Form 16

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FORM 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 salary
Certificate No.

Last updated on
Name and address of the Employer

Name and address of the Employee

null
null null

PAN of the Deductor

PAN of the Employee

TAN of the Deductor

CIT (TDS)

Assessment Year

Employee Reference No.


provided by the Employer
(If available)

Period with the Employer


From

To

null
null null

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Book Identification Number (BIN)
Sl. No.

Tax Deposited in respect of the


deductee
(Rs.)

Receipt Numbers of Form


No. 24G

DDO serial number in Form no.


24G

Date of transfer voucher Status of matching


(dd/mm/yyyy)
with Form no. 24G

Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Sl. No.

Tax Deposited in respect of the


deductee
(Rs.)

Challan Identification Number (CIN)


BSR Code of the Bank
Branch

Date on which Tax deposited Challan Serial Number


(dd/mm/yyyy)

Status of matching with


OLTAS*

Total (Rs.)
Verification

I, null, son / daughter of null working in the capacity of null (designation) do hereby certify that a sum of Rs. null [Rs. null (in words)] has been deducted and a sum
of Rs. null [Rs. null] has been deposited to the credit of the Central Government. 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.

Notes:

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Certificate Number:

TAN of Employer:

PAN of Employee:

Assessment Year:

Place
Date

(Signature of person responsible for deduction of Tax)

Designation:

Full Name:

1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16


* Status of matching with OLTAS
Legend

Description

Definition

Unmatched

Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
details in bank match with details of deposit in TDS / TCS statement

Provisional

Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
verification of payment details submitted by Pay and Accounts Officer (PAO)

Final

In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)

Overbooked

Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

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