GOVERNMENT POLYTECHNIC, WARANGAL.

INCOME TAX STATEMENT FOR THE FINANCIAL YEAR 2007-08

STATEMENT SHOWING PAY & ALLOWANCES DRAWN BY 0 0
DEDUCTIONS
OTH- NET
S.No. PERIOD PAY D.P. F.P.I. P.P. D.A. H.R.A. C.C.A. TOTAL G.P.F. A.P.G.L.I. OTH-
ERS L.I.C. G.I.S. P.T. I.T. TOTAL SALARY
SUBSR LOAN SUBSR LOAN ERS
1 Mar-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
2 Apr-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
3 May-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
4 Jun-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
5 Jul-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
6 Aug-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
7 Sep-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
8 Oct-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
9 Nov-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
10 Dec-07 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
11 Jan-08 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
12 Feb-08 0 0 0 0 0 0 120 120 0 0 0 0 0 0 0 0 0 120
SEL
13 Jan-08 0 0 0 0 0 0 60 0 60 0 0 60
14 DA ARREARS - 1. 0 0 0 0 0
15 DA ARREARS - 2. 0 0 0 0 0
16 CAS ARREARS 0 0 0 0 0 0
17 OTHERS ARREARS 0 0 0 0 0
18 OTHERS 0 0 0 0 0
19 TOTAL 0 0 0 0 0 0 1500 0 1500 0 0 0 0 0 0 0 0 0 0 1500

SIGNATURE OF STAFF MEMBER SIGNATURE OF D.D.O.

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ENTER '1' in case of MALE & '2' in case of FEMALE in the CELL J1 → 1

ENTER '1' in case MARRIED & '2' in case BACHELOR in the CELL J2 → 1

ENTER '1' in case of Medical Insurance Premium on a dependent

& '2' in case it is on a dependent a Senior Citizen in CELL J4 → 0

ENTER '1' in case of EXPENDITURE on a HANDICAPPED DEPENDENT

& '2' in case it is on a dependent with SEVERE DISABILITY in CELL J7 → 0

Enter '1' in case of Expenditure on Assessee/ Dependent for Specified dis-

eases & '2' in case the Assessee/Dependent is a SENIOR Citizen in CELL J10 → 0

ENTER '1' in case YOU are a PHYSICALLY HANDICAPPED ASSESSEE

& '2' in case YOU have SEVERE DISABILITY in CELL J13 → 0

ENTER '1' if paid INTEREST on HOUSE LOAN taken before 01-04-1999 &
2' if paid INTEREST on HOUSE LOAN taken on or after 1-4-99 in CELL J16 → 0

ENTER '1' if you are a SENIOR CITIZEN with age of 65 yrs or above in J18→ 0

INCOME - TAX STATEMENT

FOR THE FINANCIAL YEAR 2007-2008
Name of the Employee
Designation
Department / Office Govt. Polytechnic, Warangal.
Residential Address
INCOME TAX PERMANENT A/C No. (PAN)
Rs. Rs. Rs.
1. Estimated Gross Income for the financial
year 2007-2008. PAY 0
D.P. 0
F.P.I. 0
P.P. 0
D.A. 0
H.R.A. 0
C.C.A. 1500
OTHERS 0
TOTAL 1500

2. i) Whether living in a rented house and actually

incurring expenditure on rent.

ii) Deduction in respect of H.R.A. exemption

a) Actual H.R.A. received 0
b) 10% of salary 0
c) Actual rent paid
d) Excess rent paid above 10% of salary 0
e) 40% of salary 0
f) Least of a,d,e 0

iii) H.R.A. Deduction U/S 10 (13A) 0

3. Balance [ 1 - 2 (iii) ] 1500

4. LESS: Professional Tax U/S 16 (iii) 0

5. Gross Total Income [ 3 - 4 ] 1500

6. Other income not being a loss on which T.D.S. 0

has to be made
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7. Net income [ 5 + 6 ] 1500

