IT-Statement&Relief Calculator-FY-14-15(ubuntu)-AVAS.ods

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    I General Information :

    1 Name ARYASUNAN

    2 Whether Gazetted No

    3 Sex Female

    4 Designation LPSA

    5 Office / Department

    AUPS SREEK

    SREEKRISHN

    6 Whether residing in rented house No

    7 (a) PAN : ANPA!"#$A

    8 Name % Address of &mp'oer

    SAH

    VASUDE

    SREEKRISHN

    " irc'e of fi'ing *ncome +ax ,eturn #a$%3&'(%

    -ON+. O 0* PA1 DA

    -A,. 2!34 2!24! 1275

    FORMAT FOR THE PREPARATION OF INCCALCULATION STATEMENT FOR 201

    (5) +AN )

    FILL

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    +O+A A,,&A,S ,&&*9&D

    esti;a'/0onus

    15 Surrender ea;e Sa'ar ,ecei;ed

    +ota'

    (i) Actua HRA !"c"i#"$ %"a!& !

    !

    (ii) R"'t ai$ i' "c"** +, 10 +, *aa!&(Pa& . /A))

    (iii) 40 +! 50 +, *aa!& acc+!$i' t+ t" E+&""* L+cati+' No+&M

    A!icutu!a I'c+" I, A'&

    I'c+" F!+ H+u*" P!+"!t& I, A'&

    E't"!tai'"'t A+a'c"

    III Recoveries & Other Payments :

    Number Subscription

    1 P ontri5ution P18736 !

    Other A''o

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    17 S* Premium >!!!

    18 G*S Premium 24!!

    20 * Premium (Direct Pament) !

    21 * Premium (Sa'ar Deduction) !

    P* !

    22 0S !

    23 !

    25 Profession +ax Paid

    2

    I- aa/le% 0e-o$e 313""

    I- aa/le% a-,e$ 313""

    27 Pu5'ic P No ) *

    28 NS

    30 -utua' funds

    31

    32 &?uit shares % de5entures

    33 ,epament of .ousing 'oan

    *ncome +ax deducted fromSa'ar 0i'' 7pto 6an82!3#

    *nterest on.ousing oan

    &ductiona' expenses of chi'dren(for 2 chi'dren)

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    34

    35 !

    39 GPA*S

    @!Pension und(Annuit P'an of * or other *nsurer)

    3 @!Dontri5ution to Pension scheme of entra' Go;t8 &mp'oees

    I: OTHER E!"TIONS

    37

    38

    40

    41

    42 "ontribution toPolitical Parties u#s $%GG"

    43

    44

    45 R"i", u;* 78(1)

    *n;estment in ong term *nfrastructure 0ond of *D0*B *** etc8 (For claiming addition deduction of up to Rs. 20000)

    An other deductionsBifan

    e'ical Insurance Premium u#s $% 6 (Acc (100 i' t" ca*" +, S"cia Fu'$* ? 50i' +t"! ca*"*)

    e'uction inrespect of persons -ith 'isability :(R*< 50000;- +! R*< 5000;- a* t" ca*" a& =")

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    A.A.V

    RISHNAPURAM

    APURAM

    &nter Data in White ce''s

    .NA!2$4#A

    EEDEVI.K.M HM

    AN NAM!UDIRI

    APURAM

    HRA AL

    1 25* 33241 -A,. ! S&P+ !

    ME TAX-15

    * .P *S A9A*&D &N+&, +.& N7-0&, O &A9&,&&9AN+ -ON+.

    DATA

    ANNEXTURE

    FORM10-E

    FILL

    WELCOME

    WELCOME

    Statement

    PRINT ST

    Statement DATA

    ANNEXTURE

    FORM10-E

    PRINT STATEMENT

    FORM-16

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    1 25* 33241 AP,* ! O+O0 !

    1 25* 33241 -A1 ! NO98 !

    5 25* 35265 67N& ! D& !

    5 25* 35265 671 ! 6AN !

    5 25* 35265 A7G ! &0 !

