it_y10_y11_ver_7_with form 10 e

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Prepared by Cyber Group Dangs Instructions Income Tax Calculation 2011 Ver.7 With Form 10 E 1 2 3 I IV II V III VI VII VIII VI C K Sonawane India Now Germany Aslam Khan 97277 04013 Kirit Patel 94268 94422 ACK Dilip Baria 94268 44723 Imran Bagwan 94278 70846 ACK2 Leena Malani 94263 72895 Chetan 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 [email protected] /, DILIP BARIA [email protected], Leena Malani [email protected] or Imran Bagwan [email protected] File is available on http://dangdp.gujarat.gov.in/dang/e-cityzen/cybergroup.htm GSWan Availeble & also Ftp://10.138.4.60 User : it Pass : it Click here for fill up FIRST INFORMATION Challan-280 Click here to VIEW AND PRINT Form No. 16's 1st Click here for fill up SALARY VIEW AND PRINT Click here to VIEW AND PRINT Form No. 16's 2nd Click here to VIEW AND PRINT Income-Tax Calculat 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 Click here to Fillup Form 10 E 1 Page VIEW A Click here to VIEW AND PRINT ITR-2 Proposed Calculati

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Page 1: IT_Y10_Y11_Ver_7_With Form 10 E

Prepared by Cyber Group Dangs Instructions Income Tax Calculation 2011 Ver.7 With Form 10 E1

2

3

I IV

II V

III VI

VIIVIII

VI C K Sonawane Out of India Now Germany

Aslam Khan 97277 04013Kirit 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 [email protected] /, DILIP BARIA [email protected], Leena Malani [email protected] or Imran Bagwan [email protected] File is available on http://dangdp.gujarat.gov.in/dang/e-cityzen/cybergroup.htm GSWan Availeble & also Ftp://10.138.4.60 User : it Pass : it

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 FormClick here to Fillup Form 10 E 1 Page VIEW AND PRINT

Click here to VIEW AND PRINT ITR-2 Proposed C

alculation

Page 2: IT_Y10_Y11_Ver_7_With Form 10 E
Page 3: IT_Y10_Y11_Ver_7_With Form 10 E

Financial Year 2010 2011 Assessment Year 2011 2012 ,

Make Your Computer System Date DD/MM/YYYY All information fill up Here

SHRI K J PATEL Name e.g. Shri K J Patel Shri K J PatelKIRITCHANDRA JAYANTILAL Full Name e.g. Kiritchandra Jayantilal Patel Kiritchandra Jayantilal PatelJAYANTILAL RATILAL PATELFather's full Name e.g. Jayantilal Ratilal Patel Jayantilal Ratilal Patel

Flat/Door/Block No. e.g. A / 82 8/111Name Of Premises/Building/Village e.g. Nandanvan Apartment Part II Various Colony

Road/Street/Post Office e.g. Jodhapurgram Road Sunset Point RoadArea /Locality e.g. Ambavadi Near SBI Staff Qtr

Town/City/District e.g. Ahwa Dist. Dangs Ahwa-DangsState e.g. GUJARAT GUJARAT

Pin code e.g. 394710 394710Date of Birth e.g. 1/29/1961 29/01/1961

SENIOR CLERK Designation e.g. Senior Clerk Senior ClerkACFPP3047F Pan No. e.g. ACFPP3047F ACFPP3047F

M VALSAD TDS Circle: e.g. Valsad ValsadMALE 3 Male or Female ? . Male MaleASSISTANT DIRECTOR AN TAN No. e.g. BRDROO841B SRTAO1724CDANGS DISTRICT PANCHAY TDS Circle: e.g. Valsad ValsadDANGS DISTRICT PANCHAName of Deptt/Office e.g. DANGS DISTRICT PANCHAYAT, AHWA DANGS DISTRICT PANCHAYAT, AHWA

Design. of Drawing Officer e.g. Dist.Primary Education Officer Assistant Director Animal HusamadryDeptt's Name e.g. Dangs Dist.Pan. Education Comm., Ahwa Dangs District Panchayat

AHWA Place : e.g. Ahwa or Gandhingar AhwaDrawing Officer Name e.g. DEVENDRABHAI RAYUBHAI MAHLA DEVENDRABHAI RAYUBHAI MAHLA

RAYUBHAI MAHLAf Drawing Officer Father Name e.g. RAYUBHAI MAHLA RAYUBHAI MAHLADEVENDRABHAI RAYUBHAIDetails 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 000010936167655

