INCOME TAX CALCULATION STATEMENT

FOR THE FINANCIAL YEAR 2020-2021 - THE ASSESSMENT YEAR 2021 - 2022
NAME [Link] D.O.B 15.12.1985
DESIGNATION [Link] CPS NO 739716/PUS
[Link]
KASIPALAYAM
MOBILE NO 9597164142
SCHOOL
PAN NO AUPPJ4112K
Aadhaar No. 7519 1929 5243
[Link]. Details Add (A) Less (B)

1 GROSS TOTAL INCOME ( Including All Allowances ) ₹ 728,866

2 Other source of Income ( Such as interest, devidents etc…)

3
Less Deduction U / S 10. (13.A) H.R.A.

a) Actual Rent Paid Rs.

b) 10% of Pay + DA

c) Different (Excess 10% of Pay +DA) ₹0

d) H.R.A Received

HRA EXEMPTED ( (c) or (d) which ever is less

4 Less Interest on Housing Loan U / S 192 (2.B) (Max... 2 Lakhs) 200,000

5 Less Deduction U/S 16. Tax on Profession 2,440

6 Standard Deduction ₹ 50,000

7 TOTAL ( Col. 1 to 6. ) ₹ 728,866 ₹ 252,440

8 GROSS TOTAL INCOME ( Col 7.A - Col 7.B) ₹ 476,426

9 DEDUCTIONS UNDER CHAPTER VI - A
New Section 80. C [Overall Investment ( 1.5 Lakhs )]
(i) Deduction under new section 80.C
 1 G.P.F / T.P.F ₹0
2 Spl. P.F ₹ 840
3 F.B.F. ₹ 720
4 L.I.C ₹ 15,795
5 P.L.I ₹ 15,300

6 N.H.I.S ₹ 2,160

7 U.T.I ₹0

8 P.P.F ₹0

9 N.S.C ₹0

10 N.S.C Accrured Interest ₹0

11 Refund of H.B.A ( Principle ) Only ₹ 71,236

12 Tuition Fees ₹0
13 Amount contributed to CPS U/S80 CCD 1 (B) ₹ 43,000
TOTAL UNDER NEW SECTION 80. C ₹ 149,051
ii) U/S [Link] Amount deposited any annuity (or)Pension
Plan of LIC. like Jeevan Suraksha (Max Rs. 10.000) ₹0

(iii) U/S [Link] Contribution to Pension Scheme of

₹ 26,004
of Central Govt. (not exceeding 10% of his/her salary)
iv) U/S [Link] Infrastructure Bonds ( Which is over and
above of 80.C 1,50,000 Limit - Under which person ₹0
can invest Max - Rs. 20,000
10 TOTAL SAVINGS (U/S 80.C + [Link] + [Link] + [Link]) ₹ 26,004 ₹ 175,055

11 TOTAL TAXABLE INCOME (Col.8 - Col.10) ₹ 301,371

[Link]. Details Add (A) Less (B)

12 DEDUCTIONS UNDER CHAPTER - VI. A (Continued)

iv) U/S 80. D : Medical Insurance Premium paid in the name of
Assessee, Spouse, Dependent parents or child ( Max Rs.
25,000 )
v) U/S 80. DD : Expenses on Medical treatment etc., & deposit
made for maintance of handicapped dependent ( Max Rs. ₹0
50,000 )
 v) U/S 80. DD : Expenses on Medical treatment etc., & deposit
made for maintance of handicapped dependent ( Max Rs. ₹0
50,000 )
vi) U/S 80. DDB: Medical expenses towards treatment of
assistance or his / her dependent spouse or parents or
₹0
children for notified
( Max Rs. 45,000 & Senior Citizens Rs.50,000)
vii)
U/S 80. E: Repayment of loan for higher studies availed by
₹0
the assessee ( 100%)

viii) U/S 80. G Donation for Charitable purpose 50% for some
items, and 100% for some items(PM. National Relief fund / ₹ 2,014
C.M. Relief Fund / Flood relief fund ) etc.

