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    FORM NO. 16

    [See rule 31(1)(a)]

    Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary

    Name and address of the Employer

    SCOPE INTERNATIONAL (P) LTDBRANCH BLDG, 2ND & 3RD FLOOR, GRINDLAYS GARDEN,HADDOWS ROAD, CHENNAI - 600006Tamilnadu+(91)[email protected]

    Name and address of the Employee

    PRANSHU SRIVASTAVAB119-10B, SCHEEME, GOPAL PURA BY PASS, JAIPUR - 302018Rajasthan

    PAN of the Deductor

    AAECS9043E

    TAN of the Deductor

    CHES06237A

    PAN of the Employee

    BIIPS5922E

    Assessment Year

    2014-15

    CIT (TDS)

    The Commissioner of Income Tax (TDS)7th Floor, New Block, Aayakar Bhawan, 121 , M.G. Road,

    Chennai - 600034

    Period with the Employer

    To

    31-Mar-2014

    From

    01-Apr-2013

    Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

    Quarter(s)

    Receipt Numbers of originalquarterly statements of TDS

    under sub-section (3) of Section 200

    Amount of tax deducted

    (Rs.)

    Amount of tax deposited / remitted(Rs.)Amount paid/credited

    Q1 CUUXBGVC 9970.00 9970.00136941.00

    Q2 OKKXGCBD 6000.00 6000.00118206.00

    Q3 QASNSDQA 6000.00 6000.00118206.00

    Q4 QQQZRVHG 36610.00 36610.00261037.00

    Total (Rs.) 58580.00 58580.00634390.00

    Sl. No.Tax Deposited in respect of the

    deductee(Rs.)

    Book Identification Number (BIN)

    Receipt Numbers of FormNo. 24G

    DDO serial number in Form no.24G

    Date of transfer voucher(dd/mm/yyyy)

    Status of matchingwith Form no. 24G

    Total (Rs.)

    Sl. No.Tax Deposited in respect of the

    deductee(Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which Tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    1 5968.00 0004329 07-05-2013 81576 F2 2001.00 0004329 07-06-2013 75590 F

    3 2001.00 0004329 06-07-2013 00103 F

    4 2000.00 0004329 07-08-2013 84493 F

    PART A

    Certificate No. RFZNZOH Last updated on 27-May-2014

    Employee Reference No.provided by the Employer

    (If available)

    I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

    II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

    Page 1 of 2Signed By:C S RAJESHSigning Date:04.06.2014 20:03

    Signature Not Verified

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    Certificate Number: RFZNZOH TAN of Employer: CHES06237A PAN of Employee: BIIPS5922E Assessment Year: 2014-15

    I, RAJESH CHANDRASEKAR, son / daughter of working in the capacity of MANAGER HRSD (designation) do hereby certify that a sum of Rs. 58580.00 [Rs. Fifty

    Eight Thousand Five Hundred and Eighty Only (in words)] has been deducted and a sum of Rs. 58580.00 [Rs. Fifty Eight Thousand Five Hundred and Eighty Only]

    has been deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the

    books of account, documents, TDS statements, TDS deposited and other available records.

    Verification

    Place

    Date (Signature of person responsible for deduction of Tax)

    CHENNAI

    04-Jun-2014

    MANAGER HRSDDesignation: Full Name: RAJESH CHANDRASEKAR

    Notes:1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the detailsof tax deducted and deposited for all the quarters of the financial year.3. 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 suchassessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

    Sl. No.Tax Deposited in respect of the

    deductee(Rs.)

    Challan Identification Number (CIN)

    BSR Code of the BankBranch

    Date on which Tax deposited(dd/mm/yyyy)

    Challan Serial Number Status of matching withOLTAS*

    5 2000.00 0004329 06-09-2013 34457 F

    6 2000.00 0004329 07-10-2013 82446 F

    7 2000.00 0004329 07-11-2013 43524 F8 2000.00 0004329 06-12-2013 36142 F

    9 2000.00 0004329 07-01-2014 51610 F

    10 2000.00 0004329 07-02-2014 63462 F

    11 2335.00 0004329 06-03-2014 39807 U

    12 32275.00 0004329 28-04-2014 09037 F

    Total (Rs.) 58580.00

    Legend used in Form 16

    * Status of matching with OLTAS

    Legend Description Definition

    U UnmatchedDeductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when paymentdetails in bank match with details of deposit in TDS / TCS statement

    P ProvisionalProvisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) onverification of payment details submitted by Pay and Accounts Officer (PAO)

    O OverbookedPayment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but theamount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement ormakes new payment for excess amount claimed in the statement

    F FinalIn case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment detailsmentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Governmentaccount have been verified by Pay & Accounts Officer (PAO)

    Page 2 of 2Signed By:C S RAJESHSigning Date:04.06.2014 20:03

    Signature Not Verified