FORM NO.

16
[See rule 31(1)(a)]
Certificate under section 203 of Income-tax Act, 1961 for tax deducted at source on Salary
Name and adress of the Employer Name and adress of the Employee
HEAD MASTER VENKATASHIVA K V
MAHABHODHISTHWA AIDED HS, KUNDANA ASST MISTRESS (SECONDARY )
DEVANAHALLI, BENGALURU RURAL MAHABHODHISATWA AIDED HS, KUNDANA
PAN of the Deductor TAN of the Deductor PAN of the Employee
0 BLRO03116B BHMPV3594C
CIT(TDS) Assessment Year Period
The Commissioner of Income Tax (TDS)
Address From To
R No.59, HMT Bhawan, 4th Floor,
Ganganagar
2024-25
01-04-2023 31-03-2024
City: Bengaluru Pin Code: 5600032
Summary of tax deducted at source
Amount of tax deducted Amount of tax
Receipt Numbers of original statements
Quarter in respect of the deposited/ remitted in
of TDS under sub-section (3) of section 200
employee respect of the employee
Quarter 1
Quarter 2
Quarter 3
Quarter 4
PART B (Annexure)
Details of Salary paid and any other income and tax deducted
1 Gross Salary Rs 729646
a Salary as per provisions contained in sec.17(1) Rs 729646
b Value of perquisites u/s 17(2) (as per
Form No.12BA, wherever applicable) Rs
c Profits in lieu of salary under section 17(3)
(as per Form No.12BB, wherever applicable) Rs
d Total Rs 729646
2 Less: Allowance to the extent exempt u/s 10
Allowance Rs.
HRA Exemption U/s 10(13A) 0
Medical Reimbursment
Rs 0
3 Balance (1-2) Rs 729646
4 Deductions : [u/s 16]
a Standard Deducation 50000
b Tax on employment (PT) 0
5 Aggregate of 4(a) and 4(b) Rs 50000
6 Income chargeable under the head 'salaries' (3-5) Rs 679646
7 Add: Any other income reported by the employee
Income source Rs
a Income From let out property 0
b From Pension/Family Pension 0
c From Savings Bank Interest 0
d Income From Other Sources 0
Total 0
8 Gross Total Income (6+7) Rs 679646

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9 Deductions under Chapter VIA
(A) Sections 80C, 80CCC and 80CCD Qualifying
Gross Amount Deductible Amount
a) Section 80 C Amount
i) Family Benefit Fund (FBF) Rs Rs 0
ii) Group Savings Linked Insurance (GSLIC) Rs Rs 0
iii) Life Insurance Corporation (LIC) Rs Rs 0
iv) General Provident Fund (GPF) Rs Rs 0
v) Other Deductions U/s 80C Rs Rs 0
vi) National Savings Scheme (NSC) Rs Rs 0
vii) Postal Life Insurance (PLI) Rs Rs 0
viii) Life Insurance Corporation (LIC) By Hand Rs Rs 0
ix) Sukanya Samruddi Yojane (SSA) Rs Rs 0
x) Home Loan Account (Principle) Rs Rs 0
xi) Public Provident Fund (PPF) Rs Rs 0
xii) Tution Fee Paid to Children`s Education Rs Rs 0
Total U/s 80C (Shalln`t exceed Rs.1,50,000) Rs Rs 0
b) Section 80CCC Rs Rs 0
c) Section 80CCD NPS Employee Contribution Rs Rs 0
U/s 80C ,80CCC &80CCD shalln't exceed 1.5lakh Rs Rs 0
(B) Sections 80E, 80G and 80TTA Etc)
i) U/s 80CCD (2) NPS (Employer Contribution) Rs Rs 0
ii) U/s 80U : Deduction for Disability of self Rs Rs 0
iii) U/s. 80G (Donation 100%) Rs Rs 0
iv) U/s. 80E ( paid interest on education loan) Rs Rs 0
v) U/s 80TTA (Savings Bank Interest ) Rs Rs 0
vi) U/s. 24B & 80EE (Interest on House Loan) Rs Rs 0
vii) U/s 80D Medical Insurance Rs Rs 0
viii) U/s 80DD Dependent Server Disability & U/s 80DDB Rs Rs 0
10 Aggregate of deductible amount under Chapter VIA Rs Rs 0
11 Total Income (8-10) [Round of U/s 288 A] Rs 679646
12 Tax on Total income Rs 22965
* U/s 87A if Taxble Income (column No 11) is less than 7 lakh rebate of Rs 25000 Rs 22965
* Tax after rebate Rs 0
13 Education cess @ 4% (on tax computed at S. No. 12) Rs 0
14 Tax Payable (12+13) Rs 0
15 Tax Deducted at Source u/s 192 (1) Rs 0
16 Tax Payable Rs 0
Verification
I …………………………………… son/daughter of …………………………………… working in the
capacity of HEAD MASTER (designation) do hereby certify that a sum of Rs. 0
Zero Rupees has been deducted and deposited to the
credit of the Central Government. I further certify that the information given about is true, complete and
correct and is based on the books of account, documents, TDS statements, TDS deposited and other
available records.
ನಮೂನೆ ವಿನ್ಯಾ ಸ: ವಿ.ಧನಂಜಯ (ಕಂಪ್ಯಾ ಟರ್ ಧನು)

Date: 27-10-2024
Place: DEVANAHALLI (Signature of person responsible for deduction of tax)

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