5.5 income tax return calculator for non-govt employees fy 2010-2011

20
FIRST NAME Pranab MIDDLE NAME Kumar LAST NAME Banerjee DESIGNATION UDC Permanent A/C No.(PAN NO) AAPB 5566 K Gender ( Male or Female ) Male DATE OF BIRTH 1/4/1963 If you are a Handicapped Employee, Yes/No No Flat/Door/Blo ck No. D 45 Village Bhattapara Post Office: Jiaganj Area/Locality: Jiaganj If you live in Metro City Type Yes ,else Type No No District: Murshidabad PIN CODE: 742123 State: West Bengal Designation of Assessing Officer ( Ward/Circle) 11 Date of Submit this RETURN Office Address Lalbagh,Murshidabad STATUS- Govt/PSU/Others PSU EMPLOYER /DEDUCTOR DETAILS Name of the Employer / Deductor Rahul Bose Address of the Employer/Dedu ctor Lalbagh,Murshidabad Father's Name of the Employer/Deductor Babulal Bose Designation of the Employer/Deductor G.M. Note:-If any discrepency is arise about calculation of income Tax,I am not responsible for that, Pranab Banerjee For Contact:- [email protected] Cell No. 94743 8906279547 Income Tax Calculator for the Financial Year 2011-2012 and Assessment Y ear 2012-2013 ONLY NON- GOVT EMPLOYEES Prepared By Pranab Banerjee,Bhattapara,Jiaganj, Murshidabad,West Bengal. For contact:- [email protected], Cell No. 9474316768, 8906279547

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Page 1: 5.5 Income Tax Return Calculator for Non-Govt Employees Fy 2010-2011

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FIRST NAME Pranab

MIDDLE NAME Kumar 

LAST NAME Banerjee

DESIGNATION UDC

Permanent A/C No.(PAN NO) AAPB 5566 K

Gender ( Male or Female ) Male

DATE OF BIRTH 1/4/1963

If you are a Handicapped Employee, Yes/No No

Flat/Door/Block No. D 45

Village Bhattapara

Post Office: Jiaganj

Area/Locality: Jiaganj

If you live in Metro City Type Yes ,else Type No No

District: Murshidabad

PIN CODE: 742123

State: West Bengal

Designation of Assessing Officer ( Ward/Circle) 11Date of Submit this RETURN

Office Address Lalbagh,Murshidabad

STATUS- Govt/PSU/Others PSU

EMPLOYER /DEDUCTOR DETAILSName of the Employer / Deductor  Rahul Bose

Address of the Employer/Deductor Lalbagh,Murshidabad

Father's Name of the Employer/Deductor  Babulal Bose

Designation of the Employer/Deductor  G.M.

Note:-If any discrepency is ariseabout calculation of income Tax,I am

not responsible for that, PranabBanerjee

For Contact:-

[email protected]

Cell No. 94743

8906279547

Income Tax Calculator for the Financial Year 2011-2012 and Assessment Year 2012-2013ONLY NON- GOVT EMPLOYEES

Prepared By Pranab Banerjee,Bhattapara,Jiaganj,Murshidabad,West Bengal. For contact:[email protected], Cell No. 9474316768, 8906279547

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Place of Office (Loceted Office Place) Lalbagh,Murshidabad

Pan of the Employer/Deductor  AAPP5588A

Tan No. of the Employer/Deductor  800

PARTICULARS OF SALARY

Deduction under 80C (Maximum Deposit Rs.1,00,000)+20,000/- Flixible Bond

1 a) G.P.F./EPF/PF 12000

2 b) P.P.F 1000

3 c) L.I.C. 50000

4 d) N.S.C. 1000

e) P.L.I. 1000

5 f) H.B. Loan Principal 12000

6 g) ESIC/ESI/GI/GISL 960

7 h) ULIP 1000

8 i)New Flexible Tax Savings Bond ( Maximum Rs. 20,000/-) 0

9  j)Equity linked savings scheme/tax savings bond etc. 1000

10 k) Tuition Fees 1000

1180960

Other source of Income( Other than Salary)