For Stamp of Drawing Officer

H5
Cyber Group Dangs: Enter Sort Name
H6
Cyber Group Dangs: Enter Your Full Name
H7
Cyber Group Dangs: Enter Your Father's Full Name
H8
Cyber Group Dangs: Enter Your Flat/Door/Block No.
H9
Cyber Group Dangs: Enter Your Name Of Premises/Building/Village
H10
Cyber Group Dangs: Enter Your Road/Street/Post Office
H11
Cyber Group Dangs: Enter Your Area / Locality
H12
Cyber Group Dangs: Enter Your Town/City/District
H13
Cyber Group Dangs: Enter Your State
H14
Cyber Group Dangs: Enter Your Pin Code No
H15
Cyber Group Dangs: DATE FORMAT DD/MM/YYYY
H16
Cyber Group Dangs: Enter Designation
H17
Cyber Group Dangs: Enter PAN NO Without Space
H18
Cyber Group Dangs: Enter TDS Circle
H19
Cyber Group Dangs: Enter Male or Female
H20
Cyber Group Dangs: Enter TAN No. :
H21
Cyber Group Dangs: Enter TDS Circle
H22
Cyber Group Dangs: Enter Name of Deptt/Office
H23
Cyber Group Dangs: Enter Design. of Drawing Officer
H24
Cyber Group Dangs: Enter Deptt's Name
H25
Cyber Group Dangs: Enter Place
H26
Cyber Group Dangs: Enter Drawing Office Full Name
H27
Cyber Group Dangs: Enter Drawing Office Father Name
H29
Cyber Group Dangs: Enter Your Bank Name for Refend tax Amount
H30
Cyber Group Dangs: Enter Your Bank Name Acctt. No. for Refend tax Amount
Page 4: IT_Y10_Y11_Ver_7_With Form 10 E

[email protected] / [email protected] / [email protected]

Prepared by Cyber Group Dangs Page 4 of 28

Name Shri K J Patel Desi SENIOR CLERKPay Scale 9300-34800(PB2) 4200 Inc_Date July-2009

Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 G_TotalPAY 12270 12270 12270 12270 12770 12770 12770 12770 12770 12770 12770 12770 151240F.P. 0 0 0 0 0 0 0 0 0 0 0 0 0D.P.PAY / Grade Pay 4200 4200 4200 4200 4200 4200 4200 4200 4200 4200 4200 4200 50400NPA 0 0 0 0 0 0 0 0 0 0 0 0 0DA. 4447 4447 5765 5765 5940 5940 5940 7637 7637 7637 7637 7637 76429H.R.A. 0 0 0 0 0 0 0 0 0 0 0 0 0MEDICAL 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. 200 200 200 200 200 200 200 200 200 200 200 200 2400DANG.ALLO / C.L.A. 281 281 281 281 281 281 281 281 281 281 281 281 3372WASHING 0 0 0 0 0 0 0 0 0 0 0 0 0OTHER 0 0 0 0 0 0 0 0 0 0 0TOTAL 21498 21498 22816 22816 23491 23491 23491 25188 25188 25188 25188 25188 285041FESTIVL 0 0 0 0 0 0 0 0 0 0 0 0 0FOOD GRAIN 0 0 0 0 0 0 0 0 0 0 0 0 0MOTAR CYCLE ADV 500 500 500 500 500 500 0 0 0 0 0 0 3000H.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 3380 3370 3360 3350 3340 3330 3320 3310 3400 3390 3380 3370 40300G.P.F. 5812 4000 4000 4000 4000 4000 4000 4000 4000 4000 4000 4000 49812G.P.F.ADV 2500 0 0 0 0 0 0 0 0 0 0 0 2500GPF DA 0 0PRO.TAX 200 200 200 200 200 200 200 200 200 200 200 200 2400GROUP 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 3845 3845Other Deduction 0 0 0 0 0 0 0 0 0 0 0 0 0TOTAL 12492 8170 8160 8150 8140 8130 7620 7610 7700 7690 7680 11515 103057Net Pay 9006 13328 14656 14666 15351 15361 15871 17578 17488 17498 17508 13673 181984BONUS 0 0 0 0 0 0 0 0 0 0 0 0 0D.A.DIFF. 5272 0 0 0 0 0 0 0 0 0 0 5272V.No. Date 10 - 15 / 3 / 10 120 - 15 / 4 / 10 122 - 15 / 5 / 10 124 - 15 / 6 / 10 126 - 15 / 7 / 10 128 - 15 / 8 / 10 130 - 15 / 9 / 10 132 - 15 / 10 / 10 12 - 15 / 11 / 10 14 - 15 / 12 / 10 20 - 15 / 1 / 11 22 - 15 / 2 / 11

D.A.DIFF. 5091 0 0 0 0 0 0 0 0 0 0 0 5091V.No. Date 10 - 15 / 3 / 10 120 - 15 / 4 / 10 122 - 15 / 5 / 10 124 - 15 / 6 / 10 126 - 15 / 7 / 10 128 - 15 / 8 / 10 130 - 15 / 9 / 10 132 - 15 / 10 / 10 12 - 15 / 11 / 10 14 - 15 / 12 / 10 20 - 15 / 1 / 11 22 - 15 / 2 / 11

Pay DIFF. 35800 0 0 0 0 0 0 0 0 0 0 0 35800V.No. Date 684 18/5/10 120 - 15 / 4 / 10 122 - 15 / 5 / 10 124 - 15 / 6 / 10 126 - 15 / 7 / 10 128 - 15 / 8 / 10 130 - 15 / 9 / 10 132 - 15 / 10 / 10 12 - 15 / 11 / 10 14 - 15 / 12 / 10 20 - 15 / 1 / 11 22 - 15 / 2 / 11

