FORM NO. 16AA
[ See third provision to rule 12(1)(b) and rule 31(1)(a) ] “NON-ORIGINAL”
Certificate for tax deducted at source from income chargeable under the head “Salaries”-cum-Return of Income
For an individual, resident in India, wherea) his total income includes income chargeable to income-tax under the head ‘Salaries’; b) the income from salaries before allowing deductions under section 16 of the Income-tax Act, 1961 does not exceed rupees one lakh sixty thousand; c) his total income does not include income chargeable to income-tax under the head ‘Profits and gains of business or profession’ or ‘Capital gains’ or agricultural income; and d) he is not in receipt of any other income from which tax had been deducted at source by any person other than the employer. Name and address of the Employer Name and designation of the Employee Mr/Ms: Jaikumar Nandkumar Chelani Desig.: Assistant Emp #:00576328
PAN/GIR NO. AAACS8577K
TAN MUMS63193E
PAN/GIR NO. AGPPC2737D
TDS Circle where Annual Return/Statement under Section 206 is to be filed From 01.04.2009
Period To 31.03.2010
Assessment year 2010-2011
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) ( as per Form No.12BA, wherever applicable ) (c) Profits in lieu of salary under section 17(3) ( as per Form No.12BA, wherever applicable ) (d) Total Rs. 0.00 Rs. 104945.39 Rs. 0.00 Rs. 104945.39
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2. Less: Allowance to the extent exempt under section 10 3. Balance(1-2) 4. DEDUCTIONS Under Section 16: a) Standard Deduction b) Entertainment allowance c) Tax on Employment 5. Aggregate of 4 (a to c) 6. INCOME CHARGEABLE UNDER THE HEAD “SALARIES”(3-5) 7. Add: Any other Income reported by the employee a) Income under the head ‘Income from house property’ b) Income under the head ‘Income from other sources’ c) Total of (a) + (b) above 8. GROSS TOTAL INCOME (6+7) 9. DEDUCTIONS UNDER CHAPTER VI-A (a) 80C(01) 10. Aggregate of deductible amounts under Chapter VI-A 11. Total Income(8-10) 12. Tax on total income 13. Rebate and relief under Chapter VIII Gross Amount Rs. 4554.00 Qualifying Amount Rs. 4554.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 1170.00 Rs. 1170.00
Rs. 1253.23 Rs. 103692.16
Rs.102522.16
Rs. 0.00 Rs.102522.16 Deductible Amount Rs. 4554.00 Rs. 4554.00 Rs. 97970.00 Rs. 0.00
I. Under Section 88(please specify) II. (a) Under Section 88B (b) Under Section 88C (c) Under Section 88D 14. Aggregate of tax rebates at 13 above [I+II(a)+II(b)+II(c)]
Gross Amount
Qualifying Amount
Tax rebate Rs. Rs. Rs.
Rs. Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00 Rs. 0.00
15. Tax payable on total income (12-14) and surcharge thereon 15 A. Education cess 16. Relief under section 89 (attach details) 17. Tax Payable (15+15A-16) 18. Less: a)Tax deducted at source u/s 192(1) b) tax paid by the employer on behalf of the employee u/s 192(1A) on perquisites u/s 17(2) 19. Tax payable/refundable(17-18)
DETAILS OF TAX DEDUCTED AND DEPOSITED INTO CENTRAL GOVERNMENT ACCOUNT
Sl. No. TDS Rs. Surcharge Rs. Education Cess Rs. Total Tax deposited Cheque /DD No. (if any) BSR Code of Bank Branch Date on which Tax deposited (dd/mm/yy) Transfer voucher/challan identification No.
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I
son of
working in the capacityof do hereby certify that
a sum of Rs 0.00 [ Rupees NIL ] has been deducted at source and paid to the credit of the CentralGovernment. I further certify that the information given above is true and correct based on the book of accounts , documentsand other available records.
Place: Date: 22.07.2010
______________________________________________ Signature of the person responsible for deduction of tax for Full Name: Designation:
TO BE FILLED IN BY THE ASSESSEE 1. NAME OF THE ASSESSEE:Jaikumar Nandkumar Chelani 2. ADDRESS:BLOCK NO. 489-A SARDARNAGAR PIN:382475 TELEPHONE:22860367 3. DATE OF BIRTH:14.03.1988 4. SEX M/F:M 5. ASSESSMENT YEAR:2010-2011 6. WARD/CIRCLE/SPECIAL RANGE: 7. RETURN: ORIGINAL OR REVISED : 8. PARTICULARS OF BANK ACCOUNT(Mandatory in Refund cases) Name of the Bank MICR Code Address of Bank Branch Type of Account Account Number ECS(Y/N) CITY:SARDARNAGAR
VERIFICATION BY THE ASSESSEE I, Jaikumar Nandkumar Chelani (Name in full and block letters), son/daugther of Shri. solemnly declare that to the best of my knowledge and belief, the information given in this return is correct, complete and truly stated and in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the assessment year 2010-2011.
……………………………….. Signature of the assessee Date: Place:
Receipt No : SEAL
Date :
Signature of the receiving official
FORM No.12BA {See Rule 26A(2)(b)}
Statement showing particulars of perquisites , other fringe benefits or amenities and profits in lieu of salary with value thereof 1) Name and address of employer : 2) TAN: MUMS63193E 3) TDS Assesment Range of the employer : ,,,, 4) Name, designation and PAN of employee : Mr/Ms: Jaikumar Nandkumar Chelani , Desig.: Assistant , Emp #: 00576328 , PAN: AGPPC2737D 5) Is the employee a director or a person with substantial interest in the company (where the employer is a company): 6) Income under the head “Salaries” of the employee : (other than from perquisites) 7) Financial year : 8) Valuation of Perquisites S.No (1) 1 2 3 Nature of perquisite (see rule 3) (2) Accommodation Cars/Other automotive Sweeper, gardener, watchman or personal attendant 4 5 6 7 8 9 10 11 12 13 14 15 Gas, electricity, water Interest free or concessional loans Holiday expenses Free or concessional travel Free meals Free Education Gifts, vouchers, etc. Credit card expenses Club expenses Use of movable assets by employees Transfer of assets to employees Value of any other benefit /amenity/service/privilege 16 17 a) b) c) d) Stock options ( non-qualified options ) Other benefits or amenities Cleansing material News Paper Entertainment Perquiste tax along with grossing borne by bank 18 19 Total value of perquisites Total value of profits in lieu of salary as per section 17 (3) 9. Details of tax, (a) Tax deducted from salary of the employee u/s 192(1) (b) Tax paid by employer on behalf of the employee u/s 192(1A) (c) Total tax paid (d) Date of payment into Government treasury 0.00 0.00 0.00 * 2400.00 0.00 2400.00 0.00 2400.00 0.00 0.00 0.00 2400.00 0.00 0.00 0.00 0.00 0.00 0.00 Value of perquisite as per rules (Rs.) (3) 0.00 0.00 0.00 Amount, if any, recovered from the employee (Rs.) (4) 0.00 0.00 0.00 Amount of perquisite chargeable to tax(Rs.) (5) Col(3)-Col(4) 0.00 0.00 0.00 2009-2010 102522.16
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Chapter 1.INTRODUCTION 1.1 Concept of employee engagement 1.1.1 Defining Engagement One of the challenges of defining engagement is the lack of a universal definition of employee engagement, as a research focus on employees’ work engagement is relatively new. More often than not, definitions of engagement include cognitive, emotional, and behavioral components. The cognitive aspect of engagement ...
* Refer to page 3 of form 16 under Details of tax deducted and deposited into Central Government Account.