12 Interest from Bank 0

Interest from N.S.C. 0

13 Deduction under Chapter V A

14 80G 100 Donation in Charitable Fund Maximum 100% of do

15 80D 100

16 80E 100 For Higher Education Loan

17 80DD 100 Medical treatment for self or dependent as Handic

18 80DDB 100 Medical Treatment for self or dependent for sever 

DEDUCTION ONLY U/S 80C, 80CC (MAXNOT EXCCEED RS.1,20,000/- including Ne

Bond(Max Rs.20000/-)

TOTAL DEDUCTION U/S 80C Max. Rs 1,00,000/- + 20,000Infrustructure Bond, Total Rs.1,20,000/-

Total Deduction U/S 80C (Max.limit 1,00,00New declared Infrustructure Bond

Premium in health insurance of self,spouse,children,dependent,Maximum Rs 1500

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19 80 U 100 Handicapped Allowances Max Rs.75,000/-

TOTAL DEDUCTION CHAPTER VI-A Rs. 81560 TOTAL DEDUCTION CHAPTER VI-A Rs.

House Rent Paid 0 For Rented House. Must Submit the receipt of Hou

25 Relief under Section 89(1) 1,500 

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m

6768,

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ation)

pped

esease

IMUM LIMITTax Savings

0/-) + 20,000/-

 /-

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e Rent.

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Basic Pay D.A. H.R.A. Bon

Apr-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 0

May-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Jun-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Jul-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Aug-11 20,000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Sep-11 20,000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Oct-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Nov-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Dec-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Jan-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Feb-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

Mar-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0

TOTAL 210000 72000 12000 0 9000 0 0 36000 15000 0 0 0 0 0 0 0

Pay Calculation Sheet for -Income Tax Calculation ,for the financial year 2010-2011, Assessment Year 2011-12 Only For Non Govt Employees

MONTH&Year 

VariablePay

Conv.Allown./TrnsportAlownc

Other Allownc

Spl.Allwnc

CityAlownc /

CCA

MadicalAllown

ChildEduc.

Alownc

IntrtnmAllown

Mobile/Telph. /FuelAlwnc

performance

Incentv

OvrtimAlownc/

O A

L.T.C./L.T.A

Prepared by

PraKalisthanpara,

Murshidabad,

Fo

pranab.banerCom,

94743

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P.F./EPF P.Tax

22000 1000 150 80 1000 0 0 600

22000 1000 150 80 1000 0 0 600

22000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 600

32000 1000 150 80 10000

0 453

354000 12000 1800 960 12000 0 0 7053

(ExcludingBonus+

ESIC/G.I.S./GI

SL

H.B.Loan.Princpl

H.B.IntPaid

LICPremum

Paid fromSalary

MonthlyTDS

deduc

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INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2010-2011

ASSESSMENT YEAR 2011-2012

ame & Designation of the Assesses Pranab Kumar Banerjee UDC

esidential Address Bhattapara Jiaganj Murshidabad Pin Code No. 742123

an Card No. AAPB 5566 K

a) Salary income with allowance excluding H.R.A.:-…………………………………………. Rs. 318000

b) House Rent Allowance :-…………………………………………………………………………. Rs. 36000

c) Bonus :-………………………………………………………………………………………………. Rs. 0d) Arrear,if any :-………………………………………………………………………………………. Rs. 0