GROSS QUALI -
8. Deductions under chapter VI A AMOUNT FYING
a) Medical insurance premium up to Rs. 10000/- 0 0
( Rs. 15000/- if beneficiary is a senior citizen
with age 65 years & above ) U/S 80 D
b) Expenditure on a handicapped dependant, 0 0
max. Rs. 50000/- at flat rate ( Rs. 75000/- in
case of dependent with severe disability )
U/S 80 DD
c) Actual expenditure on assessee / dependant 0 0
patient for treatment of specified diseases
limited to Rs. 40000/- ( Rs. 60000/- in case
of senior citizen, 65 yrs & above) U/S 80 DDB
d) Relief to physically handicapped / mentally 0 0
retarded assessee, Rs. 50000/- ( in case of
severe disability, Rs. 75000/- ) U/S 80 U
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Rs. Rs. Rs.

e) Repayment of Educational loan of assessee, 0 0
max. limited to Rs. 40000/- ( loan & interest )
U/S 80 E
f) Interest on House Loans, max. Rs. 30000/- 0 0
for loans before 01-04-1999 & Rs. 150000/-
for loans on or after 01-04-1999.
g) Contribution to specified funds U/S 80 G 0 0
TOTAL 0 0
h) TOTAL QUALIFYING AMOUNT (DEDUCTION) 0

9. Total income [ 7 - 8 (h) ] 1500

10. A) Specified savings qualifying for deduction

U/S 80 C
a) G.P.F. 0
b) A.P.G.L.I. 0
c) L.I.C. & P.L.I. (Salary deduction) 0
d) G.I.S. 0
e) P.P.F. 0
f) ULIP / LIC, Mutual Funds etc. 0
g) N.S.C. 0
h) Interest on N.S.C. 0
i) House loan repayment. 0
j) Tuition fees paid on children's education 0
k) L.I.C. Premia paid 0
l) P.L.I. Premia paid 0
m) Tax Saving Infrastructural Bonds 0
B) Contributions to L.I.C. & other pension 0
schemes U/S 80 CCC
TOTAL [ A + B ] 0
n) TOTAL QUALIFYING AMOUNT 0

11. a) Total Taxable Income [ 9 - 10 (n) ] 1500

b) Total Taxable Income (rounded to nearest 10/-) 1500

12. a) Income Tax on income at S.No. 11 (b) 0

Up to Rs 110000/- NIL
Rs. 110000/- to 150000/- 10% of amount exceeding 110000/-
Rs. 150001/- to 250000/- Rs. 4000+20% of amount exceeding 150000/-
Rs. 250001/- & above Rs. 24000+30% of amount exceeding 250000/-
b) Surcharge @ 10% of tax payable for income 0
above Rs. 1000000/-
c) Educational cess @ 3% of tax payable on (a+b) 0
d) Gross income tax [ a + b + c ] 0

13. a) LESS : Relief on arrears U/S 89 (i) 0

b) Tax Liability during 2007-08 [ 12 (d) - 13 (a) ] 0

14. a) LESS: Tax already deducted up to Dec, 07 0

b) Tax to be deducted from Jan, 08 onwards 0
In Jan,2008 In Feb,2008
Rs. 0 Rs. 0
TAX TO BE PAID THROUGH CHALLAN Rs. 0
Name 0
Designation 0
Place of working Govt. Polytechnic, Warangal. Signature of staff member
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RATES OF INCOME TAX FOR WOMEN, FOR THE FINANCIAL YEAR 2006-07

Up to Rs 180000/- → NIL
Rs. 180001/- to 300000/- → 10% of amount exceeding 180000/-
Rs. 300001/- to 500000/- → Rs. 12000+20% of amount exceeding 500000/-
Rs. 500001/- & above → Rs. 52000+30% of amount exceeding 500000/-

RATES OF INCOME TAX FOR SENIOR CITIZENS, FOR THE FINANCIAL YEAR 2006-07

Up to Rs 195000/- → NIL
Rs. 195001/- to 250000/- → 20% of amount exceeding 195000/-
Rs. 250001/- & above → Rs. 11000+30% of amount exceeding 250000/-
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0
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 FORM No. 16
[ See rule 31 (1) (a) ]
Certificate under section 203 of Income Tax Act 1961 for tax deducted at source
from income chargeable under the head "Salaries"

