EMP. CODE

PAN:

TAN

DOB

Rs. Rs.

1

ADD:

2 LESS: a) Actual rent paid

b) 10 % of ( Basic Pay + DA )

c) Difference ( a-b )

d) HRA received

e) 50 % OF SALARY (PAY+DA)

3

4

Professional Tax U/S 16(iii)

Washing allowance / Uniform allowance( fully Allowed)

Hill allowance

U/s10 Child EDU ALLOWANCE (MAX: 2400/- P.A˗ TWO CHILD)

5

6

6A

7

8 TOTAL (MAX LIMIT RS. 150000 )

9 Less

10

Prepared by P.VISWANATH & SYED- CHENNAI with support tamiltds.com

Less: STANDARD DEDUCTION RS. 40000/=(all members elegible)

Salary after giving relief under the "HRA" (1-2)

Financial Year 2018-2019 Assessment Year 2019-2020

PRTICULARS

Total salary income including HRA. Etc.

HRA Exempted whichever is less (c) or (d) or (e)

Income from OTHER SOURCE AND House Property:

AFTER DEDUCTION [COL 6A-8+9]

Less

13. STAMP DUTY REGISTRATION FEES

14. G.I (GROUP)

7. P.P.F

8. N.S.C (VIII issue) + Interest

9. REFUND OF H.B.A [PRINCIPAL] ONLY

INCOME -TAX CALCULATION STATEMENT 2018-19

Name as per PAN

card

Designation

Office

Address:

20. U/S 80CCD(1)b (ADDITIONAL BENEFIT RS:- 50,000)

3. F.B.F

6. U.T.I

12. EQUITY LINK SAVING BOND

4. L.I.C

5. SELVAMAGAL SAVING PLAN POST OFFICE(Sukanya Samridhi)

5. P.L.I

10. TUITION FEES(TWO CHILD)INDIA EDU. INSTITUTION ONLY

11. FIXED DEPOSIT

17. LIC LIKE JEEVAN SURAKSHA [MAX - Rs 10,000]

18. U/S 80 CCD 1 CONTRIBUTION TO PENSION SCHEME OF CENTRAL

GOVT. (up to 20%)

19. U/S 80 CCD 2 CENTRAL GOVERNMENT (EMPLOYER)(up to 20%)

15. Other Deduction (CCG)RS. 25000

16. 80CCC AMOUNT DEPOSITED ANY ANNUITY[OR]PENSION PLAN

Salary after allowing relief U/S 16

1. GPF/C.P.S BALANCE AMOUNT

2. S.P.F

Deductions under Chapter VIA

LESS: Housing Loan interest payable on U/S 24(b) (Max.Rs.2,00,000)

PAID RS.

16

17 NET TAXABLE INCOME [ 15 - 16 ]

ROUNDED TO NEAREST TEN (U/S 288 A )

AGE UP TO 60 60 TO 80 ABOVE 80

18 UP TO RS 2,50,000 3,00,000 5,00,000 NIL NIL

19

AFTER REBATE-RS. 2500- TAX

20 ADD EDUCATION CESS@ (2%) +(2%)

21 LESS:RELIEF u/s 89 (1) A (10 E -FORM ATTACHED)

TOTAL TAX PAYABLE

22 TAX ALREADY DEDUCTED FOR FY 2018-2019

23 BALANCE TO BE DEDUCTED FEB 2019

sign above >

DEDUCTION UNDER CHAPTER - VI A

TOTAL AMOUNT

TOTAL TAX

(1). U/S 80D: MEDICAL INSURANCE PREMIUM PAID IN THE NAME OF

ASSESSEE,SPOUSE DEPENDENT PARENTS OR CHILD MIN 25000 [ MAX 50,000

ABOVE 60 AGE ] GOVERNEMENT (NHIS)

(2)U/S 80D: MEDICAL INSURANCE PREMIUM PAID IN THE NAME

OF ASSESSEE (PRIVATE)

ELEGIBLE RS.

Less

(3)U/S 80DD: EXPENSES ON MEDICAL TREATMENT ETC & DEPOSIT

MADE FOR MAINTAINANCE OF HADICAPPED DEPENDENTS MIN

75,000 [MAX RS. 1,25,000 ]

(5)U/S 80E:REPAYMENT OF LOAN INTREST FOR HIGHER STUDIES

AVAILED BY ASSESSEE [ 100%]

(6)U/S 80EE (Additional HBL Int. Max Rs.1,00,000)

(7)U/S 80G: DONATION FOR CHARITABLE PURPOSE 50% FOR

SOME ITEMS, AND 100% FOR SOME ITEMS [P.M RELIEF FUND/CM

RELIEF FUND/SRILANGA TAMILAN RELIEF FUND.