2 Any other income as stated by the Assesses :-

a) Income from N.S.C. Interest-……………………………………………………………………… Rs. 0

b) Income from Bank Interest……………………………………………………………………….. Rs. 0

3 Gross Income(Col.1 + 2 ) :-…………………………………………………………………………… Rs. 354000

4 Interest paid as H.B.Loan (1.5 Lacks maximum) U/S 24(B):-…………………………………… Rs. 0

5 Intertainment Allowances Exemp U/s 16[Max For NGO Rs.7500, For Govt Empl.Rs.5000/-] Rs. 0

6 Professional Tax U/S 16(iii) :-……………………………………………………………………….. Rs. 1800

7 Exemption of Transport/Conveyance Allowances/U/s 10(14)(i)[Max.Rs 9600/……………….. Rs. 9600

8 Exemption U/S 10(13A) :-

a) H.R.A.Received :-………………………………………………………………. Rs. -

b) House Rent paid :-…………………………………………………………….. Rs. -

c) Expenditure on rent in excess of 

50% of B.Pay In Metropol City ors 40%.................................. 84,000 Rs. -

10% of B.Pay ………………………………………………… -21,000 Rs. -

e) Amount exempted (Least of a,c):-…………………………… -21,000 Rs. - Rs. -

9 Exemption of Leave Travel Consession/LTA U/s 10(5)…………………………………………. Rs. -

0 Exemption ofChildren Education Allowances,U/s 10(14), Max Rs. 1200 PA …………………. Rs. -

1 Total Income(Col.3-4-5-6-7-8-9-10) :-………………………………………………. ………………….. Rs. 342,6002 Deduction U/S 80 C (Maximum Rs.1,20,000/- including T.Svngs Bond)

a) Contribution to G.P.F.:- ……………………………………………. Rs. 12000

b) Contribution to P.P.F…………………………………………………… Rs. 1000

b) Group Insurance Savings Scheme/ESIC/ESI :-……………………. Rs. 960

c) L.I.C./Premium paid…………………………………………………….. Rs. 50000

d)Purchase of N.S.C. :-…………………………………………………….. Rs. 1000

e) ULIP………………………………………………………………………… Rs. 1000

f)Tution Fees Maximum Rs.1,00,000/-………………………………….. Rs. 1000

f) Payment of H.B.Loan (Principal) :-………………………………….. Rs. 12000

g) New Infru.Flexible Bond Max Rs. 20,000/-)………………………. Rs. 0

h) P.L.I……………………………………………………………………….. Rs. 1000

i) Equity linked savings scheme/tax savings bond etc……………. Rs. 1000

Total Deduction U/s 80C (Max Rs. 1,00,000/-+ 20,000/-)………………….. Rs. 80960

3 Deduction Under Chapter V A

i) U/S 80 G Rs. 100

ii) U/S 80 D Rs. 100

iii) U/s 80 DD Rs. 100

iv) U/s 80 E Rs. 100

v) U/s 80 DDB Rs. 100vi) U/s 80 U Rs. 100 Total Amount of Chapter V A Rs. 600

4 Total Amount Deducted U/S 80C and Chapter VI A (Col 12 + 13)………. Rs. 81,560 Rs. 81,560

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5 Taxable Income (11 -14) :-[Rouned to the next 10]……………….. Rs. 261040

i) Upto Rs.1,80,000/- Tax Nil, Rs.1,80,001/-to 5,00,000/-Tax 10%, 500001 to 80000, 20%

ii)Rs.8,00,001/-to Onwards Tax 30%, For Female Up to 190000/- Tax NIL

iii) For Sr.Citizen 60 Yrs up to 2,50,000/- Nil, Above 80 yrs up to 5,00,000/- Nil

6 Total Tax Computed after the Stantard Deduction…………………………. ……………….. Rs. 10,104

7 3% Educational cess on tax :-…………………………………………………… ……………….. Rs. 303

8 Tax Payable including educational cess(Col.16 + 17) :-………………….. Rs. 10,407

9 Relief U/S 89(1)[Arrears Relief from Salary]…………………………………… …………………. Rs. 1,500

0 Net Tax Payable ( 18-19)…………………………………………………….. ………………… Rs. 8,907

1 Tax Paid from Salary Anually or Monthwise……………………………………………… Rs. 7,053

2 Balance Tax Payable/Refundable…………………………. ………………………………….. Rs. 1,854

Date:- Signature of the employee

Designation

ranab Banerjee,Jiaganj,Msd

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Salary Statement for the Year 2010-2011(From March 10 to Feb 2011)