xi) U/S 80. G : Donation for scientific research or rural Development ₹0

x) U/S 80. QQB : Donation for royalty ( Rs. 3,00,000 ) ₹0

U/S 80. U : Donation in respect of totally blind,mentally
retarded
xi)
or physically handicapped persons
( Rs. 1,00,000/- incase of severe disability)
TOTAL : ₹ 2,014
13 NET TAXABLE INCOME ( Col 11- Col.12) ₹ 299,357
14 Rounded to tnearest [Link] ₹ 299,360
15 Taxable income for Men upto Rs.2,50,000 Tax
(Women employees upto Rs.2,50,000 Tax nil
Senior Citizens above 60 years upto Rs.3,00,000 Tax
From Rs. 2,50,001 to Rs. 5,00,000 @ 5% Tax ₹ 49,360 ₹ 2,468
From Rs. 5,00,001 to Rs. 10,00,000 @ 20% Tax
Above Rs. 10,00,001 @ 30% Tax

TOTAL TAX ₹ 2,468

Less Rebate U/S 87A,(Taxable income below 5 lakhs) Rs.12500
₹ 12,500
NET TAXABLE ₹0
Add Surcharge @ 10% taxable income exceeds Rs.1,00,00,000 0
Add Education Cess @ 4% on Tax payable ₹0
TAX PAYABLE FOR 2020- 2021 ₹0
 LESS TAX ALREADY DEDUCTION FOR 2020-2021 ₹0

NET TAX ₹0 NIL

CERTIFICATE
1 Certified that I am occupying a House alloted by the unit of Payment of Rent Rs.
2 Certified that I am occupying a Rental House paying a Rent Rs Per month.
3 Certified that I pay a Sum of Rs15795 towards LIC and the policies were kept alive.
4 Certified that a sum of Rs. to being paid by me towards a CTD and the cummulative time
Deposit for 10 / 15 years.

Signature of the Individual Signature of the Head

Station: KASIPALAYAM
Date : 3.2.2020
 STATEMENT SHOWING PAY AND ALLOWANCES DRAWN
By Mrs. [Link] , [Link]. TEACHER FOR THE YEAR 2020 - 2021
DEDUCTIONS UNDER SECTION 80.C
Tax Deducted
Months PAY DA HRA MA SA TOTAL
CPS FBF SPF NHIS PLI TOTAL
IT CESS
Mar-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Apr-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
May-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Jun-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Jul-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Aug-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Sep-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Oct-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Nov-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Dec-20 48,900 8,313 2,900 300 60,413 5,721 60 70 180 6,031
Jan-21 50,400 8,568 3,100 300 62,368 5,897 60 70 180 6,207
Feb-21 50,400 8,568 3,100 300 62,368 5,897 60 70 180 6,207
TOTAL 589,800 100,266 35,200 3,600 728,866 69,004 720 840 2,160 72,724
Bonus
Surrender
DA -Arr-1
DA -Arr-2
Pay [Link]
Others
TOTAL 589,800 100,266 35,200 3,600 728,866 69,004 720 840 2,160 72,724 0 0

Signature of the Individual Signature of the Headmaster

 FORM 16
See rule 31 (1) (a) of the Income Tax Rules, 1962
Certificate under Section 203 of the Income tax Act, 1961 for deducted at source
from income chargeable under the head Salaries
Name & Address of the Employer Name & Designation of the Employee
[Link] MA., MPHIL BED [Link]
BEO 0
[Link] [Link] KASIPALAYAM
PAN No. of the Employer TAN 9597164142
#NAME? PAN No. of the Employee
#NAME?
TDS cirlce where return u/s206 is to be filled
01.04.2019 2019- 2020
Salary TDS Ward Period To Assessment Year
WARD 1(1) 31.03.2020 2020- 2021
Details of Salary Paid and any other Income and Tax Deducted
Gross Salary
a. Salary as per Section 17 (1) ₹ 728,866
b. Value of Periquisites U/s 17(2) per
form 12 -BA
c. Profits in lieu of salary U/s17(3)
TOTAL ₹ 728,866
Less: Allowance exempt u/s 10 ₹0
Balance ₹ 728,866
Less: Professional Tax ₹ 50,000
Balance ₹ 678,866
Income under the Head Salaries ₹ 678,866
Add: Other income repored by the employee
Loss: Housing Loan Interest ₹0
Gross Total Income ₹ 678,866
Less: Deductions under chapter VI - A ₹0
U/s 80 C TUITION FEES ₹ 18,500
CPS ₹ 69,004 ₹0
LIC ₹ 15,795
FBF /SSPF/SPF ₹ 1,560
PLI ₹ 15,300 ₹ 70,244
NHIS ₹ 2,160 ₹ 10,000
PPF ₹ 27,000 ₹ 69,004
Total Amount ₹ 148,392 Eligible Amount ₹ 175,055
Other Sections (if any) 80 - G
Other Sections (if any) 80 - D/80 U ₹ 2,014
Total Taxable Amoun t
Tax on Total Income ₹0
Add: Education Cess ₹0
Total Tax Payable ₹0
Less Relied U/s89
Net Tax Payable ₹0 ₹ 114,654
Less: Tax deducted at Source ₹0
Balance Payable (Refund) 4500
I Certified that a Sum of Rs: ₹ 0 (Rupees Ten Thousand One Hundred and Ninty Six Only)
has been deducted and paid to the credit of Central Government as per the details a 2160

