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Saral with Form 16

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Saral with Form 16 Powered By Docstoc
					      FORM NO. 2D
                                                                SARAL                                                                         ITS - 2D

                                                          [See proviso to Rule12(1)(b)(iii)

    1 NAME                     0
    2 FATHER'S NAME
    3 ADDRESS
                                                                                      PIN         560 0              Telephone
    4 Permanent Account Number                                 0                         8        Ward/Circle                          0
    5 Date Of Birth                                                                      9        SEX:Male/Female
    6 Individual/Hindu Undivided Family/Firm                                            10        Income for the previous year
      Association Of Persons/Local Authority                   Individual               11        Assesment year                       0
    7 Resident/Non Resident/Not Ordinary Resident              Resident                 12        Return Original / Revised       Original
13 Details Of Bank Account
     Name of the Bank                              Address of the Branch                                              Account Number

      Details of Credit Card                       Credit Card Number                                                 Issued By

14 INCOME FROM SALARY (Form 16 attached)                                                                                                         0.00
15 INCOME FROM HOUSE PROPERTY                                                                                                                    0.00
16 INCOME FROM BUSINESS OR PROFESSION                                                                                                            0.00
17 CAPITAL GAINS                            15/9     15/12             15/3                       31/3                  TOTAL
        (a) Short Term                                                                                                    0.00
        (b) Long Term                                                                                                     0.00                   0.00
18 INCOME FROM OTHER SOURCES                                                                                                                     0.00
19 INCOME OF ANY OTHER PERSON TO BE ADDED                                                                                                         Nil
20 GROSS TOTAL INCOME (14+15+16+17+18+19)                                                                                                        0.00
21 LESS: DEDUCTIONS UNDER CHAPTER VI-A:
          CODE                                                     SECTION                          AMOUNT(Rs.)
    (a)………………..
    (b)………………..
       (c)………………..                                                                                                                               0.00
22 TOTAL INCOME (20-21)                                                                                                                          0.00
23 ADD: AGRICULTURAL INCOME (For Rate Purposes)                                                                                                   Nil
24 INCOME CLAIMED TO BE EXEMPT FROM TAX                                                                                                           Nil
25 TAX ON TOTAL INCOME                                              INCOME                          INCOME TAX
        (a) At normal rates                                                                                    0.00
     (b) At special rates                                                                                      0.00                              0.00
26 LESS: REBATE                                                                                                                                  0.00
27 TAX PAYABLE                                                                                                                                   0.00
28 ADD: SURCHARGE                                                                                                                                0.00
29 TOTAL TAX PAYABLE (28+29)                                                                                                                     0.00
30 LESS:RELIEF                                                                                                                                   0.00
31 NET TAX PAYABLE                                                                                                                               0.00
32 LESS:TAX DEDUCTED AT SOURCE                                                                                                                   0.00
33 LESS ADVANCE TAX
   Date
   Amount                                                                                                                                        0.00
34 ADD:INTEREST PAYABLE U/S                        234A                234B                       234C
                                                                                                                                                 0.00
35 LESS:SELF ASSESMENT TAX PAID                                                                                                                  0.00
35 BALANCE TAX :PAYABLE / REFUNDABLE                                                                                                             0.00
      DOCUMENTS ATTACHED WITH THE RETURN
1     Computation Of Income                                                                   2 Form 16
3                                                                                             4
5
                                                              VERIFICATION
I,                         0                                  Son/Daughter of                                  0
solemnly declare that to the best of my knowledge and belief, the information given in this return and the annexures and statements accompanying it are
correct,complete and truly stated and in accordance with the provisions of the Income Tax Act,1961, in respect of income chargeable to the
previous year relavent to the assessment year               0

      Receipt No:                          Date:
                               Seal                                                                                               Signature
                                                                                                  Date
                                                                                                  Place
Name:                                                      P.A.N:           0
A.Y.:                                                      Status:          Individual
Ward:

                      Computation of Total Income

Income From Salary

Gross Salary as per from 16                         0.00
Less Deduction u/s 10                               0.00
                                                    0.00
Less
Standard Deduction                                  0.00
Professional Tax                                    0.00
                                                                                         0.00