alary Statement of Sri Pranab Kumar Banerjee UDC

Basic Pay D.A. H.R.A. P

Apr-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

May-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

un-11 10000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Jul-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Aug-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Sep-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Oct-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Nov-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Dec-11 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

an-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

eb-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

Mar-12 20000 6000 1000 0 750 0 0 3000 1250 0 0 0 0 0 0 1000

OTAL 210000 72000 12000 0 9000 0 0 36000 15000 0 0 0 0 0 0 12000

Total Arrears Received from March 10 to Feb 2011 Rs. 0

Bonus Received From March 2010 to Feb 2011 Rs. 0

Signature of Employee

Dated:-Designation:-

ONTH&Year 

Variable Pay

Conv.Allown./TrnsportAlownc

Other Allown

c

Spl.Allwnc

CityAlownc /

CCA

MadicalAllown

ChildEduc.

Alownc

IntrtnmAllown

Mobile/Telph. /FuelAlwnc

performance

Incentv

OvrtimAlownc/

O A

L.T.C./L.T.A

P.F./EPF

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FORM NO.16

PRART A

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

Name and address of the Employer Name and designation of the employee

Rahul Bose Pranab Kumar Banerjee UDC

Lalbagh,Murshidabad

TAN No.of the Deductor PAN NO. of the EmployeeAAPP5588A 800 AAPB 5566 K  

CIT (TDS)Assessment Year

Period

ddress - From To

- 2010 2011 1/4/2010 31/3/2011

ity - Pin Code -

Quarter 

Q 1 2 1,800 1,800Q 2 5 1,800 1,800

Q 3 8 1,800 1,800Q 4 11 1,653 1,653

TOTAL 7,053 7,053

PART B (Refer Note )

etails of Salary Paid and any other income and tax deducted

1 Gross Salary IN RUPEES IN RUPEES IN RUPEES

(a) Rs. 354,000

(b) Rs. 0

(c) Rs. 0

(d) TOTAL Rs. 354000

2 Less: Allowance to the extent exempt u/s 10

Allowance Rs.

HRA Exempt( U/s 10(13A) 0

9600 9600

3 Balance(1-2) Rs. 3444004 Deductions :

(a) 0

Exempt Intertainment Allowance 0

(b) Tax on employment 1800

5 Aggregate of 4(a) to (b) Rs. 1,800

6 Rs. 342600

7

a)Income form N.S.C………………………………. Rs. 0b) Income From Bank Interest……………………. Rs. 0

8 Gross total income (6+7) Rs. 342600

[See rule 31(1)(a)]

PAN NO.of Deductor

Receipt Numbers of original statementsof TDS under sub-section (3) of section

200

Amount of tax deducted in respectof the employee

Amount of tax depositedremitted in respect of the

employee

Salary as per provisions contained insection 17(1)

Value of perquisites under section 17(2)(as per Form No. 12BA,whereverapplicable)

 17(3)(as per Form No. 12BA, wherever

Conv.Alw.exempt(U/s10(14)(i)

H.B.Loan Int.(Max-1,50,000/-) u/s 24(B)

 

(3- Add: Any other income reported by the

employee

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9 Deductions under Chapter VIA

A Deductible Amount Rs.

(i)Sec.80C-G.P.F. Rs. 12000(ii)P.P.F. Rs. 1000(ii) G.I.S. Rs. 960

(iii) U L I P Rs. 1000

(iv) P.L.I. Rs. 1000(v) Tution Fees Rs. 1000

0

(vii) N.S.C. 1000

(viii) L I C Premium Rs. 50000

1000(x) H.B.L.(Principal) Rs. 12000 80960 Rs. 80,960

B Other sections e.g.,80E,80G,etc under chapter VI Gross Amount Deductible Amount Rs.