Place: K. Paramathi. Signature of the person responsible for deduction of tax

Date:
 4174

104400 5220

5220

TAX PAYABLE FOR 2020- 2021

LESS TAX ALREADY DEDUCTION FOR 2020-2021 0
NET TAX

Certified that I am occupying a Rental House paying a Rent Rs Per month.

 PARTICULARS OF L.I.C. / P.L.I. PREMIUM

Policy Name of the Name of the Amount Monthly Amount of Premium

[Link].
Number Company Policy Insured Rs. Premium per Annum Rs.

1 757482901 LIC ₹ 200,000 901*9 8109

2 757482900 LIC ₹ 200,000 854*9 7686

3 TN562503-CS INDIA POST PLI ₹ 500,000 1275*12 15300

TOTAL 31095

PARTICULARS OF N.S.C
[Link]. Post Office Issue Number N.S.C. Number & Date Amount Rs.

TOTAL:

Details of Interest accoured on N.S.C VIII Issue

N.S.C. Number & Name of the Date of Purchase
[Link]. Amount (%) Interest Amount Rs.
Post Office of the N.S.C

TOTAL:

Tution Fees Statement during the year 2020 - 2021

Name of the Date of
[Link]. Name of the Child Receipt No. Amount Rs.
Institution Payment

TOTAL:

Signature
 FORM 16
See rule 31 (1) (a) of the Income Tax Rules, 1962
Certificate under Section 203 of the Income tax Act, 1961 for deducted at source
from income chargeable under the head Salaries
Name & Address of the Employer Name & Designation of the Employee
[Link] [Link]
BEO BTASSISTANT
[Link],KASIPALAYAM,[Link]
[Link] UNION
PAN No. of the Employer TAN KARUR D.T
CHEO 02776E PAN No. of the Employee
AUPPJ4112K
TDS cirlce where return u/s206 is to be filled Period From Financial Year
01.04.2019 2019-2020
Salary TDS Ward Period To Assessment Year
WARD 1(1) 31.03.2020 2020-2021
Details of Salary Paid and any other Income and Tax Deducted
Gross Salary
a. Salary as per Section 17 (1) ₹ 730,470
b. Value of Periquisites U/s 17(2) per
form 12 -BA
c. Profits in lieu of salary U/s17(3)
TOTAL ₹ 730,470
Less: Allowance exempt u/s 10 ₹ 34,567
Balance ₹ 695,903
Less: Professional Tax ₹ 2,440
Balance ₹ 693,463
Income under the Head Salaries ₹ 693,463
Add: Other income repored by the employee
STANDARD DEDUCTION ₹ 50,000
Gross Total Income ₹ 643,463
Less: Deductions under chapter VI - A
U/s 80 C
CPS ₹ 66,322
LIC ₹ 17,550
FBF /SSPF/SPF ₹ 1,560
PLI ₹ 15,300
Tuition Fees ₹ 18,500
NHIS ₹ 2,160
PPF ₹ 27,000
Total Amount ₹ 148,392 Eligible Amount ₹ 148,392
Other Sections (if any) 80 - G
Other Sections (if any) 80 - D/80 U ₹0
Total Taxable Amoun t ₹ 495,071
Tax on Total Income ₹ 12,254
Less Rebate U/S 87A ₹ 12,500
Net Tax Payable ₹0
Add: Education Cess ₹0
Total Tax Payable ₹0
Less Relied U/s89 ₹0
Net Tax Payable ₹0
Less: Tax deducted at Source ₹0
Balance Payable (Refund) 4160
I Certified that a Sum of Rs: ₹ 4,160RUPEES FOUR THOUSAND ONE HUNDRED AND SIXTY
HAS TO BE REFUNDED

Place: K. Paramathi. SIGNATURE OF THE HEADMASTER

Date: