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I V
II VI
III VIII
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VI C K Sonawane 94273 63791Aslam Khan 94261 47853Kirit Patel 94268 94422
BACK Dilip Baria 94268 44723Imran Bagwan 94278 70846
BACK2 Leena Malani 94263 72895Chetan Patil 94268 63556
Before preparing Income Tax Calculation Memo, Please fill up first, "First Information" & then "Details Salary" by doing this all forms will be prepared automatically
First make a file by Save As a Employee's Name whose data is you are going to be fill up & then please fill up only those cells whose colour is blue or blue ' 0 ' in Fist Information & Detail Salary by making different files of employees will be helpful for Form No. 16 & Form No. Naya Saral as future reference.
If there is any mistake in Details Salary / Income Tax Calculation Memo / From No. 16 / From No. Naya Saral please contact to Kirit Patel[9426894422] [email protected]/ [email protected], DILIP BARIA[9426844723] [email protected], or Leena Malani [email protected] / [email protected] / Imran Bagwan [email protected] / [email protected] is available on http://sct.sanjivannedangs.org
Click here for fill up FIRST INFORMATION Challan-280
Click here to VIEW AND PRINT Form No. 16's 1st Page
Click here for fill up SALARY VIEW AND PRINT Click here to VIEW AND PRINT Form No. 16's 2nd Page
Click here to VIEW AND PRINT Income-Tax Calculation Statement Click here to VIEW & PRINT Acknowledgement
Please do First Setup the Page in which you want to take print out
Click here to VIEW AND PRINT ITR-1 Form 1st P.
Click here to VIEW AND PRINT ITR-1 Form 2nd P.
Click here to VIEW AND PRINT ITR-2
Proposed Calculation
Income Tax Calculation 2010 Trial Ver.
Financial Year 2009 2010 Assessment Year 2010 2011 ,
Make Your Computer System Date DD/MM/YYYY All information fill up Here
SHRI A. J. SHAH Name e.g. Shri K J Patel SHRI A. J. ShahANKIT JAYESHKUMAR SHA Full Name e.g. Kiritchandra Jayantilal Patel Ankit Jayeshkumar ShahJAYESHKUMAR KHUSHALDAFather's full Name e.g. Jayantilal Ratilal Patel Jayeshkumar Khushaldas Shah
Flat/Door/Block No. e.g. A / 82 D/94Name Of Premises/Building/Village e.g. Nandanvan Apartment Part II Vishal Nagar Society
Road/Street/Post Office e.g. Jodhapurgram Road Nr. Sardar BridgeArea /Locality e.g. Ambavadi Adajan Road
Town/City/District e.g. Ahwa Dist. Dangs SuratState e.g. GUJARAT GUJARAT
Pin code e.g. 394710 395009Date of Birth e.g. 1/29/1961 14/06/1985
A.E. Designation e.g. Senior Clerk A.E.AWXPS6961K Pan No. e.g. ACFPP3047F AWXPS6961K
M SURAT TDS Circle: e.g. Valsad SURATMALE 3 Male or Female ? . Male MALEEXECUTIVE ENGINEER TAN No. e.g. BRDROO841B SRTEO0130EDISTRICT PANCHAYAT SUR TDS Circle: e.g. Valsad SURATSURAT DISTRICT PANCHAYName of Deptt/Office e.g. DANGS DISTRICT PANCHAYAT, AHWA SURAT DISTRICT PANCHAYAT, SURAT
Design. of Drawing Officer e.g. Dist.Primary Education Officer EXECUTIVE ENGINEERDeptt's Name e.g. Dangs Dist.Pan. Education Comm., Ahwa DISTRICT PANCHAYAT SURAT
SURAT Place : e.g. Ahwa or Gandhingar SURATDrawing Officer Name e.g. DEVENDRABHAI RAYUBHAI MAHLA R. M. Vasava
BALUBHAI f Drawing Officer Father Name e.g. RAYUBHAI MAHLA BALUBHAIR. M. VASAVA Details of Bank AccountSTATE BANK OF INDIA Name of Bank e.g. State Bank of India STATE BANK OF INDIA
Acctt. No. e.g. 1190003164 or DJ / 29161 000030242310741
For Stamp of Drawing Officer
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STATEMENT SHOWING THE TOTAL SALARY DURING FINANCIAL YEAR 2009 2010Name : SHRI A. J. SHAHDesignation A.E.
