Scribd
Upload
1K views2 pages

Form 16 Format

This document is a Form 16 issued by an employer to an employee. It contains details of salary paid, taxes deducted at source, and tax deposited for the financial year 2018-19. Key details include the employer and employee names and PAN numbers, period of April 1, 2017 to March 31, 2018, taxes deducted from salary each quarter, deductions claimed under sections 80C and other chapters, total income, tax paid, and annexures providing details of tax deposited through book entries and challans.

Uploaded by

ParthVanjara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
1K views2 pages

Form 16 Format

This document is a Form 16 issued by an employer to an employee. It contains details of salary paid, taxes deducted at source, and tax deposited for the financial year 2018-19. Key details include the employer and employee names and PAN numbers, period of April 1, 2017 to March 31, 2018, taxes deducted from salary each quarter, deductions claimed under sections 80C and other chapters, total income, tax paid, and annexures providing details of tax deposited through book entries and challans.

Uploaded by

ParthVanjara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

FORM NO.

16
[See rule 31 (1) (a)]
Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on Salary
PART A
Name and Address of the Employer Name and Designation of the Employee

PAN OF THE DEDUCTOR TAN OF THE DEDUCTOR PAN OF THE Employee

CIT (TDS) Assessment Year PERIOD


2018-19 From To
City : Pin Code : 01/04/2017 31/03/2018
Summary of Tax deducted at source
Receipt Numbers of original statements of TDS Amount of Tax deducted in Amount of Tax deposited /remitted
Quarter under sub-section(3) of section 200 respect of the Employee in respect of the Employee
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Total
PART B (Refer Note 1)
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
1. Gross Salary (Rs.) (Rs.) (Rs.)
a. Salary as per provisions contained in section 17 (1)
i. Value of perquisites u/s 17 (2)
(As per Form No.12BB, wherever applicable)
ii. Profits in lieu of salary u/s 17(3)
(As per Form No.12BB, wherever applicable)
b. Total
2. Less: Allowance to the extent exempt under section 10
Allowance (Rs.)

3. Balance (1 – 2)
4. Deductions :
a. Entertainment allowance
b. Tax on Employment
5. Aggregate of 4 (a) and (b)
6. Income chargeable under the head ‘Salaries’ (3 – 5)
7. Add : Any other income reported by employee
Income (Rs.)

8. Gross total income (6 + 7)


9. Deductions Under Chapter VI-A
A) Sections 80C, 80CCC and 80CCD
a) Section 80C Gross Amount Deductible Amount
i) 80C
ii)
iii)
iv)
v)
vi)
b) Section 80CCC
c) Section 80CCD
Note :- 1. Aggregate amount deductible under section 80C shall not exceed one lakh rupees.
2. Aggregate amount deductible under the three sections, i.e. 80C, 80CCC and 80CCD, shall not exceed one lakh rupees
-2-
B) Other sections under Chapter VIA (for eg: 80E, 80G etc) Gross Amount Qualifying Amount Deductible Amount
a) Section 80D
b) Section
c) Section
d) Section
e) Section
10. Aggregate of deductible amount under Chapter VI-A
11. Total Income (8 – 10)
12. Tax on total income
13. Education Cess @ 3% (on tax computed at S. No. 12 plus)
14. Tax payable (12 + 13)
15. Relief under section 89 (attach details)
16. Tax payable (14 – 15)
Verification
I, ______________, son / daughter of, _____________ working in the capacity of ___________ (designation) do
hereby certify that a sum of Rs._________/= [Rupees _________________________________________ only] has
been deducted and deposited to the credit of the Central Government. I further certify that the information given
above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited
and other available records.
Place
Date
Designation:
Signature of the person responsible for deduction of tax
Full Name

ANNEXURE – A
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ENTRY
(The Employer to provide payment wise details of tax deducted and deposited with respect to the Employee)
Tax deposited in Book Identification Number (BIN)
Srl # respect of Employee DDO Sequence Number in the Book
(Rs.) Receipt number of Form No.24G Adjustment Mini Statement Date on which tax deposited

Total

ANNEXURE – B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The Employer to provide payment wise details of tax deducted and deposited with respect to the Employee)
Tax deposited in Challan Identification Number (CIN)
Srl # respect of Employee
(Rs.) BSR Code of the Bank Branch Date on which tax deposited Challan Serial Number
1

Total

You might also like