    5 25* 35265

    5 25* 35265

    5 25* 35265

    * 25* 3613*

    * 25* 3613*

    * 25* 3613*

    41"7*3

    * *

    * *

    * * * *

    *

    432

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    *

    22**

    *

    *

    421"*3

    *

    *

    *

    e,$o *

    *

    *

    *

    535** MARCH APRIL MAY JUNE JULY

    IF PF-MONTHLY SUBSCRIPTIONIS CHANGED ENTER DETAILS

    HERE

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    6*** 3500 3500 3500 4000 4000

    24** SEPT. OCTOB. NOV. DEC. JAN.

    * 5000 5000 5000 5000 5000

    *

    *

    *

    *

    2#!!

    *

    *

    *

    *

    *

    *

    *

    *

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    *

    !

    3**

    *

    *

    !

    !

    !

    !

    !

    !

    !

    !

    WELCOME

    Statement DATA

    ANNEXTURE FORM10-E

    PRINT STATEMENT

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    S +AC&N *N +.&

    ATEMENT

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    43>"!$

    AUG.

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    5000

    53500

    FEB.

    5000

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    Name : .R/.S!N.N.,.,0 Office/Institution/Department :

    !et!er "a#ette$ : No %e& : 1emale .!PS SREE2RISHN.P!R.3PS. SREE2RISHN.P!R.

    ALNPA0753A "HN.%4567.

    MONTH OF @ILL PAY /A HR. TOT.3MAR 2014 20240 1251 47% 55468APRIL 2014 20240 1251 47% 55468MA% 2014 20240 1251 47% 55468UNE 2014 20240 145 47% 57497UL% 2014 20240 145 47% 57497

    AU>< 2014 20240 145 47% 57497SEPT 2014 20240 145 47% 57497OCT< 2014 20240 145 47% 57497NO:< 2014 20240 145 47% 57497/EC< 2014 20740 15140 47% 5985%

    AN< 2015 20740 15140 47% 5985%FE@< 2015 20740 15140 47% 5985%

    TOTAL 68;%5/A.Pa& A!!"a!* !"c"i#"$ i' Ca* %

    ,"*ti#a A+a'c";@+'u* 44%%

    Su!!"'$"! %

    /A.Pa& A!!"a!* M"!"$ t+ Pances an$ Arrears of DA/pa. an$ ot!er a**o>ances)

    3ess Profession Ta? u/s 16(iii)

    e'uct : Interest on Housin* 3oan(Maximum Rs. 30000/- orRs. 200000/- as the case may be)

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    &i,) E$ucationa* e&penses of c!i*$ren 0

    &,)"AI% 400

    &,i) An. ot!er item (specif.) 0 0

    92200 92200 Totale'uctions u#s $%"

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    (=) 70CCC ension fun$ (Annuit. p*an of I; or an. ot!er insurer) 0

    (c) 70CC/ 0 0

    ($) 70CCE 92200 92200

    (") 70CCF 0

    (") 70/ 0

    (,) 70// 0

    () 70//@ 0

    () 70E 0

    (i) 70> Donation to certain fun$s? c!arita3*e institutions etc7: 0

    (B) 70>>C ;ontri3utions to o*itica* arties 0

    () 70U 0

    Total 92200 92200

    @ 426'04 35200

    Income Ta? on Total Income : 3!"2!

    Re3ate u/s @6A 2!!!

    T+ta @6'0 720

    10 292

    11 Total Ta? 7872

    1' ess Re*ief u/s @(i) !