(a) Section 80 E Rs. 100 100(b) Section 80 G Rs. 100 100 © Section 80U Rs. 100 100(d) Section 80DD Rs. 100 100(e) Section 80D Rs. 100 100f) Section 80CC Rs. 0 0G) Section 80DDB Rs. 100 100

10 Rs. 81,560

11 Total Income (8-10) Rs. 261,04012 Tax on total income Rs. 10,104

13 Surcharge on col.12 Rs. 014 Education & cess @3% on col.no.12 Rs. 30315 Tax payable (12+13+14) Rs. 10,40716 Relief U/s 89(1) Rs. 1,50017 Rs. 8,90718 Less (a) Tax deducted at source Rs. 7,053

19 - Tax payable Rs. 1,854

VerificationI Rahul Bose son/daughter of Babulal Bose

orking in the capacity of(designation G.M. do hereby certify that a sum of Rs Rs. 1,854 [Rs.(in words)] has been deducted and deposited to the credit of the Central Governement. I further 

ertifify that the information given about is true, complete and correct and is based on the books of account, documents, TDS

tatement ,TDS deposited and other available records.

Place:- Lalbagh,Murshidabad

Date:- Signature of person responsible for deduction of tax

G.M. Full Name:- Rahul Bose

Note:-1 If an assessee is employed under more than one employer during the year, each of the employers sha

A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with eachof the employers. Part B may be issued by each of the employers or the last employer at the option of theassessee.2 Government deductors to enclose Annexure-A if tax is paid without production of an income-tax

challan and Annexure-B if tax is paid accomanied by an income-tax challan.

U/s 80C Aggregate amount-

Gross

v New F ex e Bon Max Rs 20,000/- U/s80CCF

x Equ ty L n s Sav ngs BonRs.

Qulfyamount

Aggregate of deductible amount under Chap.VIA

ax paya e re un a e -16

Net Tax col.No.17-18)

esignatio

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3 Non-Government deducto5rs to enclose Annexure-B4 The deductor shall furnish the address of the Commissioner of Income-tax(TDS) having jurisdiction

as regards TDS statements of the assesee.5 This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.

ANNEXURE-ADETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENT5RAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY

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

l.No Book Identification Number (BIN)

Note:-1. In the column for TDS, give total amount for TDS,Surcharge(if applicable) and education cess.

ANNEXURE-BDETAILS 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 employee)

l.No

Challan Identification Number ( C I N )

BSR Code of the Bank Branch

1 600 Treasury Lalbagh 31/4/2010 12 600 Treasury Lalbagh 31/5/2010 23 600 Treasury Lalbagh 31/6/2010 34 600 Treasury Lalbagh 31/7/2010 45 600 Treasury Lalbagh 31/8/2010 56 600 Treasury Lalbagh 31/9/2010 67 600 Treasury Lalbagh 31/10/2010 7

8 600 Treasury Lalbagh 31/11/2010 89 600 Treasury Lalbagh 31/12/2010 910 600 Treasury Lalbagh 31/1/2011 1011 600 Treasury Lalbagh 28/2/2011 1112 453 Treasury Lalbagh 31/3/2011 12otal 7,053 -

1 In the Column for TDS, give total amount for TDS, Surcharge(if applicable) and education cess

Tax Deposited in respefct on of the employee (Rs.

Receipt Numbers of FormNo 24G

DDO Sequence Number in theBook Adjustment Mini

Statement

Date onwhich taxdeposited

(dd/mm/yy)

Tax Deposited in respect on of the employee (Rs.) Date on which tax deposited

(dd/mm/yy)

