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    Deductor Details

    Tan Number

    Pan NumberName of Deductor

    Address of Deductor Line-1

    Line-2

    Pin No:-

    Place

    Date of Issue

    Authorised Person

    Designation

    CIT Address Line-1

    Line-2

    City

    Pin

    Ack. No. Q1

    Ack. No. Q2

    Ack. No. Q3

    Ack. No. Q4

    Dedc

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    Deductor Details

    TANNOTAVBL

    PANNOTAVBLA & B Company Limited

    Delhi Road

    Rohtak

    124001

    Rohtak

    15-Apr-10

    JAIN

    Prop.

    CIT (tds)

    MAYUR VIHAR

    CHANDIGARH

    161001

    4

    3

    2

    1

    tor Details

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    Calculator

    Grand Totals 2400000 0 2400000EMPNO PAN NAME Sex Others=Man

    Women=Women

    Sr.Citizen=Sr.Citizen

    Gross Others Total

    1 A rajiv Sr.Citizen =>60 and 80 1200000 0 1200000

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    Financial Year 2011-2012

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    Calculator

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    Calculator

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    Calculator

    0 0 2400000 385000 0 11550 080C Other deduction Total Income Income Tax Surcharge Cess Relief 89

    0 0 1200000 205000 0 6150 00 0 1200000 180000 0 5400 0

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    Calculator

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    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    Page 20

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    Calculator

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 00 0 0 0 0 0 0

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    Page 21

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    Calculator

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

    0 0 0 0 0 0 0

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    0 0 0 0 0 0 00 0 0 0 0 0 0

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    396550 0Total Tax payable

    with

    Surcharge+Cess

    TDS Balance Tax

    211150 0 -211150 Payable185400 0 -185400 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

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    0 0 0 Payable

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    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

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    0 0 0 Payable

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    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

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    0 0 0 Payable

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    Calculator

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

    0 0 0 Payable

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    0 0 0 Payable

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    Page 32

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    Page: -33

    From

    P I N - 1 6 1 0 0 1

    CIT(TDS)

    "FORM NO.16"

    [See rule 31 (i)(a)]

    PART A

    Assessment Year PeriodAddress

    PAN of the Dedutor TAN of the Deductor

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

    1-Apr-11 31-Mar-12

    Summary of tax deducted at source in respect of Deductee

    To

    Quarter 1 4

    Quarter Receipt Numbers of original Amount of tax deducted in respect Amount of tax

    Quarter 3 2

    Quarter 2 3

    Total 0 0

    Quarter 4 1

    (a) Salary as per provision contained in sec.17(1)

    1.

    PART B (Refer Note 1)

    Rs. -

    Value of perquisites u/s 17(2) (as per Form No. 12BB,

    whereever applicable)

    Rs. -

    Form No.12BB, wherever applicable)

    Profits in liew of salary under section 17(3)(as per(c)

    -

    Allowance

    (d) Total Rs. 1200000

    Less:Allowance to the extent exempt u/s 102.

    Rs.

    Balance(1-2) Rs.

    Rs. -

    Rs.

    3.

    Deductions :

    (a) Entertainment allowance

    4.

    Tax on employment(b)

    1200000

    5 Aggregate of 4(a) and (b) Rs.

    6 Income chargeable under the head 'salaires' (3-5) Rs.

    7 Add:-Any other income reported by the employee

    0

    Income Rs.

    Rs.

    9

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

    Deductions under Chapter VIA

    Name and address of the Employer Name and Designation of the Employee

    A & B Company Limited,Delhi Road,Rohtak, Pin :-

    124001 rajiv

    PANNOTAVBL TANNOTAVBL

    PAN of the Employee

    A

    CIT (tds)

    MAYUR VIHAR2012-2013

    City CHANDIGARH

    Rs.

    Details of Salary paid and any other income and tax dedcutedGross Salary Rs. 1200000

    Rs.

    -

    (b)

    1200000

    Rs.

    (a) Section 80C

    8 Gross total income (6+7) Rs. 1200000

    DeductibleGross Amount

    Amount

    1Certificate Number

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    Page: -34

    I,

    )

    Rs.(ii)

    (iv)

    (i) Rs.

    (v)

    (iii) Rs.

    (vii)

    (vi)

    (b) Section 80CCC

    Note : 1. Aggregate amount deductible under section 80C

    (c) Section 80CCD

    shall not exceed on lakh rupees.

    2. Aggregate amount deductible under the three

    Amount

    Gross Qualifying

    Amount

    Deductible

    sections,i.e.,80C,80CCC and 80CCD shall not

    exceed one lakh rupees.

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

    (i) section Rs.

    Rs. Rs.

    Rs.

    (ii) section

    (iii) section Rs.Rs.

    Rs.(iv) section Rs.

    Rs. 1200000

    0

    11 Total Income (8-10)

    13 Education cess @ 3%(on tax computed at S.No. 12)

    12 Tax on total income

    0

    14 Tax Payable (12+13) 211150

    15 Less: Relief under section 89 (attach details)

    Rs.

    Rs.

    Rs.

    working in the capacity of

    JAINDate

    I further certify that the information given above is true, complete and correct and is based on the books of

    account,documents,TDS statements,TDS deposited and other available records.

    Place Rohtak

    15-Apr-10

    employed with each of the employers. Part B may be issued by each of the employers or the last

    employer at the option of the assessee.

    If an assess is employed under more than one emloyer during the year,each of the employers shall

    Notes:

    1.

    as regards TDS statements of the assessee.

    Governement deductors to enclose Annexures-A if tax is paid without production of an incme-tax

    issue Part A of the certificate in Form No 16 pertaining to the period for which such assessee was

    4. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction

    has been deducted and deposited to the credit of the Central Govt.

    JAIN ,son/daughter of

    2

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

    Non-Government deductors to enclose Annexure-B.3

    Rs.

    Rs. Rs.

    Rs.

    Rs.

    Rs.

    0

    Rs.

    Rs. Rs. 0

    Amount

    10 Aggregate of deductible amount under Chapter VIA Rs.

    (v) section Rs.

    Rs. 205000

    6150

    5. This Form shall be applicable only in respect of tax deducted on ar after 1st day of April,2010;

    16 Tax Payable (14-15) Rs. 211150

    0 (in words) (Rupee

    Prop.Signature of person responsible for dedcution of tax

    DesignationFull

    Name:

    Verfification

    (designation) do hereby certify that a sum of Rs.

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    1

    ANNEXURE-ADETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THRO

    (The Employer to provide payment wise details of tax deducted and deposted with respect to the

    S.No.

    Tax Deposited in

    respect of the

    employee (Rs.)

    Book identification number (BIN)

    Receipt number of Form No.24G

    DDO Sequence Number in

    the Book Adjstment MiniStatement

    D

    In the column for TDS, give total amount for TDS, Surcharge (if appliable) and education cess

    Total 0

    Note :

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    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / // /

    UGH BOOK ENTRY

    employee)

    te on which tax deposited

    (dd/mm/yyyy)

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    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / /

    / // /

    / /

    / /

    / /

    1

    ANNEXURE-BDETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THR

    (The Employer to provide payment wise details of tax deducted and deposted with respect to the

    S.No.

    Tax Deposited in respect

    of the employee

    (Rs.)

    Challan Identification Number (CIN)

    BSR Code of the Bank BranchDate on which tax

    deposited (dd/mm/yyyy)

    Note :

    In the column for TDS, give total amount for TDS, Surcharge (if appliable) and education cess

    Total 0

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    OUGH CHALLAN

    employee)

    Challan Serial Number