Deduction
GPF LIC P. T. A. PLI
Mar/2009 0 200 0 0 0 0 0 0 0 0 0Apr/2009 0 200 0 0 0 0 0 0 0 0 0May/2009 0 200 0 0 0 0 0 0 0 0 0Jun/2009 0 200 0 0 0 0 0 0 0 0 0Jul/2009 7578 200 0 0 0 0 0 0 0 0 0Aug/2009 19575 200 0 0 0 0 0 0 0 0 0Sep/2009 19575 200 0 0 0 0 0 0 0 0 0Oct/2009 22401 200 0 0 0 0 0 0 0 0 0Nov/2009 22401 200 0 0 0 0 0 0 0 0 0Dec/2009 23021 200 0 0 0 0 0 0 0 0 0Jan/2010 23021 200 0 0 0 0 0 0 0 0 0Feb/2010 23021 200 0 0 0 0 0 0 0 0 0
DA Diff 3223 0 0 0 0 0 0 0 0 0 0DA Diff 0 0 0 0 0 0 0
Pay Diff. 0 0 0 0 0 0 0 0 0 00
Leave En. 0Bonus 0
Total 163816 2400 0 0 0 0 0 0 0 0 0
Specify Percentage for Proposed Calculation 2010-2011 e.g. 10 % 11%Less House rent allowance exempt U/s 10[13A] 18020
[a] Actual amount of HRA received [Yearly] 0[b] 0
[a] actual amount paid House rent 0[b] 10% of Pay & DA [Yearly] 0
[c] 50% of salary [including D.A.] 0[d] [a], [b], [c] & [d] which ever is less 0
Date Amount R. No. Details of Bank/post
12345
Month of Salary Gross
SalaryProfes-sional Tax
Tran. Allow.
Govt. Ins.
Repay-ment of
HBAWashing
All.Income
Tax
Charge Allow.
Other ArrearsOther Arrears
Expenditure on rent in excess of 10@ of salary [including D.A.] as personal D.A. is including for retirement benefits
Detail of investment made / to be made during financial year 2007-2008 which is classed as qualifying u/s 80 C Income Tax Act (Xerox Copy enclosed)
Sr No.
Nature of Investment
Note : Detail of investment not shown above [in r/o investment to be made] shall be furnished to the A.O. of Bill Budget branch on of before 31/03/2009
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SURAT Signature4/8/2023 Name SHRI A. J. SHAH
Designation A.E.
Place : .Date : .
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It's must to write a year if you have taken a loan of HBA4/1/1980
0
Deduction under Chapter VI-A1 Entertainment allowance 02 Honorarium 03 Bank Interest 04 NSC Interest 05 House Rent Income 06 Other Sources [ if any ] 07 Jivan Suraksha premium u/s 80-ccc [Max.Rs.10,000] 08 U/S 80-D Mediclame Paid by Cheque Only Mac. Rs. 15000 0
10 Medical Treatment Charge Mac. Rs. 75000 011 U/S 80-DB Medical Treatment Charge Mac. Rs. 40000 012 U/S 80-U 013 U/s 80 E Education Loan & It's Interest Mac. Rs. 40000 09 U/S 80-G Mac. 100% 0
14 U/S 80-GG 0 Mac. 50% 015 U/S 80-GGA 0 Mac. 40% 016 U/S 80-GGGC 017 Others [ if any ] 018 Others [ if any ] 0
Rebate under Chapter VIII Under Section 881 Public Provident Fund [ PPF ] 02 03 NSC Interest re-invested 04 ULIP 05 Equity link Saving fund [ Max. Rs. 15,000/- ] 140006 Investment in pension fund 07 1st Child 0
2nd Child 00 0 Total 0
8 Investment Share/Debenture in infrast..... Power & communication Co Safe 09 Others 0
Relief under section 89 [attach details]1 Where arrears of salary are paid under order of court
For "FROM IT-16" After Feb. Without paybill, Tax deposited to Bank S,NO Total Tax deposited Rs.
123456789
10111213
Tax deposited Rs. S,NO BRS Code of Bank branch0 1
2
Have you drawn Loan for HBA before 1:4:1999? or after, Write year If you have taken Loan, Pl. write amount of Interest else write 0
U/S 80-DD (Max. Rs. 50,000)
Deposit in 10 Year, 15 Years Account Under the Post Office Saving Band (CTD)
Tuition Frees [For the purpose of full-time education of any two children of the employee.]
TDS Rs.
Surcharge Rs.
Education Cess Rs.
Cheque/DD No.(if any)
Date on which tax deposited (dd/mm/yy)
Transfer voucher challan Identification No.