Page 5: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 5 of 28

STATEMENT SHOWING THE TOTAL SALARY DURING FINANCIAL YEAR 2010 2011Name : SHRI K J PATELDesignation SENIOR CLERK

Deduction

GPF LIC P. T. A. PLI

Mar/2010 21498 200 200 8312 100 0 0 0 0 0 0Apr/2010 21498 200 200 4000 100 0 0 0 0 0 0May/2010 22816 200 200 4000 100 0 0 0 0 0 0Jun/2010 22816 200 200 4000 100 0 0 0 0 0 0Jul/2010 23491 200 200 4000 100 0 0 0 0 0 0Aug/2010 23491 200 200 4000 100 0 0 0 0 0 0Sep/2010 23491 200 200 4000 100 0 0 0 0 0 0Oct/2010 25188 200 200 4000 100 0 0 0 0 0 0Nov/2010 25188 200 200 4000 100 0 0 0 0 0 0Dec/2010 25188 200 200 4000 100 0 0 0 0 0 0Jan/2011 25188 200 200 4000 100 0 0 0 0 0 0Feb/2011 25188 200 200 4000 100 0 0 0 0 0 3845

DA Diff 5272 0 0 3954 0 0 0 0 0 0 0DA Diff 5091 0 0 5091 0 0 0 0 0 0 0

Pay Diff. 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0

Leave En. 0 0 0 0 0 0 0 0 0 0 0Bonus 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

35800 0 0 0 0 0 0 0 0 0 0

Total 331204 2400 2400 61357 1200 0 0 0 0 0 3845

Specify Percentage for Proposed Calculation 2011-2012 e.g. 10 % 0%Less House rent allowance exempt U/s 10[13A] 0

[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

1 02345

Month of Salary Gross

SalaryProfes-sional Tax

Tran. Allow.

Govt. Ins.

Repay-ment of

HBAWashing

All.Income

Tax

Charge Allow.

Other Deduction20% of the 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 2010-2011 which is classed as qualifying u/s 80 C Income Tax Act (Xerox Copy enclosed)

Sr No.

Nature of Investment

Page 6: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 6 of 28

AHWA Signature4/8/2023 Name SHRI K J PATEL

Designation SENIOR CLERK

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 March.

Place : .Date : .

Page 7: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 7 of 28

It's must to write a year if you have taken a loan of HBA11/27/2009

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 U/S 80-DD 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 80E 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 0 Mac. 40% 017 Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls] 2000018 Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls] 20000

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/- ] 06 Investment in pension fund 07 1st Child 48000

2nd Child 0###0 Total 48000

8 Investment in Infrastructure Bond (80 CCF) Mac. Dec. Rs. 20000 20000Less : Relief U/s 89 [Attach Details Form 10 E]

1 Where arrears of salary. 2995For "FROM IT-16" With paybill TAX DEDUCTED AND DEPOSITED INTO BANK

S,NO Total Tax deposited Rs.

123456789

10111213

Tax deposited Rs. S,NO BRS Code of Bank branch0 1

23

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

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.

D85
Cyber Group Dangs: Fill Manully Like Bond / Debencher
D86
Cyber Group Dangs: Fill Manully Like Bond / Debencher
Page 8: IT_Y10_Y11_Ver_7_With Form 10 E

[email protected] / [email protected] / [email protected]

Prepared by Cyber Group Dangs Page 8 of 28

456789

10111213

Page 9: IT_Y10_Y11_Ver_7_With Form 10 E

[email protected] / [email protected] / [email protected]

Prepared by Cyber Group Dangs Page 9 of 28

DANGS DISTRICT PANCHAYAT, AHWASelf Assessment Income Tax Calculation Memo for the Accounting Year 2010 2011

And Assessment Year 2011 2012Name : KIRITCHANDRA JAYANTILAL PATELDesignation SENIOR CLERKResidential Address : 8/111,Various Colony ,Sunset Point Road,Near SBI Staff Qtr,Ahwa-Dangs,GUJARAT

PAN NO. ACFPP3047F PSN NO. xxxxxxNo. Particular Rs.

1 Income[a] 331204 331204

[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] 331204

2 Less : Deduction Admissible 4800Deduction 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) Washing Allw.U/s 10[14][I] Vide rule 2BB[i] of Rules 0(3) Transportation Allowance U/S 10(14) 2400(4) Professional Tax U/S 16(U) 2400(5) Entertainment allowance 0

3 Balance [1-2] 3264044 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) 3264046 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, 80-GG, 80-GGA or 80-GGC 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 80E Education Loan & It's InterestMac. Rs. 40000 0 0

Gross Salary Income (Statement enclose] PAY+DA+D.PAY+HRA+CLA+MA+TA and Other Allowance

Medical Treatment of Handicapped Dependents Medical Treatment on Serious diseases U/S 80-DD B (Max. Rs. 40,000)

Page 10: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 10 of 28

(g) 20000 20000(h) 20000 20000

7 Total ( a to h ) 400008 Gross Total Income ( 5 - 7 ) 286404

Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls]Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls]

