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AN of the Deductor

CHEI00209S

Assessment Year

From To

Quarter 1 4,100 4,100

Quarter 2 4,500 4,500

Quarter 3 4,500 4,500

Quarter 4 20,140 13,236

Total 33,240 26,336

Rs. Rs. Rs.

614,550

-

-

614,550

2. Less: Allowance to the extent exempt U/s 10

Allowance Rs.

HRA 29634

Conveyance 0

(a) Salary as per provisions contained in sec. 17(1)(b) Value of perquisites u/s 17(2) (as per Form No.

12BB, wherever applicable)(c) Profits in lieu of salary under section 17(3)(as

per Form No. 12BB, wherever applicable

(d) Total

PART B (Refer Note 1)

Details of Salary Paid and any other income and tax deducted

1. Gross Salary

Summary of tax deducted at source

Quarter

Amount of tax

deducted in respect

of the employee

Amount of tax

deposited/remitt

ed in respect of

the employee

Receipt Numbers of original statements of TDS

under sub-section (3) of section 200

Address:

City: Pincode:

Period

2011-2012 01.04.2010 31.03.2011

INDIAN OVERSEAS BANK

90 PETERS ROAD

ROYAPETTAH

CHENNAI 600014

CIT (TDS)

PART A

Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on Salary

Name and designation of the Employee

BABU VASANTHAN

Roll No 11064

AAACI1223J

PAN of the Deductor PAN of the Employee

Name and address of the Employer

FORM 16

[See rule 31(1)(a)]

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Total -

ANNEXURE - A

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

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

S.No.Tax Deposited in

respect of the

employee (Rs.)

Book identification number (BIN)

Receipt numbers of Form No.24 G

DDO Sequence Number

in the Book Adjustment

Mini Statement

Date on which tax deposited

(dd/mm/yyyy)

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1 500 0 2 7 0 3 3 1 1 5 0 5 2 0 1 0 0 0 0 0 2

2 500 0 2 7 0 3 3 1 2 8 0 6 2 0 1 0 0 0 0 0 4

3 1,500 0 2 7 0 3 3 1 2 9 0 6 2 0 1 0 0 0 0 1 2

4 1,500 0 2 7 0 3 3 1 3 1 0 7 2 0 1 0 0 0 0 0 6

5 1,500 0 2 7 0 3 3 1 2 7 0 9 2 0 1 0 0 0 0 0 1

6 1,500 0 2 7 0 3 3 1 2 4 0 9 2 0 1 0 0 0 0 0 2

7 1,500 0 2 7 0 3 3 1 2 7 1 0 2 0 1 0 0 0 0 0 1

8 1,500 0 2 7 0 3 3 1 2 9 1 1 2 0 1 0 0 0 0 0 19 1,500 0 2 7 0 3 3 1 2 2 1 2 2 0 1 0 0 0 0 0 1

10 1,500 0 2 7 0 3 3 1 2 8 0 1 2 0 1 1 0 0 0 0 2

11 1,500 0 2 7 0 3 3 1 2 6 0 2 2 0 1 1 0 0 0 0 2

12 1,500 0 2 7 0 3 3 1 0 2 0 4 2 0 1 1 0 0 0 0 1

13 1,600 0 2 7 0 3 3 1 2 8 0 6 2 0 1 0 0 0 0 0 2

14 8,736 0 2 7 0 3 3 1 2 9 0 4 2 0 1 1 0 0 0 1 5

Total 26,336

ANNEXURE - B

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

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

S.No.Tax Deposited in

respect of the

Challan identification number (CIN)BSR Code of tbe Bank Branch Date on which tax deposited (dd/mm/yyyy) Challan Serial Number

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