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3456789
10111213
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Name LIMBACHIYA MAHENDREA NAGERDAS Desi A.E.Pay Scale 5000-175-8000 9300-34800(PB2) 4200 Inc_Date July-2009
Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 G_TotalPAY 5500 10820 10820 10820 11220 11970 11970 11970 11970 11970 11970 11970 132970F.P. 0 0 0 0 0 0 0 0 0 0 0 0 0D.P.PAY / Grade Pay 2750 2400 2400 2400 2400 4200 4200 4200 4200 4200 4200 4200 41750NPA 0 0 0 0 0 0 0 0 0 0 0 0 0DA. 3878 2115 2115 2908 2996 3557 4366 4366 4366 4366 4366 4366 43765H.R.A. 1238 2644 2644 2644 2724 3234 1617 1617 1617 1617 1617 1617 24830MEDICAL 100 100 100 100 100 100 100 100 100 100 100 100 1200P.T.A. 0 0 0 0 0 0 0 0 0 0 0 0 0T.A. 100 100 400 400 400 400 200 200 200 200 200 200 3000DANG.ALLO / C.L.A. 240 240 240 240 240 240 0 0 0 0 0 0 1440WASHING 0 0 0 0 0 0 0 0 0 0 0 0 0OTHER 0TOTAL 13806 18419 18719 19512 20080 23701 22453 22453 22453 22453 22453 22453 248955
0FESTIVL 0 0 0 0 0 0 0 0 0 0 0 0 0FOOD GRAIN 0 250 0 0 0 0 0 0 0 0 0 0 250MOTAR CYCLE ADV 0 770 500 0 0 0 0 0 0 0 0 0 1270H.B.A.LOAN 0 0 0 0 0 0 0 0 0 0 0 0 0M.CYCLE INT 0 0 0 0 0 0 0 0 0 0 0 0 0H.B.A.INT 0 0 0 0 0 0 0 0 0 0 0 0 0H. R. A. 0 0 0 0 0 0 0 0 0 0 0 0 0SOCAYATI 2692 2683 2675 0 0 0 0 0 0 0 0 0 8050G.P.F. 3000 3000 3000 2000 2000 3000 4000 5000 5000 5000 5000 5000 45000G.P.F.ADV 0 0 0 0 0 0 0 0 0GPF DA 959 988 988 988 1812 1812 1812 1812 1812 12983PRO.TAX 200 200 200 200 200 200 7420 200 200 200 200 200 9620GROUP INSURANCE 100 100 100 100 100 100 100 100 100 100 100 100 1200C.T.D / PLI 0 0 0 0 0 0 0 0 0 0 0 0 0L.I.C 0 0 0 0 0 0 0 0 0 0 0 0 0Income Tax 0 0 0 0 0 0 0 0 0 0 0 0 0TOTAL 5992 7003 6475 3259 3288 4288 12508 7112 7112 7112 7112 7112 78373Net Pay 7814 11416 12244 16253 16792 19413 9945 15341 15341 15341 15341 15341 170582BONUS 0 0 0 0 0 0 0 0 0 0 0 0 0D.A.DIFF. 0 0 0 0 0 3965 0 0 0 0 0 0 3965V.No. Date 120 - 15 / 4 / 07 1159-1-7-09 120 - 15 / 4 / 08 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 1159-1-7-09 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07
D.A.DIFF. 0 0 0 0 0 0 0 0 2427 0 0 0 2427V.No. Date 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07
Pay DIFF. 0 0 0 0 0 45539 0 0 0 0 0 0 45539V.No. Date 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07 120 - 15 / 4 / 07
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SURAT DISTRICT PANCHAYAT, SURATSelf Assessment Income Tax Calculation Memo for the Accounting Year 2009 2010
And Assessment Year 2010 2011Name : ANKIT JAYESHKUMAR SHAHDesignation A.E.Residential Address : D/94,Vishal Nagar Society,Nr. Sardar Bridge,Adajan Road,Surat,GUJARAT
PAN NO. AWXPS6961K PSN NO. xxxxxxNo. Particular Rs.
1 Income[a] 163816 163816
[b] Honorarium 0[c] Bonus 0[d] Bank Interest 0[e] NSC Interest 0[f] House Rent Income 0[g] Other Sources [ if any ] 0Total [a] to [g] 163816
2 Less : Deduction Admissible 2400Deduction Less House rent allowance exempt U/s 10[13A](1) a Actual amount of HRA received 0
b 10% of salary [including D.A.] 0c 50% of salary [including D.A.] 0
HRA Ded. Allowed 0 0(2) PTA + Washing Allw.U/s 10[14][I] Vide rule 2BB[i] of Rules 0(3) Transportation Allowance U/S 10(14) 0(4) Professional Tax U/S 16(U) 2400(5) Entertainment allowance 0
3 Balance [1-2] 1614164 Less : HBA Interest U/S 24(1) (vi)
[i] Up to Rs. 30,000/- can taken before Dt.1/4/99 0 0[ii] Up to Rs. 1,50,000/- can taken after Dt.1/4/99
5 Total Income (3-4) 1614166 Deduction : Under Chapter VI-A Gross Qualifying
(a) Med. claim u/s 80-d [Max. Rs. 15,000/-] 0 0(b) Donation U/S 80-G 0 0 0(c) 0 0(d) 0 0