Page 11: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 11 of 28

9 Less : Deduction U/S 80 C [ Max. Rs. 1,00,000/- Gross Qualifying(a) GPF Contribution 61357 61357(b) Group Insurance Scheme / CGEIS 1200 1200(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/- ] 0 0(k) Investment in pension fund 0 0(l) HBA Repayment of Principal ( Except Interest ) 0 0(m) 48000 48000

(o) 0 0

Total U/s 80 C Qua. Amt. Max. Rs. 1,00,000/- 110557 100000Investment in Infrastructure Bond (80 CCF) 60000 20000

Total U/s 80 CCF Qua. Amt. Max. Rs. 20,000/- 2000010 Total ( a to o ) & U/s 80 CCF Qua. Amt. Max. Rs. 1,20,000/- 170557 120000 12000011 Net Taxable Total Income [ 8 - 10 ] 16640412 Net Taxable Total Income rounded to the nearest Multiple of ten Rupees 16640013 Income Tax Payable on Total Income Calculation of Income Tax on 640

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 0160000 160000 0 0

Rs. 1,60,001 to Rs. 5,00,000 10% 640 Rs. 1,90,001 to Rs. 5,00,000 10% 06400 6400 0 0

Rs. 5,00,000 to Rs. 8,00,000 20% 0 Rs. 5,00,000 to Rs. 8,00,000 20% 0-333600 0 0 0

Above Rs. 8,00,000 30% 0 Above Rs. 8,00,000 30% 00 0 640 0 0 0

14 Surcharge thereon if Total Income is above Rs 10,00,000 [Sr.No. 13] 6 13 6 015 Add: Education Cess 2% & Secondary / Higheer Education Cess @ 1% on Payable Income Tax Amount 1916 Total Tax Payable [ 13+14+15 ] 66017 Tax Paid up to November 2010 0

Tax to be deducted in Decembe2010 0Tax to be deducted in January 2011 0Tax to be deducted in February2011 3845Less : Relief U/s 89 [Attach Details Form 10 E] Where arrears of salary. 2995

18 Total Tax 684019 Tax Payable / Refundable [ 16 - 18 ] Refundable -6180

Deposit in 10 Year, 15 Years Account Under the Post Office Saving Band (CTD)

Education Expenses [ Tuition Frees Only] [up to 2 children]Jivan Suraksha premium u/s 80-ccc [Max. Rs. 10,000]

Page 12: IT_Y10_Y11_Ver_7_With Form 10 E

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Prepared by Cyber Group Dangs Page 12 of 28

SignatureName SHRI K J PATEL Assistant Director Animal HusamadryDesignation SENIOR CLERK Dangs District Panchayat

AHWAPlac AHWADate 4/8/2023Place : .Date : .

R94
Cyber Group Dangs: Please fill Manually For Primary Teacher Under Taluka Panchayat
R95
Cyber Group Dangs: Please fill Manually For Primary Teacher Under Taluka Panchayat
R96
Cyber Group Dangs: Please fill Manually For Primary Teacher Under Taluka Panchayat
Page 13: IT_Y10_Y11_Ver_7_With Form 10 E

Prepared by By Rajesh Nage, Kannad Dist. Aurangabad Mo. 09422208050 / Page 13 of 28

FORM NO. 10E [ See rule 21AA ]

Form for furnishing particulars of income under section 192(2A) for the year ending 31st March,2010 for claiming relief under section 89(1) by a Government servant

or an employee in a company, co-operative society, local authority, university, institution, association or body

1 Name and address of the employee Kiritchandra Jayantilal PatelSenior Clerk DANGS DISTRICT PANCHAYAT, AHWA

2 Permanent account number ACFPP3047F3 Residential status INDIAN

assessment year 2011 - 12 Arrears from 01 / 01 / 2006 to 31 / 03 / 20091 (a) Salary received in arrears or in advance in accordance R 35800

with the provisions of sub-rule (2) of rule 21A(b) Payment in the nature of gratuity in respect of past serv Not Applicableextending over a period of not less than 5 years in accordance with the provisions of sub-rule (3) of rule 21A (c) Payment in the nature of compensation from the employ Not Applicableformer employer at or in connection with termination of employment after continuous service of not less than 3 years or where the unexpired portion of term of employment is also not less than 3 years in accordance with the provisions of sub-rule (4) of rule 21A (d) Payment in commutation of pension in accordance with Not Applicableprovisions of sub-rule (5) of rule 21A

2 Detailed particulars of payments referred to above may be given in Annexure I, II, IIA, III or IV, as the case may be

Signature of the employee

Verification

I, Kiritchandra Jayantilal Patel Senior ClerkDANGS DISTRICT PANCHAYAT, AHWA do hereby declare that what is stated above is true to the best of my knowledge and belief.