    14 9a*ance Ta& 7872

    1 ess Ta& $e$ucte$ from t!e sa*ar. 3i** upto Ban '012 0

    12 Ta? Payable7872 Signature of the &mp'oee:

    *ace : %REECRI%+NAURAM %i8nature of t!e +ea$ of Office in case of N"O

    Date: 01/'2/'012 %i8nature of t!e Officer in t!e case of "a#ette$ Officer7

    ;ontri3ution to pension sc!eme of ;entra* "o,t7emp*o.ees enterin8 t!e ser,ice on or after Ban7'001

    The a**re*ate amount of 'e'uctions u#s $%"+ $%"""+$%""

    shall not+ in any case e?cee' One 3a)h an' 1iftyThousan' Rupees

    I'#"*t"'t i' L+' T"! I',!a*t!uctu!a @+'$* '+ti,i"$ =& t"

    C"'t!a >+#t< =.''itional 'e'uction upto Rs, 4%%%%>

    Medical Insurance remium u/s !0 ": (Acc7Fun$) (Ma&7 Rs7 12000/- or '0000/- as t!e case ma. 3e)

    Maintenance an$ Me$ica* treatment of +an$icappe$ Depen$ent (Ma&7 Rs720000/- or 62000/- as t!e case ma. 3e)

    Me$ica* treatment for certain specifie$ $isease or ai*ment(Ma&imum of Rs7 0000/- an$ Rs7 50000/- as t!e case ma. 3e)

    Repa.ment of *oan taen for !i8!er e$ucation(Ma&imum of Rs7 0000/-)

    e uct on nrespect o persons > t sa t. :(Rs7 20000/- or Rs7 62000/-

    as t!e case ma.3e

    Net Ta?able Income(Roun$e$ to nearest ten)

    .'' E'ucational "ess(4 of ta& )

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    DATA

    a8e 4

    DAA SHEE FR ARREARS RELIEF US 8

    / al9la,/o+ S,a$, F$om FY 2*** &2**1 ,o FY 2

    AND Aeme+, Yea$ 2**1 & 2**2 ,o 2*14&

    Em'lo:ee; S,a,9 Male o$ Female ema'e

    DEAILS F A

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    DATA

    a8e 0

    o,al I+ome -o$ ,e F/+a+/al Yea$ 2*1*&11

    o,al I+ome -o$ ,e F/+a+/al Yea$ 2*11&12

    o,al I+ome -o$ ,e F/+a+/al Yea$ 2*12&2*13

    o,al I+ome Fo$ e F/+a+/al Yea$2*13&14

    DEAILS F ARREARS REEIVED

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2***&2**1

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2**1&2**2

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2**2&2**3

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2**3&2**4

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2**4&2**5

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2**5&2**6

    A$$ea$ $ee/e% Fo$ ,e Yea$ 2**6&2**7

    A$$ea$ $ee/e% Fo$ ,e Yea$ 2**7&2**8

    A$$ea$ $ee/e% Fo$ ,e Yea$ 2**8&2**"

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    DATA

    a8e 1

    A$$ea$ $ee/e% Fo$ ,e Yea$ 2**"&2*1*

    A$$ea$ $ee/e% Fo$ ,e Yea$ 2*1*&2*11

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2*11&2*12

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2*12&2*13

    A$$ea$ $ee/e% Fo$ ,e F/+a+/al Yea$ 2*13&2*14

    A,9al A$$ea$ Rel/e- U 8"1 E+,/,le%

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    13& 2*14

    *15

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    R. *

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    R. *

    R. *

    R. *

    R. *

    E+,e$ Rel/e- 8"1 aa/le% /+ a+: $elea+,

    R. * 2**4&2**5 * 2**3&2**4

    R. * 2**5&2**6 * 2**2&2**3

    R. * 2**6&2**7 * 2**1&2**2

    R. * 2**7&2**8 * 2***&2**1

    R. * 2**8&2**" *

    R. * 2**"&2*1* *

    R. * 2*1*&2*11 *

    R. * 2*11&2*12 *

    R. * 2!322!3$ *

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    R. * 2!3$2!34 *

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    DATA

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    ORM 15

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    ANNEXURE=TA9E-A

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    ANNESee /,em 2 o- Fo$m No.1*E?

    Arrears or advance salary

    Sl No. Pa$,/9la$ Amo9+, R.