ChallanSerial

Number 

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 F O R M

INDIAN INCOME TAX RETURN Assessment Year

2 0 1 0 - 1 1

ase see Rule 12 of the Income-tax Rules, 1962)(Also see attached instucti

  P  E  R  S  O  N  A  L  I  N  F  O  R  M  A  T

  I  O  N

First name Middle name Last name PAN NO

Pranab Kumar Banerjee AAPB 5566 K

Flat /Door/Block No. Name Of Premises/Building/Village Date of Birth

D 45 Bhattapara 1/4/1963

Road/Street/Post Office Area/Locality   √

Jiaganj Jiaganj - √ PSU - Other

Town/City/District State Pin code Employer Category

Murshidabad West Bengal 742,123 √ mal √ -

Email Addrs. (STD Code) - Phone Number

 F I L I N G

 S T A T U S

Designation of Assessing Officer (Ward/Circl Return Filed Under Section- 1 1

11 [Please see instruction number-9(i)]

Whether original or Revised return? (Ti √   √ Original RevisedORIGINAL  

Original return(DD/MM/YYYY) -

Residential Status (Tick √ √ Resident Non-Resident Resident but not ordinarily Resid

 I N C O M E &

 D E D U C T I O N S

1 Income chargeable under the Head 'Salaries',Pension 1 Rs. 342,600

2 Income chargeable under the Head 'House Property'(enter-ve sign in cas 2 Rs. 0

3 3 Rs. 0

4 4 Rs. 342,6005 Deductions under chapter VIA (Section

a 80C ### e 80DD Rs. 100 I 80GG Rs. 0

b 80CCC Rs. 0 f 80DDB Rs. 100 j 80GGA Rs. 0

c 80CCD Rs. 0 g 80E Rs. 100 k 80GGC Rs. 0

d 80D Rs. 100 h 80G Rs. 100 l 80U Rs. 100

6 Deductions (Total of 5a to5i) 6 Rs. 81,560

7 Total Income (4-6) 7 Rs. 261,040

 T A X C O M P U T A T I O N

8 Tax Payable on 'Aggregate Income' 8 Rs. 10,104Rebate in respect of Net Agricultural income Rs. 0

9 a Tax Payable on total Income (8a - 8b) 9a 10104 

# Total Tax, Surcharge and Education cess payable (8 # Rs. 10,407

# Relief under Section 89 # Rs. 1,500# Relief under Section 90/91 # Rs. 0

# Balance Tax Payable (10-11-12) # Rs. 8,907

14 Total interest payable u/s 234A/234B/234C 14 Rs. 0

# Total Tax and Interest payable (12+13) 15 Rs. 8,907eceipt No.

Date

SARAL-II

(ITR-I)

[For Individual having Income from Salary/Pension/income from OneHouse Property(Excluding loss brought forward from previous

years)/Income from Other Sources (Excluding Winning from Lottery andincome from Race Horses)]

EmployerCategoryGov

t.

If revised, enter Receipt No and Date of 

case of loss, if any) (1+2+3)

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 T A X E S P A I D

16Taxes Paid

a Advance Tax (from item 25)   16a Rs. 0

b TDS (column 7 of item23+column 7 of i 16b Rs. 7,053

c Self Assessment Tax (from item 16c Rs. 0

17Total Taxes paid (16a+16b+16c) 17 Rs. 7,053

18 18 Rs. 1,854

 R E F

 U N D

19 19 Rs. 0

20 Enter your bank account number (mandatory in case 0

21 Do you want your refund b or  √

22 Give additional details of your bank account

MICR Cod 0 √ Savings  

3 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

 T D

 S O N

 S A L A R Y

TAX

Payble

-

(1) (2) (3) (4) (5) (6) (7) (8)

800 AAPP5588A Rs. 342,600 Rs. 81,560 Rs. 8,907 Rs. 7,053 

4 Details of Tax Deducted at Source other than salary

 T D S O N

 I N T E R E S T

(1) (2) (3) (4) (5) (6) (7)

- -

-

-NOTE Enter the total of column (7) of 23and column (7) of 17 of TAXES PAID

5 Details of Advance Tax and Self Assessment Tax Payments

 T A X P A Y M E N T S BSR Code Amount (Rs.)

