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DynPro India Private Limited
Digitally signed document
Form 16
Details in Form 16: Date: 10/05/2012 Employee: Kaushik Sarkar Employee PAN: BORPS3963L Financial Year: 2011-12 Assessment Year: 2012-13Form 16 Control No: 749/192/700
Details of signature:
Form 16 is a Certificate issued under section 203 of the Income-Tax Act, 1961 for Tax deducted at source. Pleaserefer, [See Rule 31(1)(a)] This certificate is signed with a "Secure Digital Signature", as defined undersection 15 of Indian Information Technology Act, 2000.
Respective Digital Signature of the signatory has been affixed below. Please click on the box in order to see thedetails and validate the signature (for your reference).
Issuer Organization: DynPro India Private Limited Issuer (TAN): BLRD02399F Document Name: Form 16
(This document is digitally signed and enclosed with Statutory format of Form 16.)
Page 1
Original 749/192/700FORM NO.16
[See Rule 31(1)(a)]PART A
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on SalaryName and Address of the Employer Name and Designation of the Employee
DynPro India Private Limited# 101, First Floor, THE ESTATE121 Dickenson RoadBANGALORE - 560042KARNATAKA
Kaushik SarkarSr. Software Consultant
PAN of the Deductor TAN of the Deductor PAN of the EmployeeAAACD4498E BLRD02399F BORPS3963L
CIT (TDS) Assessment Year PeriodAddress: Room No. 59,,H.M.T. Bhawan, 4th Floor,,BellaryRoad, Ganganagar,City: Bangalore Pincode: 560032
2012-13From
31/10/2011To
31/03/2012Summary of tax deducted at source
Quarter Receipt Numbers of originalstatements of TDS under sub-section
(3) of section 200.Amount of tax deducted in respect of
the employeeAmount of tax deposited/remitted in
respect of the employee
1 DKCXBCYC2 DKCXCUZB3 EONXFGID 1,228.00 1,228.004 EONXHMCF
Total 1,228.00 1,228.00PART B (Refer Note 1)
Details of Salary paid and any other income and tax deducted1 Gross Salary a) Salary as per provisions contained in sec. 17(1) Rs. 2,56,846.00 b) Value of perquisites u/s 17(2) Rs. c) Profits in lieu of salary under section 17(3) Rs. d) Total Rs. 2,56,846.002 Less :Allowance to the extent exempt u/s 10 Conveyance Exemption Rs. 4,000.00
Rs. 4,000.003 Balance 1-2 Rs. 2,52,846.004 Deductions : a) Entertainment Allowance Rs. b) Tax on Employment Rs. 1,000.005 Aggregate of 4 (a) and (b) Rs. 1,000.006 Income chargeable under the head 'salaries' (3-5) Rs. 2,51,846.007 Add: Any other income reported by the employee8 Gross total income (6+7) Rs. 2,51,846.009 Deductions under chapter VI-A
Gross Amount Deductible Amount (A) Sections 80C and 80CCD (a)Deductions in respect of specified investments/savings 80C 1)Life Insurance Premium Rs. 1,06,272.00 Rs. 1,06,272.00 2)Mutual Fund Rs. 6,000.00 Rs. 6,000.00 Sec 80CCE Rs. 1,00,000.00 (B) Other Sections under Chapter VIA
Page 2
Gross Amount Qualifying Amount Deductible Amount10 Aggregate of deductible amount under chapter VI-A Rs. 1,00,000.0011 Total income (8-10) Rs. 1,51,850.0012 Tax on total income Rs.13 Education Cess @ 3% (on tax computed at S.No.12) Rs.14 Tax payable (12 + 13) Rs. Nil15 Less: Relief under section 89 (attach details) Rs.16 Tax Payable (14 - 15) Rs. Nil
VerificationI, Shefali Lall, daughter of Mr. S.B.Lall working in the capacity of Authorised Signatory (designation) do herebycertify that a sum of Rs. 1,228.00 [Rupees One Thousand Two Hundred Twenty Eight Only] has beendeducted at source and deposited to the credit of the Central Government. I further certify that the informationgiven above is true, complete and correct and is based on the books of account, documents, TDS statements, TDSdeposited and other available records.
Place BANGALORE Form is digitally signed. Please refer Page 1 for details.
Date 09/05/2012 Signature of person responsible for deduction of taxDesignation Authorised Signatory Full Name: Shefali Lall
Notes:
1. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A ofthe certificate in Form No. 16 pertaining to the period for which such assessee was 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.
2. Government deductors to enclose Annexure-A if tax is paid without production of an income-tax challan and Annexure-Bif tax is paid accompanied by an income-tax challan.
3. Non-Government deductors to enclose Annexure-B.4. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TDS
statements of the assessee.5. This Form shall be applicable only in respect of tax deducted on or after 1st day of April, 2010.
Tax Deducted Summary(Summary of Tax Payable and Tax Deducted Information)
Sl.No. Particulars Amount1 Tax payable as per Part-B (Sl No 16) Nil2 Tax Deducted at Current Employment 1,228.003 Tax Deducted at Previous Employment Nil4 Total Tax Deducted (2+3) 1,228.005 Net Tax Payable / (Refundable) (1-4) (1,228.00)
Page 3
ANNEXURE-ADETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT
THROUGH BOOK ENTRY(The Employer to provide payment wise details of tax deducted and deposited with respect to the employee)
Not Applicable
Note: 1. In the column for TDS, give total amount for TDS, Surchage (if applicable) and education cess.
Page 4
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 the employee)
Sl.No. Tax Deposited in respect ofthe employee (Rs.)
Challan Identification Number (CIN)
BSR Code of the Bank Branch Date on which tax deposited(dd/mm/yyyy)
Challan Serial Number
1 1,228.00 0 3 0 2 2 7 5 0 6 1 2 2 0 1 1 0 3 6 9 4TOTAL 1,228.00
Note: 1. In the column for TDS, give total amount for TDS, Surchage (if applicable) and education cess.
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