Old Regime
Name of Employee : RAJIMOL.V.R ( PAN - BOMPR3266L )
Designation & Name of Office : STAFF NURSE GRADE1, FHC PUNNAPRA NORTH PEN :
1 a) Salary Income (includes Pay, DA, HRA, CCA, IR, DA/PR Arrear etc) 746808
b) Leave Surrender 0
c) Festival Allowance / Bonus /Ed-gratia and Incentive 2750
d) Gross Salary Income (a+b+c) 749558
2 Deduct: HRA in case of persons who actually incur expenditure by way of rent :
i) Actual HRA receivable during this year 26912
ii) Actual Rent payable in excess of 1/10 th of Salary
iii) 40% of the Salary (Basic + DA) 287958
(i) to (iii) whichever is least is excempted 0
3 Balance ( 1 - 2 ) 749558
4 Deduct
(a) Standard Deduction 50000
(b) Entertainment Allowance 0
(c) Professional Tax 2500 52500
5 Net Salary Income (3 - 4 ) 697058
6 Deduct interest on HBA (Max Rs.30,000 before 1.4.1999 or 2 Lakh. Sec 24(b) 75000
7 Any other income (Business Capital gains, Bank Interest or Other Sources) 0
8 Gross Total Income (5-6+7) 622058
9 a) 80-D Health Insurance-Mediclaim (Family Max 25000 + Parents 25000 / 30000 3000
b) 80-DDD Expense on treatment of mentally or physically handicapped dependents 0
c) 80-DDB Expenditure on medical treatment of the employee for specified deceases 0
d) 80-E Interest on Educational Loan for higher education for self or dependend children 0
e) 80-EE - Addl interest of Rs.50,000 on house purchase loan taken in 2016-17 0
f) 80-EEB - Interest on loan taken for Purchasing Electric Vehicle 0
g) 80-GG Deduction of Rent paid (To those who are not getting HRA) (See coditions) 0
h) 80-U For employee with disability (Rs.75,000 or If >80% disability 1.25 Lakh) 0
i) 80-G Donations to Notified Funds and charitable institutions (see conditions) 0
j) 80-TTA Deductions for Income from Bank Interest (Max. 10,000) 0
Deduct : Total of 9 3000
10-1 a) Life Insurance premia of self, spouse and children (Salary deductions) 23724
b) Contribution towars GPF / KASEPF 60000
c) Contribution towars SLI, GIS, FBS,PLI (Salary Deduction) 21600
d) Other
e) Contribution made ULIP, UTI, LIC (other than salary deduction) 0
f) Tax saver in scheduled bank / Post Office for a period of not less than 5 years 0
g) Purchase of NSC / Tax Saving Units of Mutual Fund / UTI 0
h) Contribution to any deposit scheme or pension fund set up by NHB 0
i) Tuition fee for the full time education of any two children 0
j) Principal part of HBA Repayment Stamp duty paid or purchase of property 50000
k) Subscription to equity shares, debentures of an eligible issue 0
l) Subscription to eligible units of mutual fund, infra structure bonds of ICICI, IDBI etc 0
m) Any other deduction under Chapter VI-A / 80C
GPAIS 500
0
10-2 n) 80 CCC Payment for annuity plan of the LIC or any other issuer 0
10-3 o) 80 CCD Contribution of the employee to NPS (Max 10% of Basic + DA) 0
11 Deduction u/s 80C, 80CCC 80CCD is 0 (Max. Rs.1,50,000) ( Total-155824 ) 150000
12 Deduction u/s 80CCD(1) ( Addl Contribution to NPS, Max Rs.50,000) 0
13 Total Income (8-(9+10+11+12)) 469058
14 Tax on Total Income 10953
15 Add Surcharge @10%, if the Tot.Inc exceeds 50 Lac, @15% if Tot.Inc exceeds Crore 0
16 Income Tax and Surcharge Payable ( 14+15 ) 10953
17 Less Rebate for the Income upto Rs 5 Lakhs u/s 87 A (Max Rs.12,500) 10953
18 Tax Payable (16-17) 0
19 Health and Educational Cess [4% of (18)] 0
20 Total Tax Payable (18+19) 0
21 Less Relief for Arrears of Salary u/s 89(1) [Use Form 10E] 0
22 Anticipatory Tax Payable (20-21) 0
24 Tax already deducted for this year 0
25 Balance Tax Payable 0
26 No. of monthly installments by which tax to be paid 12
27 Amount of Income Tax to be deducted monthly ( Roundedup to 10) 0
Signature :
PUNNAPRA NORTH
RAJIMOL.V.R
12/26/2022
STAFF NURSE GRADE1
SALARY PARTICULARS
Month Basic DA HRA CCA Other Gross PF SLI GIS LIC NPS PLI Ded
Mar-22 55200 3864 2208 61272 5000 1000 800 1977 8777
Apr-22 55200 3864 2208 61272 5000 1000 800 1977 8777
May-22 55200 3864 2208 61272 5000 1000 800 1977 8777
Jun-22 55200 3864 2208 61272 5000 1000 800 1977 8777
Jul-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Aug-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Sep-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Oct-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Nov-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Dec-22 56500 3955 2260 62715 5000 1000 800 1977 8777
Jan-23 56500 3955 2260 62715 5000 1000 800 1977 8777
Feb-23 56500 3955 2260 62715 5000 1000 800 1977 8777
Sal.Arr 0 0
DA Arr 0 0 0
Total 672800 47096 26912 0 0 746808 60000 12000 9600 23724 0 0 105324
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