(i)

(ii)

(iii)

(iv)NOTE Enter the total of Advance tax and Self Assessmen tax in Sl.No.17 of TAX  -

6l. Code Amount (Rs.) Sl. Code Amount (Rs.) Sl Code Amount (Rs.)

002 f 005 i 008

003 g 006 j

7 Exempt income only for reporting purposes(from Dividend, Capita 27

VERIFICATION

I, son/ daughter of solemnl

lace Date Sign here

8 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below :

dentification No. of TRP Name of TRP   Counter Signature of TRP

Tax payable(15-17)(enter if 15 is greater than 17, else leave blank)

Refund (18-17) (enter if 15d is greater than 14, also give Bank account details

e deposited directly into your bank account? (tick as

Type of Account (tick as applicable)

SlNo

Tax DeductionAccountNumber(TAN) of theEmployer

Name andaddress of the

Employer

Incomechargeable underthe head salaries

Deductionunder

Chapter VI-A

Taxpayable

(incl.surch. Andedn. Cess)

Total taxdeposited

Rs.1,854

SlNo

Tax DeductionAccount

Number(TAN) of theDeductor

Namee andaddress of the

Deductor

Amount paid/credited

Date of Payment /Credit

Total taxdeposited

Amountout of 

(6) claimfor thisyear

SlNo

Name of Bank &Branch

Date of Deposit(DD/MM/YYYY)

Serial Number of Challan

Other Information (Transactions reported through Annual Information Return) (Please see instruction number

eclare that to the best of my knwledge and belief, the information given in the return thereto is correct andomplete and that the amount of total income and other particulars shown therein are truly stated and inccordance with the provisions of the Income -tax Act, 1961, in respect of income chargeable to income-taxor the previous year relevant to the Assessment

ear 2010-11

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29 29,

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Government of India

INCOME TAX DEPARTMENTACKNOWLEDGEMENT

Received with thanks form: Pranab Kumar Banerjee a return of income &/returnof fringe benefits in Form No ITR - 1 for assessment year 20011-2012, having the following particulars:

   P   E   R   S   O   N

   A   L   I   N   F   O   R   M   A   T   I   O   N Name Pan No.

Pranab Kumar Banerjee AAPB 5566 K

Flat/Door/Block No: Name of Premises/Building/Village:

D 45 Bhattapara

Road/Street/Post Office: Area/Locality:

Jiaganj Jiaganj

Town/City/District: State: Status(fill the code)

Murshidabad West Bengal PSU 11

Designation of Assessing Officer  Original/Revised Original

1 Gross total income 1 Rs. 342,600

2 Deduction under Chapter-VI-A 2 Rs. 81,560

3 Total Income 3 Rs. 261,040

4 Net tax payable 4 Rs. 8,907

5 Interest payable 5 Rs. 0

6 Total tax and interest payable 6 Rs. 8,9077 Taxes paid

a Advance Tax 7a Rs. 0

b TDS 7b Rs. 7,053

c TCS 7c Rs. 0 

e Total Taxes paid (7a+7b+7c+7d) 7e Rs. 7,053

8 Tax payable (6-7e) 8 Rs. 1,854

9 Refund (7e-6) 9 Rs. 0

10 Value of Fringe Benefits 10 NA

11 Total fringe benefit tax liability 11 NA

12 Total interest payable 12 NA13 Total tax and interest payable 13 NA

14 Taxes paid NA

a Advance Tax 14a

b Self Assessment Tax 14b

c Total Taxes paid (14a+14b) 14c NA

15 Tax payable (13-14c) 15 NA

16 Refund (14c-13) 16 NA

Receipt No. Seal and Signature of receiving official:

Date:

   C   O   M   P   U   T   A   T   I   O   N   O   F   I   N   C   O   M   E

   &   T   A   X   T   H   E   R   E   O   N

 C o m p u t a t i o n o f I n c o m

 e &

   F  r   i  n  g  e   B  e  n  e   f   i   t  s   &   T  a  x   T   h

  e  r  e  o  n

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