Income From House Property
LOP
Gross Rent receipt
Less Municipal Tax
                                                    0.00
Less Repairs @ 30%                                  0.00
Interest On Borrowings
                                                    0.00

SOP
Interest On Borrowings                                                                   0.00


Income From Business & Profession

Estimated Turnover from

Gross Profit at % u/s 44                                             0.00

           or
Net Profit/(Loss) as per P & L
Add Inadmissables



Less Items Considered Separately

                                                                     0.00

                                                                                         0.00
Capital Gains

Short Term
Gross Sale Proceeds
Less Expenses

Less Cost Of Acquisition                                             0.00

Long Term
Gross Sale Proceeds
Less Expenses

Less Indexed Cost Of Acquisition

Less Deductions u/s 54                                                0.00

                                                                             0.00
Income From Other Sources
Interest
Dividend
Hire Charges
Family Pension
Others
Total                                                   0.00
Less Deductions
                                                                             0.00

Gross Total Income                                                           0.00

Less Deductions u/ch VI - A
                                             0          0.00
                                             0          0.00
                                             0          0.00

Total                                                                        0.00
Taxable Income                                                               0.00
      Or
Taxable Income (Rounded off)                                                 0.00

Tax Thereon             At Normal Rates                 0.00
                        At Special Rates                                     0.00

Less Rebate u/s         88
x                                            0          0.00
x                                            0          0.00
x                                            0          0.00
x                                            0          0.00
                        88B                             0.00
                        88C                             0.00                 0.00
Tax Payable             Total                                                0.00

Add Surcharge                                                                0.00
                                                                             0.00

Less relief u/s 89(1)                                                        0.00

Net Tax Payable                                                              0.00

Less Tax Deducted At Source                                                  0.00

Less Advance Tax             15/6     15/9         15/12       15/3
                                                                             0.00

Add Interest U/s        234A        234B         234C
                                                                             0.00
Less Payment u/s 140A   0.00

Refund                  0.00
                                            FORM NO.16
                                           [See Rule 31 (1) (a)]

Certificate under section 203 of the Income-tax Act 1961 tax deducted at source from income chargeable
                                         under the head ‘Salaries’

    Name and Address of the Employer                         Name and Designation of the Employee




          PAN/GIR No. of Employer                     TAN of Employer               PAN/GIR No. of Employee
                                                                -            0
TDS Circle where Annual Return under section 206 is to be                  Period             Assessment Year
                        filed.
                 ACIT TDS - Bangalore                               From             To
                                                                    2002            2003        2003 - 2004
            DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX CALCULATED
                                                                                    Rs.            Rs.
1 Gross Salary
  a Salary u/s 17(1)                                                                   0.00
  b Value of Perquisites u/s 17(2) (as per Form 12BA,
    where applicable)                                                                  0.00
  c Profits in lieu of salary u/s 17(3) (as per Form 12BA,
    where applicable)                                                                  0.00
  d Total (a+b+c)                                                                                        0.00

2 Less : Allowance to the extent exempt u/s.10(13A)
     Conveyance                                                                        0.00
     HRA                                                                               0.00
     LTA                                                                               0.00
                                                                                                         0.00
3 Balance (1 – 2)                                                                                        0.00

4 Deductions :
  a. Standard Deduction                                                                0.00
  b. Entertainment Allowance                                                           0.00
  c. Tax on Employment                                                                 0.00
5 Aggregate of 4 (a to c)                                                                                0.00

6 Income Chargeable under the Head ‘Salaries’              (3
  –5)                                                                                                    0.00

7 Add : Any other income reported by the employee.
    House Property                                                                     0.00
    Capital Gains                                                                      0.00
    Income From Other Sources                                                          0.00              0.00

8 Gross Total Income ( 6 + 7 )                                                                           0.00
 9 Deductions under ChapterVIA
                                       Gross       Qualifying   Deductible
                  Section
                                      Amount        Amount       Amount
           x                               0.00          0.00         0.00
           x                               0.00          0.00         0.00
           x                               0.00          0.00         0.00
           x                               0.00          0.00         0.00