Verified today, the________________day of_______________

Place

Date Signature of the employee

Particulars of income referred to in rule 21A of the Income tax Rules, 1962, during the previous year relevant to

Page 14: IT_Y10_Y11_Ver_7_With Form 10 E

Prepared by By Rajesh Nage, Kannad Dist. Aurangabad Mo. 09422208050 / Page 14 of 28

ANNEXURE I [ See item 2 of Form No. 10E]

ARREARS OR ADVANCE SALARY M

1 Total income (excluding salary received in arrears or : 166,400advance) 2 Salary received in arrears or advance : 358003 Total income (as increased by salary received in arrears or : 202200advance)[Add item 1 and item 2] 4 Tax on total income (as per item 3) : 42205 Tax on total income (as per item 1) : 6406 Tax on salary received in arrears or advance [Difference of : 3580item 4 and item 5] 7 Tax computed in accordance with Table "A" [Brought from : 585column 7 of Table "A"]

8 Relief under section 89(1) [Indicate the difference between : 2995the amounts mentioned against items 6 and 7]

TABLE "A" [See item 7 of Annexure I]

Rs. Rs. Rs. Rs. Rs. Rs.1 2 3 4 5 6 7

2005-06 88410 1142 89552 0 0 0

2006-07 95560 10289 105849 0 585 585

2007-08 83560 10658 94218 0 0 0

2008-09 112590 12478 125068 0 0 0

2009-10 134080 1234 135314 0 0 0

2010-11 166400 0 166400 640 640 0

Total 680600 35801 716401 640 1225 585

Previous year(s)

Total Taxebal Income of the

relevant previous year

Salary recieved in arrears or advance

relating to the relevant

previous year as mentioned in column(1)

Total income (as increased by

salary received in arrears or

relevant previous year advance) of the mentioned in column(1) [Add columns (2) and

Tax on total income [as

per column(2)]

Tax on total income [as

per column(4)]

Difference in tax

[Amount under

column (6) minus

amount under

column

Page 15: IT_Y10_Y11_Ver_7_With Form 10 E

Prepared by By Rajesh Nage, Kannad Dist. Aurangabad Mo. 09422208050 / Page 15 of 28

ANNEXURE I [ See item 2 of Form No. 10E]

ARREARS OR ADVANCE SALARY

166,400

35800

202200

4220640

3580

585

2995

TABLE "A" [See item 7 of Annexure I]

Rs.7

0

585

0

0

0

0

585

Difference in tax

[Amount under

column (6) minus

amount under

column

Page 16: IT_Y10_Y11_Ver_7_With Form 10 E

Prepared by Cyber Group Dangs Page 16 of 28

Shri K J Patel Senior Clerk5000-150-8000(S9-PB2) 5600 as on 01/01/2006

9300-34800(PB2) Grade Pay : 4200 10420 as on 01/01/2006GPF A/c No.: DP/GPF/K 28 Date of Revision : 1/1/2006

Clarify NPPA 25 or 10 or 0 New NPPA 0 % Pls Clarify NPPA 25 or 10 or 0 Old NPPA 0 %Payable Paid

Month NPPA DA Total Basic DP NPPA DA Total

1 Jan-06 10420 4200 0 0 14620 5600 2800 0 2016 10416 4204 F Y 5%2 Feb-06 10420 1500 0 0 11920 5600 2800 0 2016 10416 1504 5708 11423 Mar-06 10420 4200 0 0 14620 5600 2800 0 2016 10416 42044 Apr-06 10420 4200 0 0 14620 5600 2800 0 2016 10416 42045 May-06 10420 4200 0 0 14620 5600 2800 0 2016 10416 42046 Jun-06 10420 4200 0 0 14620 5600 2800 0 2016 10416 42047 Jul-06 10860 4200 0 301 15361 5600 2800 0 2436 10836 45258 Aug-06 10860 4200 0 301 15361 5600 2800 0 2436 10836 45259 Sep-06 10860 4200 0 301 15361 5750 2875 0 2501 11126 4235

10 Oct-06 10860 4200 0 301 15361 5750 2875 0 2501 11126 423511 Nov-06 10860 4200 0 301 15361 5750 2875 0 2501 11126 423512 Dec-06 10860 4200 0 301 15361 5750 2875 0 2501 11126 423513 Jan-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 432014 Feb-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 4320 51446 1028915 Mar-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 432016 Apr-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 432017 May-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 432018 Jun-07 10860 4200 0 904 15964 5750 2875 0 3019 11644 432019 Jul-07 11320 4200 0 1397 16917 5750 2875 0 3536 12161 475620 Aug-07 11320 4200 0 1397 16917 5750 2875 0 3536 12161 475621 Sep-07 11320 4200 0 1397 16917 5900 2950 0 3629 12479 443822 Oct-07 11320 4200 0 1397 16917 5900 2950 0 3629 12479 443823 Nov-07 11320 4200 0 1397 16917 5900 2950 0 3629 12479 443824 Dec-07 11320 4200 0 1397 16917 5900 2950 0 3629 12479 443825 Jan-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 437226 Feb-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 4372 53288 1065827 Mar-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 437228 Apr-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 437229 May-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 437230 Jun-08 11320 4200 0 1862 17382 5900 2950 0 4160 13010 437231 Jul-08 11790 4200 0 2558 18548 5900 2950 0 4160 13010 553832 Aug-08 11790 4200 0 2558 18548 5900 2950 0 4160 13010 553833 Sep-08 11790 4200 0 2558 18548 5900 2950 0 4160 13010 553834 Oct-08 11790 4200 0 2558 18548 5900 2950 0 4160 13010 553835 Nov-08 11790 4200 0 2558 18548 6050 3025 0 4265 13340 520836 Dec-08 11790 4200 0 2558 18548 6050 3025 0 4265 13340 520837 Jan-09 11790 4200 0 3518 19508 6050 3025 0 4265 13340 616838 Feb-09 11790 4200 0 3518 19508 6050 3025 0 4265 13340 6168 62392 1247839 Mar-09 11790 4200 0 3518 19508 6050 3025 0 4265 13340 6168 6168 1234