(e) Person with Disability U/S 80-U (Max. Rs. 50,000) 0 0(f) U/s 80 EEducation Loan & It's InterestMac. Rs. 40000 0 0(g) Others [ if any ] 0 0
Gross Salary Income (Statement enclose] PAY+DA+D.PAY+HRA+CLA+MA+TA and Other Allowance
Medical Treatment of Handicapped Dependents U/S 80-DD (Max. Rs. 50,000)Medical Treatment on Serious diseases U/S 80-DD B (Max. Rs. 40,000)
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(h) Others [ if any ] 0 07 Total ( a to h ) 08 Gross Total Income ( 5 - 7 ) 161416
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9 Less : Deduction U/S 80 C [ Max. Rs. 1,00,000/- Gross Qualifying(a) GPF Contribution 0 0(b) Group Insurance Scheme / CGEIS 0 0(c) Public Provident Fund [ PPF ] 0 0(d) LIC Premium 0 0(e) PLI Premium 0 0(f) 0 0
(g) NSC Purchase 0 0(h) NSC Interest re-invested 0 0(i) ULIP 0 0(j) Equity link Saving fund [ Max. Rs. 15,000/- ] 14000 14000(k) Investment in pension fund 0 0(l) HBA Repayment of Principal 0 0(m) 0 0
(n) 0 0
(o) Jivan Suraksha premium u/s 80-ccc [Max.Rs.10,000] 0 010 Total ( a to o ) Qua. Amt. Max. Rs. 1,00,000/- 14000 14000 1400011 Net Taxable Total Income [ 8 - 10 ] 14741612 Net Taxable Total Income rounded to the nearest Multiple of ten Rupees 14742013 Income Tax Payable on Total Income Calculation of Income Tax on 0
Male Tax Payee Female Tax PayeeIncome Tax up to Tax Income Tax up to Tax
Rs. 1,60,000 Nil 0 Rs. 1,90,000 Nil 0147420 147420 0 0
Rs. 1,60,001 to Rs. 3,00,000 10% 0 Rs. 1,90,001 to Rs. 3,00,000 10% 0-12580 0 0 0
Rs. 3,00,000 to Rs. 5,00,000 20% 0 Rs. 3,00,000 to Rs. 5,00,000 20% 0-152580 0 0 0
Above Rs. 5,00,000 30% 0 Above Rs. 5,00,000 30% 00 0 0 0 0 0
14 Surcharge thereon if Total Income is above Rs 10,00,000 [Sr.No. 13] 0 015 Total Tax Payable [ 13+14+15 ] 016 Tax Paid up to Nov. 2008 0
Tax to be deducted in Dec. 2008 0Tax to be deducted in Jan. 2009 0Tax to be deducted in Feb. 2009 0Other Any Tax to be deducted 0
17 Total Tax 018 Tax Payable / Refundable [ 15 - 17 ] 0
SignatureName SHRI A. J. SHAH EXECUTIVE ENGINEERDesignation A.E. DISTRICT PANCHAYAT SURAT
Deposit in 10 Year, 15 Years Account Under the Post Office Saving Band (CTD)
Education Expenses [ Tuition Frees Only] [up to 2 children]Investment Share/Debenture in infrast. Power & communication Co Safety Bonds ICICI and IDBI Bonds
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SURATPlac SURATDate 4/8/2023 Note : Please quote PAN No. PositivelyPlace : .Date : .
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FORM NO. 16[ See third proviso to rule 12(1)(b) and rule 31(1)(a)]
Certificate Under section 203 of the Income-tax Act, 1961 for deducted at source
Name and Address of the Employer Name and Designation of the Employee
EXECUTIVE ENGINEER ANKIT JAYESHKUMAR SHAH
SURAT A.E.
PAN No. of the Deductor TAN No. of the Deductor PAN/GIR No.
x x x x x x x SRTEO0130E AWXPS6961K
Period Assessment Year
2010 2011
Quarter Acknowledgement No. From To1ST QUARTER 0 4/1/2009 6/30/20092ND QUARTER 0 7/1/2009 9/30/20093RE QUARTER 0 10/1/2009 12/31/20094TH QUARTER 0 1/1/2010 3/31/2010
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross Salary(a) Salary as per provisions contained
in section 17(1) Rs. 163816(b) Value of perquisites under section
17(2) (as per Form No. 12BA,wherever applicable) Rs. 0
(c) Profits in lieu of salary under section17(3) (as per Form No. 12BA, 0wherever applicable) Rs.
(d) Total Rs. 1638162. Less: Allowance to the extent exempt under
section 10 P. T. A. Rs. 0Washing All. Rs. 0
Deduction Less House rent allowance exempt U/s 10 Rs. 0Transportation Allow. U/s 10 Rs. 0
[Pl specify] xxxx Rs. 0 Rs. 03. Balance (1-2) Rs. 1638164. Deductions under section 16.