    1 o,al /+ome e@l9%/+= ala$: $ee/e% /+ a$$ea$ o$ a%a+e R. 3572**

    2 Sala$: $ee/e% /+ a$$ea$ o$ a%a+e R. *

    3 R. 3572**

    4 a@ o+ ,o,al /+ome >a 'e$ /,em 3? R. 8"82

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    6 a@ o+ ala$: $ee/e% /+ a$$ea$ o$ a%a+e >D/--e$e+e o- /,em 4 a+% /,em 5? R. *

    7 a@ om'9,e% /+ ao$%a+e B/, a0le CAC >!$o9=, -$om ol9m+ 7 o- a0le A? R. *

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    2***&*1 R. * R. * R. * R. * R. * R. *

    2**1&*2 R. * R. * R. * R. * R. * R. *

    2**2&*3 R. * R. * R. * R. * R. * R. *

    2**3&*4 R. * R. * R. * R. * R. * R. *

    2**4&*5 R. * R. * R. * R. * R. * R. *

    2**5&*6 R. * R. * R. * R. * R. * R. *

    2**6&*7 R. * R. * R. * R. * R. * R. *

    2**7&*8 R. * R. * R. * R. * R. * R. *

    2**8&*" R. * R. * R. * R. * R. * R. *

    2**"&1* R. * R. * R. * R. * R. * R. *

    2*1*&11 R. * R. * R. * R. * R. * R. *

    2*11&12 R. * R. * R. * R. * R. * R. *

    2*12&13 R. * R. * R. * R. * R. * R. *

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    Name )& ARYASUNANDA.A.V

    o,al /+ome a /+$eae% 0: ala$: $ee/e% /+ a$$ea$ o$ a%a+e >A%% /,em 1a+% /,em 2?

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    ANNEXURE=TA9E-A

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    Da,e )& 12515 De/=+a,/o+ )& LPSA

    De'a$,me+, )& AUPS SREEKRISHNAPURAM

    SREEKRISHNAPURAM

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    FORM %TATEMENT

    FORM10-E DATA

    FORM 15 E;OME

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    FORM-10E

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    FRM N.1* E

    > See $9le 21AA?

    1 Name a+% De/=+a,/o+ o- ,e em'lo:eeARYASUNANDA.A.V

    LPSA

    2 PERMANEN AUN NUM!ER ALNPA*753A

    $ RESIDENIAL SAUS PERMANEN RESIDEN

    1a *

    0

    %

    2 ANNEom'a+:o&o'e$a,/e o/e,:loal a9,o$/,: 9+/e$/,: /+,/,9,/o+ao/a,/o+ o$

    0o%:?

    Particulars of income referred to in rule 21A of the Incometa! Rules" 1#$2"during the

    previous year relevant to assessment year 201%1&

    Sala$: $ee/e% /+ a$$ea$ o$ /+ a%a+e /+ ao$%a+e B/, ,e '$o//o+ o-90&$9le 2 o- R9le 21A.

    Pa:me+, /+ ,e +a,9$e o- =$a,9/,: /+ $e'e, o- 'a, e$/e e@,e+%/+= oe$ a'e$/o% o- +o, le ,a+ 5 :ea$ /+ ao$%a+e B/, ,e '$o//o+ o- 90&$9le

    3 o- $9le 21A.

    No,A''l/a0le

    Pa:me+, /+ ,e +a,9$e o- om'e+a,/o+ -$om ,e em'lo:e$ o$ -o$me$ em'lo:e$a, o$ /+ o++e,/o+ B/, ,e$m/+a,/o+ o- em'lo:me+, a-,e$ o+,/+9o9 e$/e o-+o, le ,a+ 3 :ea$ o$ Be$e ,e 9+e@'/$e% 'o$,/o+ o- ,e$m o- em'lo:me+, /

    alo +o, le ,a+ 3 :ea$

    No,A''l/a0le

    Pa:me+, /+ omm9,a,/o+ o- 'e+/o+ /+ ao$%a+e B/, ,e '$o//o+ o- 90&$9le 5 o- $9le 21A

    No,A''l/a0le

    De,a/le% 'a$,/9la$ o- 'a:me+, $e-e$$e% ,o a0oe ma: 0e =/e+ /+ A++e@9$eIIIIIAIII o$ IV a ,e ae ma: 0e.

