Form A 21-22
Form A 21-22
16
[See rule 31(1)(a)]
PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest
incomeof specified senior citizen under section 194P
Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
From To
The Commissioner of Income Tax (TDS)
Room No. 411, Income Tax Towers, 10-2-3 A.C. 2021-22 01-Apr-2020 31-Mar-2021
Guard ,Hyderabad - 500004
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
Receipt Numbers of
Amount of tax deposited /
originalquarterly Amount of tax
Quarter(s) Amount paid/credited remitted(Rs.)
statements of TDSunder deducted(Rs.)
sub-section (3) ofSection 200
Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
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Certificate Number:ASEGRFA TAN of Employer:HYD105515G PAN of Employee : BLVPN1822N Assessment Year:2021-22
Verification
I, SANDHYARANI VARALA, son / daughter of SRINIVAS VARALA working in the capacity of DIRECTOR (designation) do here by certify that as um of
Rs.133697.00 [Rs.One lakh thirty three thousand six hundred and Nighty seven (in words)]has been deducted and amount of Rs.91850.00 [Rs.Ninety One Thousand Eight
Hundred and Fifty Only] has been deposited to the cred it of the Central Government. If urther certify that the in formation 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 HYDERABAD
Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the
detailsof tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which
suchassesseewas employedwith eachof theemployers. PartB (Annexure)of thecertificate inForm No.16 maybe issuedby eachof theemployers orthe lastemployer atthe optionof the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.
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