(a) Standard deduction Rs. 0(b) Entertainment allowance Rs. 0(c) Tax on Employment Rs. 2400(d) Interest payable on loan U/s 24 Rs. 0
5. Aggregate of 4 (a) to (c) 2400 Rs. 24006. Income chargeable under the head 'Salaries' 701 Rs. 1614167. Add. Any other Income reported by the employee
EmployeeFamily pension Rs. 0
Interest Rs. 0[c] Total of [a]+[b] above Rs. 0
8. Gross Total Income (6+7] 746 Rs. 161416
9. Deduction under Chapter VI-A
[a] section 80 CCC Rs. 0 235 Rs. 0
[b] section 80 CCD Rs. 0 0section 80 D + 80DD + 80DDB Rs. 0 0 0 0 236 Rs. 0
[c] section 80 E Rs. 0 239 Rs. 0[d] section 80 G Rs. 0 242 Rs. 0[e] Section 80 GG / Section 80 GGA Rs. 0 260 Rs. 0[f] section 80QQB Rs. 275 Rs. 0[g] section 80RRB Rs. 0 282 Rs. 0[h] Others [ if any ]U/S 80-U Rs. 0 0 0 0 Rs. 0
10. Aggregate of deductible amounts under Chapter VI-A 747 Rs. 1400011. Total Income [8-10] 760 Rs. 14742012. Tax on Total Income 810 Rs. 0
Conti.. Page no. 2
from income chargeable under the head " Salaries "
Acknowledgement Nos. of all quarterly statement of TDS under sub-section [3] of section 200 as provided by TIN Facilitation Centre of NSDL web-site
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Page No. 2
13 Rebate Under Chapter VIII [Under section 88C]
I. Under section 88 Gross Amount [ease specify] GROSS AMOUNT DEDUCTIBLE AMOUNT
(a) GPF Contribution Rs. 0 Rs. 0(b) Group Insurance Scheme / CGEIS Rs. 0 Rs. 0(c) Public Provident Fund [ PPF ] Rs. 0 Rs. 0(d) LIC Premium Rs. 0 Rs. 0(e) PLI Premium Rs. 0 Rs. 0(f) Deposit in 10 Year, 15 Years Account Under the Post Office Saving Rs. 0 Rs. 0(g) NSC Purchase Rs. 0 Rs. 0(h) NSC Interest re-invested Rs. 0 Rs. 0(i) ULIP Rs. 0 Rs. 0(j) Equity link Saving fund [ Max. Rs. 15,000/- ] Rs. 14000 Rs. 14000(k) Investment in pension fund Rs. 0 Rs. 0(l) HBA Repayment of Principal Rs. 0 Rs. 0(m)Education Expenses [ Tuition Frees Only] [up to 2 children] Rs. 0 Rs. 0(n) Investment Share/Debenture in infrast. Power & communication Co Rs. 0 Rs. 0(o) Jivan Suraksha premium u/s 80-ccc [Max.Rs.10,000] Rs. 0 Rs. 0
[p] Total ( a to o ) Qua. Amt. Max. Rs. 1,00,000/- Rs. 14000
II. [a] Under section 88B Rs.
[b] Under section 88C Rs.
14 Aggregate of tax rebates at 13 above [ I [0] + II [a] + II [b] ### Rs. 1400015. Surcharge(on tax computed at S.No. 12) Rs. 820 015. Education Cess @ 2% on (tax at S.No.12 ) 015. Secondary and Higher Education Cess @ 1% on (tax at S.No.12 ) 015. Tax payable on total income [12 - 14] and 832 016. Relief under section 89 [attach details] 837 017. Tax payable [15 - 16] 841 018. Less :
[a] Tax deducted at source under section 192[1] 868 0[b] Tax paid by the employer on behalf of the 872 0 873 0
employee under section 192[1A] on
perquisites under section 17[2]
19. Tax payable / refundable [ 17- 18 ] 891 0
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
S,NO
1 2 3 4 5 6 7 8 9 10 11 12 13
I R. M. Vasava Son of BALUBHAIworking in the capacity of EXECUTIVE ENGINEER ( designation) do hereby certify that a sum of RupeesRs.13249 (Thirteen Thousand Two Hundred Fourty Nine Only) [in words] has been deducted at sourceand paid to the credit of the Central Government. I further certify that the information given above is trueand correct base on the books of account, documents and other available records.Place : SURATDate : 5/6/2010
Signature of the person responsible for deduction of tax
Full Name R. M. VasavaDesignation EXECUTIVE ENGINEER
DISTRICT PANCHAYAT SURATSURAT
TDS Rs.
Surcharge Rs.
Education Cess Rs.
Total Tax deposited
Rs.
Cheque/DD No.(if any)
BRS Code of Bank branch
Date on which tax deposited
(dd/mm/yy)
Transfer voucher challan
Identification No.