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    FORM-10E

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    FORM-10E

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    FORM-10E

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    E;OME%TATEMENT

    DATAANNEXTURE

    FORM FORM 15

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    FORM-10E

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    FORM-10E

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    FORM 19-PART @DS"" Ru" 31(1)(a)

    Name an$ a$$ress of t!e Emp*o.er Name an$ Desi8nation of t!e Emp*o.eeSATHEEDEVI.K.M ARYASUNANDA.A.V

    HM LPSA

    AUPS SREEKRISHNAPURAM AUPS SREEKRISHNAPURAM

    SREEKRISHNAPURAM SREEKRISHNAPURAM

    PAN6 ALNPA0753A TAN 6 "HN.%4567.

    erio$ Assessment ear

    Ward3-pkdFrom To

    2015-1601/04/14 31/03/15

    /ETAILS OF SALAR% AN/ OTHER INCOME TAX /E/UCTIONS

    1 >!+** Saa!& 421903

    ' ess A**o>ance to t!e e&tent un$er section 10 0

    4 Net %a*ar. Income (1-') 421903

    A$$ : An. ot!er income reporte$ 3. t!e emp*o.ee

    (a) A8ricu*ture Income 0

    (3) Income from !ouse propert. 0

    Tota* 0

    2 T+ta I'c+" (3-4) 421903

    5 De$uctions : (Un$er section 15)

    (a) Ta& on emp*o.ment 2500

    (3) Entertainment a**o>ance 0

    Tota* 5 (a3) 2500

    6 Un$er section '

    Interest on +9A 0

    @ >!+** T+ta I'c+" 419403

    Un$er section @0 - ;

    a) I; ( i) %a*ar. De$uction 0

    (ii) Direct a.ment 0

    3) "F ;ontri3ution 53500

    c) F ;ontri3ution 0

    $) Arrear DA 0

    e) %I 000

    f) "I% 2400

    8)"AI% 300

    !) I 0

    i) F9% 0

    ) +9A 0.00

    ) Tution Fee pai$ (imite$ to ' ;!i*$ren) 0

    *) E

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    11 Un$er section @0 - ;;D 5''00 0

    Un$er %ection @0;;E-*imite$ to 120000 2200 2200

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    OTHER /E/UCTIONS

    1' Un$er section @0 - ;;F 0

    1 Un$er section @0 - D 0

    12 Un$er section @0 - DD 0

    15 Un$er section @0 - DD9 0

    16 Un$er section @0 - E 0

    1@ Un$er section @0 - " 0

    1 Un$er section @0 - U 0

    '0 Un$er section @0 - ""; 0

    '' Tota* $e$uction a$missi3*e 2200 2200

    '4 35%203 35%200

    24 Income taxpayable &%20

    25 Educational Cess @ 3% 22

    26 Total Tax Payable (24+25) &9&2

    27 Less Relief u/s 89(i) 0

    28 Balance Tax &9&2

    29 Ta al!ead" #aid / deducted &9&2

    3$ Balance Tax to be paid / refunded 0

    DETI!" #$ T% DED&'TED D DEP#"ITED IT# 'ET! *#E,ET ''#&T

    &ount 'ate of a"&ent

    - *T+EE'E,-.- */' of ,*0'E,1 10'R

    o!in in te ca#acit" of + do e!e" ce!tif"in tat su& of

    Rs 8982 ei.t tou0and nine undred and ei.ty1to as een

    deducted at sou!ce and #aid to te c!edit of te Cent!al oe!n&ent- fu!te! ce!tif" tat te

    info!&ation ien aoe is t!ue and co!!ect ased on te oo of accounts: docu&ents and ote!

    aailale !eco!ds-

    *inatu!e of te #e!son

    !es#onsile fo! deduction of ta

    lace; *REE.R*+10R 1a&e; *T+EE'E,-.-

    'ate; $

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    E;OME%TATEMENT

    ANNEXTURE DATA

    FORM10-EForm

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