Total 434790 2E+05 0 52686 6E+05 ### ### 0 1E+05 ### 179002 ###e.g. 179000

1st Installment 20% 35800

Calculation of arrears for the period 01-01-2006 to 31-03-2009 on account of Revision of pay under Six pay commission

Name of Emp : Designation: Existing Scale of Pay : Old Basic pay Rs. : Pay Band : New Basic Pay Rs.:

Sr. No.

Difference of

ArrearsPay in

PaybandGrade Pay

Page 17: IT_Y10_Y11_Ver_7_With Form 10 E

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2nd Installment 20% 358003rd Installment 20% 358004th Installment 20% 358005th Installment 20% 35800

2E+05Assistant Director Of Animal Husbadary Dangs District Panchayat Ahwa

Page 18: IT_Y10_Y11_Ver_7_With Form 10 E

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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

Assistant Director Animal Husamadry KIRITCHANDRA JAYANTILAL PATEL

Ahwa Senior Clerk

PAN No. of the Deductor TAN No. of the Deductor PAN/GIR No.

x x x x x x x SRTAO1724C ACFPP3047F

Period Assessment Year

2011 2012

Quarter Acknowledgement No. From To1ST QUARTER 0 4/1/2010 6/30/20102ND QUARTER 0 7/1/2010 9/30/20103RE QUARTER 0 10/1/2010 12/31/20104TH QUARTER 0 1/1/2011 3/31/2011

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. 331204(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. 3312042. 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. 2400

[Pl specify] xxxx Rs. 0 Rs. 24003. Balance (1-2) Rs. 3288044. 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. 3264047. 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. 326404

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 Under Chapter VI-A (E Rs. 40000 0###### Rs. 40000

10. Aggregate of deductible amounts under Chapter VI-A 747 Rs. 16000011. Total Income [8-10] 760 Rs. 16640012. Tax on Total Income 810 Rs. 640

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

K25
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K26
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K27
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K28
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U38
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U40
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U48
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U59
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U61
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S65
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S66
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Page No. 2

13 Rebate Under Chapter VIII [Under section 88C]

I. Under section 88 Gross Amount [ease specify]

(a) GPF Contribution Rs. 61357 Rs. 61357(b) Group Insurance Scheme / CGEIS Rs. 1200 Rs. 1200(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. 0 Rs. 0(k) Investment in pension fund Rs. 0 Rs. 0(l) HBA Repayment of Principal ( Except Interest ) Rs. 0 Rs. 0(m)Education Expenses [ Tuition Frees Only] [up to 2 children] Rs. 48000 Rs. 48000(o) Rs. 0 Rs. 0

Total U/s 80 C Qua. Amt. Max. Rs. 1,00,000/- Rs. 100000 Rs. 100000Investment in Infrastructure Bond (80 CCF) Rs. 20000 Rs. 20000

Total U/s 80 C + U/s 80 CCF Qua. Amt. Max. Rs. 1,20,000/- Rs. 120000

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. 120000

15. Surcharge(on tax computed at S.No. 12) Rs. 820 015. Education Cess @ 2% on (tax at S.No.12 ) 1315. Secondary and Higher Education Cess @ 1% on (tax at S.No.12 ) 19 615. Tax payable on total income [12 - 14] and 832 66016. Less : Relief U/s 89 [Attach Details Form 10 E] Where arrears of salary. 837 299517. Tax payable [15 - 16] 841 -233518. Less :

[a] Tax deducted at source under section 192[1] 868 3845[b] Tax paid by the employer on behalf of the 872 0 873 3845

employee under section 192[1A] on

perquisites under section 17[2]

19. Tax payable / refundable [ 17- 18 ] Refundab 891 -6180For Challan-280 E_C_2% ### S_H_E_C_1% ### Total -186 -5994

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 DEVENDRABHAI RAYUBHAI MAHLA Son of RAYUBHAI MAHLAworking in the capacity of A D H A DP DANGS ( designation) do hereby certify that a sum of RupeesRs. ( 0000 ) [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 : AhwaDate : 4/1/2011

Signature of the person responsible for deduction of tax

Full Name DEVENDRABHAI RAYUBHAI MAHLADesignation Assistant Director Animal Husamadry

Dangs District PanchayatAhwa

GROSS AMOUNT

DEDUCTIBLE AMOUNT

Jivan Suraksha premium u/s 80-ccc [Max. Rs. 10,000]

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

Transfer voucher challan

Identification No.