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Page No. 3 00
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Important : Please See notes overleaf before filling up the challan Single Copy (to be sent to the ZAO)
Tax Applicable ( Tick One)*(0020) INCOME-TAX ON COMPANIES
(Corporation Tax)(0021) INCOME - TAX 2 0 1 0 - 1 1
(Other Than COMPANIES)Permanent Account NumberA W X P S 6 9 6 1 KFull NameA N K I T J A Y E S H K U M A R S H A HComplete Address With City & StateD / 9 4 , V I S H A L N A G A R S O C I E T Y , N R . S A R D A R B R I D G E , A D A J A N , S U R A T , G U J A R A T
Tel. No. 0 2 6 3 1 2 0 0 0 0 5 Pin 3 9 5 0 0 9Type Of Payment (Tick One)
Advance Tax (100) Surtax (102)Self Assessment Tax (300) Tax on Distributed of Domestic Companies (106)
Tax on Regular Assessment (400) Tax on Distributed income to Unit Holder (107)
DETAIL OF PAYMENTS Amount (in Rs. Only)Income Tax 0 FOR USE IN RECEIVING BANKSurcharge 0 Debit to A/c Cheque Credited on
Education Cess 0 2 5 / 1 2 / 2 0 0 8Interest D D M M Y Y Y YPenalty SPACE FOR BANK SEALOthersTotal 0Total (in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS0
Paid in cash/Debit to A/c/Cheque No. Dated 25/12/2008
Drawn on(Name of the Bank And Branch)
Date : Signature of person making payment RS
Taxpayers Counterfoil (to be filled up by tax payer) SPACE FOR BANK SEALPAN A W X P S 6 9 6 1 KReceived From Ankit Jayeshkumar Shah
Cash/Debit to A/c/Cheque No. For Rs.#VALUE!
Drawn on(Name of the Bank And Branch)
on account of Companies / Other than Companies Taxincome tax on (Strike out whichever is not applicable)
Type of Payment (To be filled up by person making the payment)
for the Assessment Year 2 0 1 0 - 2 0 1 1
Click here for Back to Main Menu Please fill Manually only in BLUE colour
CHALLAN NO
ITNS280
AssessmentYear
Rs.(in words)
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Government of India
INCOME-TAX DEPARTMENTACKNOWLEDGEMENT
Received with thanks from
2010 2011 having the following particulars.
PERS
ON
AL IN
FORM
ATIO
N Name PANANKIT JAYESHKUMAR SHAH A W X P S 6 9 6 1 K
Flat/Door/Block No. Name Of Premises/Building/VillageD/94 Vishal Nagar Society
Road/Street/Post Office Area /LocalityNr. Sardar Bridge Adajan Road
Town/City/District StateSurat GUJARAT
1 Gross Total income 1 1614162 Deductions under Chapter - VI-A 2 140003 Total Income 3 1474204 Net tax payable 4 05 Interest payable 5 06 Total tax and interest payable 6 07 Taxes paid
a advance Tax 7a 0b TDS 7b 0c TCS 7c 0d self assessment Tax 7d 0e Total Taxes Paid (7a + 7b +7c + 7d) 7e 0
8 Tax Payable (6 - 7d) 8 09 Refund (7e - 6) 9 0
10 Value of fringe Benefits 10 011 Total Fringe benefit tax liability 11 012 Total interest payable 12 013 Total tax and interest payable 13 014 Taxes paid
a advance Taxb self assessment Taxc Total Taxes Paid (14a + 14b) 14c 0
15 Tax Payable (13 - 14c) 15 016 Refund (14c - 13) 16 0
Receipt No. Seal and Signature of receiving official
Date :
return of income and/or return of fringe benefits in Form No. ITR - I for assessment year
COM
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TAX
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BEN
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INDIAN INCOME TAX RETURN
FRO
M
[For Individuals having Income from Salary / Pension / family pension) & Interest] Assessment Year( Please see Rule 12 of the Income-tax Rules, 1962)
2 0 1 0 - 1 1ITR-1 ( Also see attached instruction )
PERS
ON
AL IN
FORM
ATIO
N First Name Middle Name Last Name PANA N K I T J A Y E S H K U M A R S H A H A W X P S 6 9 6 1 K
Flat/Door/Block No Name Of Premises/Building/Village Date of Birth [ DD/MM/YYYY]D/94 Vishal Nagar Society 1 4 / 0 6 / 1 9 8 5
Road/Street/Post Office Area / Locality Employer Category(Tick) √Nr. Sardar Bridge Adajan Road Govt PSU Other
Town/City/District State Pin code Sex (Tick) √Surat GUJARAT 3 9 5 0 0 9 √ Male Female
Email Address (STD Code)- Phone Number 00261 2425751-55
FILI
NG
STA
TUS
Designation of Assessing Officer (Ward/Circle) SURAT Return filed under Section -[Please see instruction number-9(i)]
Whether original or Revised return ? √ Original Revised
If revise, enter Receipt No and Date of filing originalreturn (DD/ MM/ YYYY )
Residential Status √ Resident Non - Resident Resident but Not Ordinarily Resident
FILI
NG
STA
TUS
1 Income chargeable under the Head 'Salaries'(Salary/Pension) 1 161416
2 Income Chargeable under the Head 'Other Sources'
a Family Pension 2a 0
