Form No. 12B Form For Furnishing Details of Income Under Section 192 (2) For The Year Ending 31st March
Form No. 12B Form For Furnishing Details of Income Under Section 192 (2) For The Year Ending 31st March
Form No. 12B Form For Furnishing Details of Income Under Section 192 (2) For The Year Ending 31st March
12B
[See rule 26A]
Form for furnishing details of income under section 192(2) for the year ending 31st March, ________
Name and address of the employee
Permanent Account No. ____________________________
Residential status _________________________________
S. Name and TAN of the Permanent Period of Particulars of salary as defined in section 17, paid or due to Total of Amount Total amount Remarks
No address of employer(s) as Account employment be paid to the employee during the year columns 6, 7, deducted in of tax
employer(s) allotted by the Number of the Total amount of Total amount of Value of and 8 respect of life deducted
ITO employer(s) salary excluding house rent perquisites and insurance during the
amounts allowance, amount of premium, year (enclose
required to be conveyance accretion to provident fund certificate
shown in allowance and employee's contribution, issued under
columns 7 and 8 other allowances to provident fund etc., to which section 203)
the extent account (give sec. 80C †
chargeable to details in the applies (Give
tax[See section Annexure) details)
10(13A) read with
rule 2A and section
10(14)]
1 2 3 4 5 6 7 8 9 10 11 12
Verification
I,______________________________________________________do hereby
Verified today, the______________________day of______________________ declare that what is stated above is true to the best of my knowledge and belief.
Place
1 2 3 4 5 6 7 8 9
Name of the Whether any conveyance Remuneration paid Value of free or Estimated value of any other Employer's contribution to Interest credited to the Total of columns 9 to 15
employee has been provided by the by employer for concessional benefit or amenity provided recognised provident fund in assessee's account in carried to column 8 of
employer free or at a domestic and/or passages on home by the employer, free of cost excess of 10% of the recognised provident Form No. 12B
concessional rate or where personal services leave and other or at concessional rate not employee's salary [See fund in excess of the
the employee is allowed the provided to the travelling to the included in the preceding Schedule IV - Part A] rate fixed by the
use of one or more motor employee (give extent chargeable columns (give details), e.g., Central Government
cars owned or hired by the details) [See rule to tax (give details) supply of gas, electricity or [See Schedule IV -
employer, estimated value of 3(g)] [See rule 2B read water for household Part A]
perquisite (give details) [See with section consumption, free educational
rule 3(c)] 10(5)(ii)] facilities, transport for family,
etc.[See rules 3(d), 3(e) and
3(f)]
1 10 11 12 13 14 15 16