M76
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Page 20: IT_Y10_Y11_Ver_7_With Form 10 E

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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 1 - 1 2

(Other Than COMPANIES)Permanent Account NumberA C F P P 3 0 4 7 FFull NameK I R I T C H A N D R A J A Y A N T I L A L P A T E LComplete Address With City & State8 / 1 1 1 , V A R I O U S C O L O N Y , S U N S E T P O I N T RO A D , N E A R S B I S , A H W A - D A N G S , G U J A R A TTel. No. 0 2 6 3 1 2 0 0 0 0 5 Pin 3 9 4 7 1 0

Type 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 - 6 1 8 0 FOR USE IN RECEIVING BANKSurcharge 0 Debit to A/c Cheque Credited on

Education Cess - 1 8 6 0 4 / 0 4 / 2 0 1 1Interest D D M M Y Y Y YPenalty SPACE FOR BANK SEALOthersTotal - 5 9 9 4Total (in words)

CRORES LACS THOUSANDS HUNDREDS TENS UNITS-5 9 9 4

Paid in cash/Debit to A/c/Cheque No. Dated 04/04/2011Drawn 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 C F P P 3 0 4 7 FReceived From Kiritchandra Jayantilal Patel

Cash/Debit to A/c/Cheque No. For Rs.Err:511

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 1 - 2 0 1 2

CHALLAN NO

ITNS280

AssessmentYear

Rs.(in words)

Page 21: IT_Y10_Y11_Ver_7_With Form 10 E

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Government of India

INCOME-TAX DEPARTMENTACKNOWLEDGEMENT

Received with thanks from

2011 2012 having the following particulars.

PERS

ON

AL IN

FORM

ATIO

N Name PANKIRITCHANDRA JAYANTILAL PATEL A C F P P 3 0 4 7 F

Flat/Door/Block No. Name Of Premises/Building/Village8/111 Various Colony

Road/Street/Post Office Area /LocalitySunset Point Road Near SBI Staff Qtr

Town/City/District StateAhwa-Dangs GUJARAT

1 Gross Total income 1 3264042 Deductions under Chapter - VI-A 2 1600003 Total Income 3 1664004 Net tax payable 4 -23355 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

MU

TATI

ON

OF

INCO

ME

AND

TAX

TH

EREO

NCO

MPU

TATI

ON

OF

FRIN

GE

BEN

EFIT

S AN

D T

AX T

HER

EON

Q24
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Q25
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J27
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J28
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J29
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J30
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Q31
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Q32
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Q33
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Q34
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Q35
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Q37
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Q42
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Q43
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Page 22: IT_Y10_Y11_Ver_7_With Form 10 E

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INDIAN INCOME TAX RETURNFR

OM

[For Individuals having Income from Salary / Pension / family pension) & Interest] Assessment YearSARAL-II ( Please see Rule 12 of the Income-tax Rules, 1962)

2 0 1 1 - 1 2ITR-1 ( Also see attached instruction )

PERS

ON

AL IN

FORM

ATIO

N First Name Middle Name Last Name PANK I R I T C H A N D R A J A Y A N T I L A L P A T E L A C F P P 3 0 4 7 F

Flat/Door/Block No Name Of Premises/Building/Village Date of Birth [ DD/MM/YYYY]8/111 Various Colony 2 9 / 0 1 / 1 9 6 1

Road/Street/Post Office Area / Locality Employer Category(Tick) √Sunset Point Road Near SBI Staff Qtr Govt PSU Other

Town/City/District State Pin code Sex (Tick) √Ahwa-Dangs GUJARAT 3 9 4 7 1 0 √ Male Female

Email Address (STD Code)- Phone Number 02631 220829

FILI

NG

STA

TUS

Designation of Assessing Officer (Ward/Circle) Valsad 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 326404

2 Income chargeable under the Head ‘House Property’ (enter –ve sign in case of loss, if any) 2 0

3 Income chargeable under the Head ‘Other Sources’ (enter –ve sign in case of loss, if any) 3 0

4 Gross Total Income ( 1 + 2c ) 4 326404

5 Deductions under chapter VI A (Section)

a 80 C 120000 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 40000

6 Deductions (Total of 5a to 5l) 6 160000

7 Total Income ( 4 - 6) 7 166404

8 Tax payable on Total Income 8 640

FILI

NG

STA

TUS

9 Education Cess, including secondary and higher secondary cess on 9c 19 9 19

10 Total Tax, Surcharge & Education Cess and H S Edu. Cess Payable (9a+9b+9c) 10 659

11 Relief under Section 89 11 0

12 Relief under section 90 / 91 12 0

13 Balance Tax Payable ( 10 - 11 - 12 ) 13 659

14 Total Interest Payable 14 0

15 Total Tax and Interest Payable (13 + 14) 15 0

Do not write or stamp in this area ( Space for bar code) 13c 0

For Office Use Only Seal and Signature of receiving Official

Receipt No

Date

[email protected]