b Interest 2b 0
c Total ( 2a + 2b ) 2c 0
3 Gross Total Income ( 1 + 2c ) 3 161416
4 Deductions under chapter VI A (Section)
a 80 C 14000 e 80 DD 0 i 80 GG 0
b 80 CCC 0 f 80 DDB 0 j 80 GGA 0
c 80 CCD 0 g 80 E 0 k 80 GGC 0
d 80 D 0 h 80 G 0 l 80 U 0
m Deduction ( Total a to l ) 4m 14000
5 Total Income ( 3 - 4m) 5 147416
6 Net Agricultural Income ( Enter only if greater than Rs. 5,000) 6 0
7 Aggregate Income' (5+6) 7 147416
FILI
NG
STA
TUS
8 a Tax Payable on 'Aggregate Income' 8a 0
b Rebate in respect of Net Agricultural income 8a 0
9 a Tax Payable on Total Income ( 8a - 8b ) 9a 0
b surcharge on 9a 9b 0
c Education Cess on (9a+9b and H S Edu. Cess on (9a+9b) 9c 0
d Total Tax, Surcharge & Education Cess and H S Edu. Cess Payable (9a+9b+9c) 9d 0
10 Relief under Section 89 10 0
11 Relief under section 90 / 91 11 0
12 Balance Tax Payable ( 9d - 10 - 11 ) 12 0
Do not write or stamp in this area ( Space for bar code) 13 a Interest Payable U/s 234A 13a 0
b Interest Payable U/s 234B 13b 0
c Interest Payable U/s 234C 13c 0
d 13d 0
14 14 0
For Office Use Only Seal and Signature of receiving Official
Receipt No
Date
Total Interest Payable(13a+13b+13c)
Total Tax and Interest Payable(12 + 13d)
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TAXE
S PA
ID
15 Tax paid
a Advance Tax (from item 23) 9b 0
b TDS (column 7 of item 21 +column 7 of item 22) 9c 0
c Self Assessment Tax (from item 23) 9c 0
d Total Taxes Paid ( 15a + 15b + 15c ) 15d 0
16 16 0
REFU
ND
17 17 0
18 3 0 2 4 2 3 1 0 7 4 1
19 Do You want your refund by √ Cheque, or √ )
20 In case of direct deposit to your bank account give additional details
MICR CODE Type of Account ( trick as applicable √ ) √ Saving Current
21 Details of Tax Deducted at Source on Interest [As per From 16 issued by Deductor (s)]
TDS
ON
SAL
ARY
Tax
(1) (2) (3) [4] [5] [6] [7] [8]
iE X E C U T I V E
161416 14000 0 0 0S R T E O 0 1 3 0 E E N G I N E E R
ii
iii
22 Details of Tax Deducted at Source on Interest [As per From 16 A issued by Deductor (s)]
TDSN
O IN
TERE
ST (1) (2) (3) (4) (5) (6) (7)
i
ii
iii
Note Enter the total of column (7) of 21 and columm (7) of 22 in sl No. 15b of TAXES PAID
23 Details of Advance Tax and self Assessment Tax Payments
TDSN
O IN
TERE
ST
Name of Bank & Branch BSR Code Date of Deposit Amount (Rs)
(DD/MM/YYY)
iiiiiiivv
Note Enter the total of column (7) of 21 and columm (7) of 22 in sl No. 15b of TAXES PAID
24
SL Code Amount(Rs) SL Code Amount(Rs) SL Code Amount(Rs)
a 001 d 004 g 007b 002 e 005 h 008c 003 f 006
25 25
26 E-Filling Acknowledgement Number Date(DD/MM/YYYY)
I ANKIT JAYESHKUMAR SHAH Son of JAYESHKUMAR KHUSHALDAS SHAH solemnlydeclare that to the best of my knowledge and belief, the information given in the return thereto is correct and complete and that the amountof total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act. 1961in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year 2008 - 09.
Place : SURAT Date : 4/8/2023 Sign here →
27 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below :
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement form the Government, amount thereof ( to be filled by TRP ) 28
Tax Payable ( 14 - 15d ) (Ender if 14 is greater than 15d, else leave bank)
Refund (15d - 14) (Ender if 15d greater than 14, also give Bank Account details below)
Enter your Bank accounts number ( mandatory in case of refund )
deposited directly into your bank account ? (tick as applicable
sr. no
Tax Deduction Account Number (TAN) of the
Employer
Name and address of the Employment
Income chargeable under the
head Salaries
Deduction under Chapter
VI-A
Tax payable (incl.surch.and
edn.cess)
Total tax deposited
sr.no
Tax Deduction Accent Number (TAN) of the
Deductor
Name and address of the Deductor
Amount paid /Credited
Date of Payment /Credit
Total tax deposited
A mount out of (6) Claimed for
this year
sr.no
Serial Number of Challan
Other Information (transactions reported through Annual Information Return) (Please see instruction number-9(ii) for code)
Tax-exempt interest income ( for reporting purpose only )
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SURAT DISTRICT PANCHAYAT, SURATSelf Assessment Income Tax Calculation Memo for the Accounting Year 2010 2011
Calculation_Prapose And Assessment Year 2011 2012Name : ANKIT JAYESHKUMAR SHAHDesignation A.E.Residential Address : D/94,Vishal Nagar Society,Nr. Sardar Bridge,Adajan Road,Surat,GUJARAT
PAN NO. AWXPS6961K PSN NO. xxxxxxNo. Particular Rs.