(8)U/S80GG HRA NOT RECEIVED DEDUCTION (MAX 5000)

(4)U/S 80DDB: MEDICAL EXPENSES TOWARDS TREATMENT OF

ASSISTANCE OR HIS/HER DEPENDENT SPOUSE OR PARENTS

CHILDREN FOR NOTIFIED[MIN40000 MAX Rs.60000 AGE ABOVE 60]

SIGNATURE

Rs.2,50,001 to 5,00,000/- 3,00,001 to 5,00,000 ------------------------ 5 %

Rs.5,00,001 to 10,00,000/- .5,00,001 to 10,00,000 5,00,001 to 10,00,000 20%

Rs.10,00,001 and above 1000001 1000001 30%

PLACE:

DATE:

Less

(9)U/S 80U DISABLITY/ HANDICAP (BELOW 80 % MIN 75,000

ABOVE 80% MAX 125000)

(10)U/S 80TT(Rs.10,000 MAX)(SAVING BANK ACCOUNT INTREST)

Less

Add

TOTAL TAX WITH CHESS AMOUNT

Rebate U/S 87A Taxable Income does not Exceed Rs.3,50,000-Rs.2,500

Prepared by ANITHA VISWANATH & SYED- CHENNAI with support tamiltds.com

DETAILS

Less

I hereby authorise the drawing and disbursing officer to deduct the

balance amount of tax from February 2019 month salary

1

2

3

S.NO AMOUNT Rs.

2

3

4

AMOUNT Rs.

2 P.L.I

3

4

5

6

7

8

9

10

11

12

1

2

3

4

5

6

7

8

9

10

I S/0, /D/0

Place:-

Date:-

software Prepared by ANITHA VISWANATH & SYED- CHENNAI with support tamiltds.com

U/S 80EE

FORM 12BB FY 2018-2019 (see rule 12c)Statement showing particulars of claims by an employee for deduction of tax under section 192

NAME OF THE STAFF:-

ADDRESS WITH PIN CODE

1 House Rent Allowance:

(i) Rent paid to the landlord

DATE OFBIRTH (PAN)

Details of claims and evidence thereof

Nature of claim Evidence / particulars

(iii) Address of the lender / Bank

(iii) Address of the landlord

(iv) Permanent Account Number of the landlord (Note: Permanent Account

Number shall be furnished if the aggregate rent paid during the previous year exceeds one

lakh rupees) (ABOVE RS. 100000 )

Leave travel concessions or assistance

Deduction of interest on borrowing:

(i) Interest payable/paid to the lender

(ii)Name of the lender /Bank

(ii) Name of the landlord

U.T.I per year

P.P.F per year

(iv) Permanent Account Number of the lender (if avail)

Deduction under Chapter VI-A

(A) Section 80C,80CCC and 80CCD

(i) Section 80C Evidence / particulars

1 L.I.C.

N.S.C per year

TUITION FEES(ONLY 2 CHILD)

HOUSE LOAN [PRINCIPAL]

FIXED DEPOSIT (5 YEAR &ABOVE)

EQUITY LINK SAVING BOND

STAMP DUTY REGISTRATION FEES

G.I (GROUP) per year

80 CCD (1)b ADDITIONAL BENEFITS

(ii) Section 80CCC

(iii) Section 80CCD

U/S 80D (NHIS+PRIVATE)

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.

U/S 80DD

U/S 80DDB

U/S 80E

U/S 80G

U/S 80GG

U/S 80TTA

given above is complete and correct.

(Signature of the employee)

………………………………

U/S 80U

U/S 80CCG

verification……………………………… ……………………………………… do hereby certify that the information

houseowner details

NAME : GPF

OFFICE : D.O.B DEP.

PAN NO : TAN

.MAR 18

.APR 18

.MAY 18

.JUN 18

.JUL 18

.AUG 18

.SEP 18

.OCT 18

.NOV 18

.DEC 18

.JAN 19

.FEB 19

D.A- I

D.A- II

E.L.S

Bonus

ARRER 1

ARRER 2

PAY COM.

TOTAL

SIGNATURE OF ASSESSEE SIGNATURE OF HEAD

FOR THE FY 2018-2019 AND AY 2019-2020

PLI

S. T

AX

I. T

I.T

CH

ESS

Tota

l De

du

ctio

n

CPS

BANK ACC NOAADAR NO

BANK NAME

STATEMENT SHOWING PAY AND ALLOWANCES DRAWN

CC

A

M.A

SPL

ALL

OW

CO

NV

AY

AN

CE

ALL

OW

AN

CE

HIL

L A

LLO

W

WA

SHIN

G

ALL

OW

AN

CE.

Tota

l

NP

S /

CP

S A

RR

ER

FBF

HF

SPF

P.T

AX

PLI

BANK IFSC

MONTH

AND YEAR Pay p.p

D.A

H.R

.A