax
Centre or NSDL web-site credited
Quarter Acknowledgement No.
Q1
Q2
Q3
Q4
TAX DEDUCTION A/C NO. OF THE DEDUCTOR NATURE OF PAYMENT PAN/GIR NO. OF THE P
PAN/GIR NO. OF THE DEDUCTOR FOR THE PERIOD
DETAILS OF PAYMENT, TAX DEDUCTION AND DEPOSIT OF TAX INTOCENTRAL GOVERNMENT ACCOU
Amount Date of Education Total tax
Sr TDS Surcharge Cheque/DD
paid/credited payment/ Cess deposited
No. Rs Rs. No. (if any)
(Rs.) credit Rs. Rs
-0 -0
1 -0 -0
2 -0 -0
3 -0 -0
4 -0 -0
5 -0 -0
6 -0 -0
7 -0 -0
8 -0 -0
9 -0 -0
10 -0 -0
11 -0 -0
12 -0 -0
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FORM 16A
13 -0 -0
14 -0 -0
15 -0 -0
16 -0 -0
17 -0 -0
18 -0 -0
19 -0 -0
20 -0 -0
-0 -0 -0 -0 -0
Certified that a sum of Rs. (in words)
has been deducted at source and paid to the credit of the Central Government as per details given above.
Signature of person responsible f
Place : Full Name
Date : Designation
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FORM 16A
Certificate No:
f the Income-tax Act, 1961
crossword puzzle ; winnings from
nt sportsmen/sports associations;
units by Mutual Fund or
al or technical services;
ction 196A(2); income
any referred to in section 196C;
Name and address of the person to whom
payment made or in whose account it is
credited
PAN/GIR NO. OF THE PAYEE
FOR THE PERIOD
ENTRAL GOVERNMENT ACCOUNT
Transfer
Date on
BSR Code voucher/
which tax
of Bank Challan
deposited
branch Identification
(dd/mm/yy)
No.
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FORM 16A
etails given above.
Signature of person responsible for deduction of tax
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