1 Income[a] 181836 181836
[b] Honorarium 0[c] Bonus 0[d] Bank Interest 0[e] NSC Interest 0[f] House Rent Income 0[g] Other Sources [ if any ] 0Total [a] to [g] 181836
2 Less : Deduction Admissible 2400Deduction Less House rent allowance exempt U/s 10[13A](1) a Actual amount of HRA received 0
b 10% of salary [including D.A.] 0c 50% of salary [including D.A.] 0
HRA Ded. Allowed 0 0(2) PTA + Washing Allw.U/s 10[14][I] Vide rule 2BB[i] of Rules 0(3) Transportation Allowance U/S 10(14) 0(4) Professional Tax U/S 16(U) 2400(5) Entertainment allowance 0
3 Balance [1-2] 1794364 Less : HBA Interest U/S 24(1) (vi)
[i] Up to Rs. 30,000/- can taken before Dt.1/4/99 0 0[ii] Up to Rs. 1,50,000/- can taken after Dt.1/4/99
5 Total Income (3-4) 1794366 Deduction : Under Chapter VI-A Gross Qualifying
(a) Med. claim u/s 80-d [Max. Rs. 15,000/-] 0 0(b) Donation U/S 80-G 0 0(c) 0 0(d) 0 0
(e) Person with Disability U/S 80-U (Max. Rs. 50,000) 0 0(f) Others [ if any ] 0 0(g) Others [ if any ] 0 0
Gross Salary Income (Statement enclose] PAY+DA+D.PAY+HRA+CLA+MA+TA and Other Allowance
Medical Treatment of Handicapped Dependents U/S 80-DD (Max. Rs. 50,000)Medical Treatment on Serious diseases U/S 80-DD B (Max. Rs. 40,000)
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7 Total ( a to g ) 08 Gross Total Income ( 5 - 7 ) 179436
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9 Less : Deduction U/S 80 C [ Max. Rs. 1,00,000/- Gross Qualifying(a) GPF Contribution 0 0(b) Group Insurance Scheme / CGEIS 0 0(c) Public Provident Fund [ PPF ] 0 0(d) LIC Premium 0 0(e) PLI Premium 0 0(f) 0 0
(g) NSC Purchase 0 0(h) NSC Interest re-invested 0 0(i) ULIP 0 0(j) Equity link Saving fund [ Max. Rs. 15,000/- ] 14000 14000(k) Investment in pension fund 0 0(l) HBA Repayment of Principal 0 0(m) 0 0
(n) 0 0
(o) Jivan Suraksha premium u/s 80-ccc [Max.Rs.10,000] 0 010 Total ( a to o ) Qua. Amt. Max. Rs. 1,00,000/- 14000 14000 1400011 Net Taxable Total Income [ 8 - 10 ] 16543612 Net Taxable Total Income rounded to the nearest Multiple of ten Rupees 16544013 Income Tax Payable on Total Income Calculation of Income Tax on 1544
Male Tax Payee Female Tax PayeeIncome Tax up to Tax Income Tax up to Tax
Rs. 1,50,000 Nil 0 Rs. 1,80,000 Nil 0150000 150000 0 0
Rs. 1,50,001 to Rs. 3,00,000 10% 1544 Rs. 1,80,001 to Rs. 3,00,000 10% 015440 15440 0 0
Rs. 3,00,000 to Rs. 5,00,000 20% 0 Rs. 3,00,000 to Rs. 5,00,000 20% 0-134560 0 0 0
Above Rs. 5,00,000 30% 0 Above Rs. 5,00,000 30% 00 0 1544 0 0 0
14 Surcharge thereon if Total Income is above Rs 10,00,000 [Sr.No. 13] 15 015 Education Cess 3% on Payable Income Tax Amount 4616 Total Tax Payable [ 13+14+15 ] 159017 Tax Paid up to Nov. 2009 0
Tax to be deducted in Dec. 2009 0Tax to be deducted in Jan. 2010 0Tax to be deducted in Feb. 2010 0Other Any Tax to be deducted 0
18 Total Tax 019 Tax Payable / Refundable [ 15 - 17 ] Payble 1590
SignatureName SHRI A. J. SHAH EXECUTIVE ENGINEER
Deposit in 10 Year, 15 Years Account Under the Post Office Saving Band (CTD)
Education Expenses [ Tuition Frees Only] [upto 2 children]Investment Share/Debenture in infrast. Power & communication Co Safety Bonds ICICI and IDBI Bonds
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Designation A.E. DISTRICT PANCHAYAT SURATSURAT
Plac SURATDate 4/8/2023 Note : Please quote PAN No. PositivelyPlace : .Date : .