Name and Designation

Name and Address of the Employer
of the Employee
PRINCIPAL, 0
Government Polytechnic, 0
WARANGAL. Govt. Polytechnic, Warangal.
0
GIR No. TAN No. HYDG02658F PAN No. 0
T.D.S. Circle where Annual Return / Statement PERIOD Assessment
under section 206 is to be filed FROM TO Year
1-4-07 31-3-08 2008-2009
DETAILS OF SALARY PAID & ANY OTHER INCOME AND TAX DEDUCTED
Rs. Rs. Rs. Rs.
1. Gross Salary 1500

2. Less : Allowance to the extent exempted 0

under section 10

3. BALANCE [ 1 - 2 ] 1500

4. Less : Tax on Employment U/S 16 (iii) 0

6. INCOME CHARGEABLE UNDER 1500

THE HEAD SALARIES [ 3 - 4 ]

7. Add : Any other income reported 0

by the employee

8. GROSS TOTAL INCOME [ 6 + 7 ] 1500

9. DEDUCTIONS UNDER CHAPTER VI A GROSS QUALI -

AMOUNT FYING
AMOUNT
a) Medical insurance premia paid U/S 80 D 0 0
b) Expenditure on dependants U/S 80 DD 0 0
c) Expenditure on assessee / dependants 0 0
U/S 80 DDB
d) Relief to physically handicapped / mentally 0 0
retarded assessee U/S 80 U
e) Repayment of Educational loan U/S 80 E 0 0
f) Interest on House Loans 0 0
g) Contribution to specified funds U/S 80 G 0 0
TOTAL 0 0

10. Aggregate of deductible amount under 0

Chapter VI A

11. Total Income [ 8 - 10 ] 1500

12. A) Specified savings qualifying for deduction

U/S 80 C
a) G.P.F. 0
b) A.P.G.L.I. 0
c) L.I.C. & P.L.I. (Salary deduction) 0
d) G.I.S. 0
e) P.P.F. 0
f) ULIP / LIC, Mutual Funds etc. 0
g) N.S.C. 0

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 Rs. Rs. Rs.
h) Interest on N.S.C. 0
i) House loan repayment. 0
j) Tuition fees paid on children's education 0
k) L.I.C. Premia paid 0
l) P.L.I. Premia paid 0
m) Tax Saving Infrastructural Bonds 0
B) Contributions to L.I.C. & other pension 0
schemes U/S 80 CCC
TOTAL [ A + B ] 0
n) TOTAL QUALIFYING AMOUNT 0

13. a) Total Taxable Income [ 11 - 12 (n) ] 1500

b) Total Taxable Income (rounded to nearest 10/-) 1500

14. a) Income Tax on income at S.No. 13 (b) 0

b) Surcharge @ 10% of tax payable for income 0
above Rs. 1000000/-
c) Educational cess @ 3% of tax payable on (a+b) 0
d) Gross income tax [ a + b + c ] 0

15. a) LESS : Relief on arrears U/S 89 (i) 0

b) Tax Liability during 2007-08 [ 14 (d) - 15 (a) ] 0

16. LESS : TAX DEDUCTED AT SOURCE 0

17. TAX PAYABLE 0

DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT

AMOUNT MONTH / DATE NAME OF THE BANK BRANCH WHERE TAX

Rs. OF PAYMENT DEPOSITED
0 Mar-07 DEDUCTED THROUGH SALARY
0 Apr-07 - do -
0 May-07 - do -
0 Jun-07 - do -
0 Jul-07 - do -
0 Aug-07 - do -
0 Sep-07 - do -
0 Oct-07 - do -
0 Nov-07 - do -
0 Dec-07 - do -
0 Jan-08 - do -
0 Feb-08 - do -
0 T.D.S. ON CAS & OTHER ARREARS
0 TOTAL TAX DEDUCTED AT SOURCE

Certified that a sum of Rs. ( in words ) … only

has been deducted at source and paid to the credit of Central Government. Further certified that the
above information is true and correct as per records

Signature of the person responsible for deduction of tax

Place : WARANGAL Full name : XXX
Date : 04-04-2008 Designation :

Note : See sections 15 and 17 and rule 3. Furnish separate details of value of perquisites and profits
in lieu of or in addition to salary or wages

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