10 Aggregate deductible amount under Chapter VIA                             0.00

11 Total Income ( 8 – 10 )                                                   0.00




12 Tax on Total Income                                                       0.00


13 Rebate and Relief under chapter VIII
                                                                Deductible
                                       Gross       Qualifying   Amount @
      I. U/s 88                       Amount        Amount        15%
                                           0.00          0.00         0.00
                                           0.00          0.00         0.00
                                           0.00          0.00         0.00
                                           0.00          0.00         0.00

          Total of Rebate u/s 88                                      0.00
      II. U/s 88B                                                     0.00
      III. U/s 88C                                                    0.00
      IV. U/s 89                                                      0.00

14       Aggregate of Tax-rebates and relief at 13 above.                    0.00

15       Tax Payable ( 12 – 14 ) and surcharge thereon                       0.00

16 Less :
   a. Tax Deducted at Source u/s 192(1)                               0.00
      Tax Paid by Employer on behalf of employee u/s
   b. 192(1A) on Perquisites u/s 17(2)                                0.00   0.00

17 Tax Payable/Refundable ( 15 – 16 )                                        0.00
Details of Tax Deducted and Deposited into Central Government Account
   Month           Date          Amount                Name of Bank & Branch Of Deposit




     Total                                         0.00

 I                                                             Son of
do hereby certify that a sum of Rs.                        (Rupees      )
has been deducted at source and paid to the credit of the Central Government. I further certify that the information given above is
true and correct based on the books of accounts, documents & other available records.




Place : Bangalore                                                          Signature of the person Responsible For
                                                                           Deduction of tax

Date : 30.04.2003                                                          Full Name                     0
                                                                           Designation
                                                  Form No. 12BA
                                                  [See Rule 26A(2)(B)]


 Statement Showing particulars of perquisites,other fringe benefits or amenities & profits in lieu of salary with value
                                                       thereof

(1)Name & Address of Employee                                   (4) Name, Designation & PAN of employee
  0                                                               0

  0                                                               0
(2) TAN                                                         (5) Is the employee a person specified in Sec 17(2)(3)

(3) TDS Range of employer                                       (6) Financial Year


(7) Valuation of Perquisites
            Nature of Perquisites (as per Rule 3)               Value of           Amount if any
                                                                                    paid by the
S.No.                                                      Perquisites (Rs.)       employee (Rs.)
    1 Accomodation
    2 Cars/ Other Automotive
    3 Sweeper,gardener,watchman or personal
      attendent
    4 Gas, electricity,water
    5 Interest free concessional loan
    6 Holiday Expenses
    7 Free or Concessional travel
    8 Free Meals
    9 Free Education
   10 Gifts, vouchers etc.
   11 Credit card expenses
   12 Club expenses
   13 Use of Movable Assets
   14 Transfer of assets to employee
   15 Value of any other benefit
      /Amenity/Service/Previlege
   16 Stock Options (Non Qualified)
   17 Other Benefits or Amenities

      Total value of Perquisites                                   0.00                         0.00
      Total value of Profits in lieu of salary


  (8) Details of Tax
   a Tax Deducted from salary of Employee u/s 192(1)                                            0.00
   b Tax Paid by employer on behalf of the employee u/s 192(1A)                                 0.00
   c Total Tax Paid [(a)+(b)]                                                                   0.00
   d Date of Payment into Government Treasury                                                   0.00

      Declaration By Employer
    I                                                  S/o
    declare on behalf of                                                     that the information given above is
    based on the books of account, documents & other relavent records or information available with us & the
    details of value of each such perquisite are in accordance with section 17 and rules framed thereunder and
    that such information is true and correct.

                                                                               Signature of person responsible for
                                                                                        Deduction of Tax
Place: Bangalore                                              Full Name
Date:                                                         Designation
nities & profits in lieu of salary with value



Designation & PAN of employee




ployee a person specified in Sec 17(2)(3)




                          Taxable Amount

                                 (Rs.)




                                         0.00




                                  hereby
    that the information given above is
information available with us & the
17 and rules framed thereunder and


     Signature of person responsible for
              Deduction of Tax

				
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