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AN24
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AF86
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AF88
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AQ92
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AQ94
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AQ96
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Page 23: IT_Y10_Y11_Ver_7_With Form 10 E

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TAXE

S PA

ID

16 Tax paid

a Advance Tax (from item 25) 16a 0

b TDS (column 7 of item 23 +column 7 of item 24) 16b 6840

c Self Assessment Tax (item 25) 16c 0

17 Total Taxes Paid (16a+16b+16c) 17 6840

18 Tax Payable (15-17) (if 15 is greater than 17) 18 660

REFU

ND

19 Refund (17-15) if 17 is greater than 15 19 -6181

20 1 0 9 3 6 1 6 7 6 5 5

Select Yes if you want your refund by direct deposit into your bank account, Select No if you want refund by Cheque21 0

22 In case of direct deposit to your bank account give additional details

MICR CODE Type of Account ( trick as applicable √ ) √ Saving Current

23 Details of Tax Deducted at Source on Interest [As per From 16 issued by Deductor (s)]

TDS

ON

SAL

ARY

Refundable

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

1A S S I S T A N T

326404 160000 660 6840 -6180S R T A O 1 7 2 4 C D I R E C T O R A

2N I M A L H U S AM A D R Y

3

24 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)

1

2

3

25 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)

123456789

26

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

27 Exempt income for reporting purposes only (from Dividends, Capital Gains etc) 27

I KIRITCHANDRA JAYANTILAL PATEL Son of JAYANTILAL RATILAL PATEL 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.

Enter your Bank accounts number ( mandatory in case of refund )

sr.

no

Tax Deduction Account Number (TAN) of the

Employer

Name and address of the Employer

Income chargeable under the

head Salaries

Deduction under Chapter

VI-A

Tax payable (incl.surch.and edn.cess)

Total tax Deducted

TaxPayable/

refundabale

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)

AQ129
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Place : Ahwa Date : 4/8/2023 Sign here →

28 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

29 If TRP is entitled for any reimbursement form the Government, amount thereof ( to be filled by TRP )

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DANGS DISTRICT PANCHAYAT, AHWASelf Assessment Income Tax Calculation Memo for the Accounting Year 2011 2012

Calculation_Prapose And Assessment Year 2012 2013Name : KIRITCHANDRA JAYANTILAL PATELDesignation SENIOR CLERKResidential Address : 8/111,Various Colony ,Sunset Point Road,Near SBI Staff Qtr,Ahwa-Dangs,GUJARAT

PAN NO. ACFPP3047F PSN NO. xxxxxxNo. Particular Rs.

1 Income[a] 331204 331204

[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] 331204

2 Less : Deduction Admissible 4800Deduction 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) 2400(4) Professional Tax U/S 16(U) 2400(5) Entertainment allowance 0

3 Balance [1-2] 3264044 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) 3264046 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) 20000 20000(g) 20000 20000

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)

Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls]Others Under Chapter VI-A (Except U/s 80 CCF) [Bond or Debencher (Specify pls]

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7 Total ( a to g ) 400008 Gross Total Income ( 5 - 7 ) 286404

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9 Less : Deduction U/S 80 C [ Max. Rs. 1,00,000/- Gross Qualifying(a) GPF Contribution 61357 61357(b) Group Insurance Scheme / CGEIS 1200 1200(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/- ] 0 0(k) Investment in pension fund 0 0(l) HBA Repayment of Principal 0 0(m) 48000 48000

(n) 20000 20000

(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/- 130557 120000 12000011 Net Taxable Total Income [ 8 - 10 ] 16640412 Net Taxable Total Income rounded to the nearest Multiple of ten Rupees 16640013 Income Tax Payable on Total Income Calculation of Income Tax on 640

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 0160000 160000 0 0

Rs. 1,60,001 to Rs. 5,00,000 10% 640 Rs. 1,90,001 to Rs. 5,00,000 10% 06400 6400 0 0

Rs. 5,00,001 to Rs. 8,00,000 20% 0 Rs. 5,00,001 to Rs. 8,00,000 20% 0-333600 0 0 0

Above Rs. 8,00,000 30% 0 Above Rs. 8,00,000 30% 00 0 640 0 0 0

14 Surcharge thereon if Total Income is above Rs 10,00,000 [Sr.No. 13] 6 015 Education Cess 3% on Payable Income Tax Amount 1916 Total Tax Payable [ 13+14+15 ] 65917 Tax Paid up to November 2011 0

Tax to be deducted in Decembe2011 0Tax to be deducted in January 2012 0Tax to be deducted in February2012 3845Other Any Tax to be deducted 0

18 Total Tax 384519 Tax Payable / Refundable [ 15 - 17 ] Refundable -3186

SignatureName SHRI K J PATEL Assistant Director Animal Husamadry

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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Prepared by Cyber Group Dangs Page 28 of 28

Designation SENIOR CLERK Dangs District PanchayatAHWA

Plac AHWADate 4/8/2023 Note : Please quote PAN No. PositivelyPlace : .Date : .

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