FORM NO. 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
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1 FORM NO. 16 [See rule 31(1)(a)] PART A Certificate under Section 23 of the Income-tax Act, 1961 for tax deducted at source on salary Certificate No. FPZLXYJ Last updated on 23-May-216 Name and address of the Employer RINL,VISAKHAPATNAM STEEL PLANT PAY AND PF SECTION, NEAR ED WORKS BUILDING, VISAKHAPATNAM, VISAKHAPATNAM, ANDHRA PRADESH Andhra Pradesh +(91) nimaimondal@vizagsteel.com PAN of the Deductor TAN of the Deductor Name and address of the Employee APPARAO DEVARAPALLI QR NO 214-F SECTOR IX, UKKUNAGARAM, VISAKHAPATNAM Andhra Pradesh PAN of the Employee Employee Reference No. provided by the Employer (If available) AABCR435L VPNR545G ADSPD3183G CIT (TDS) Assessment Year Period with the Employer The Commissioner of Income Tax (TDS) Room No. 411, Income Tax Towers, A.C. Guard, Hyderabad From 1-Apr-215 To 31-Mar-216 Summary of amount paid/credited and tax deducted at source thereon in respect of the employee Quarter(s) Receipt Numbers of original quarterly statements of TDS under sub-section (3) of Section 2 paid/credited of tax deducted of tax deposited / remitted Q1 QRHCOLLB Q2 QRKIKLKF Q3 QRPPNBCC Q4 QRVQZTOC Total I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT (The deductor to provide payment wise details of tax deducted and deposited with respect to the ) Receipt Numbers of Form No. 24G Book Identification Number (BIN) DDO serial number in Form no. 24G Date of transfer voucher Status of matching with Form no. 24G Total 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 ) BSR Code of the Bank Branch Challan Identification Number (CIN) Date on which Tax deposited Challan Serial Number Status of matching with OLTAS* F F F F Page 1 of 2
2 Certificate Number: FPZLXYJ TAN of Employer: VPNR545G PAN of Employee: ADSPD3183G Assessment Year: BSR Code of the Bank Branch Challan Identification Number (CIN) Date on which Tax deposited Challan Serial Number Status of matching with OLTAS* F F F F F F F F Total. Verification I, MONDAL NIMAI, son / daughter of MONDAL working in the capacity of MANAGER (designation) do hereby certify that a sum of Rs.. [Rs. Three Lakh Thirty Nine Thousand Six Hundred and Eighty Seven Only (in words)] has been deducted and a sum of Rs.. [Rs. Three Lakh Thirty Nine Thousand Six Hundred and Eighty Seven Only] has been 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: MANAGER VISAKHAPATNAM 24-May-216 Full Name:MONDAL NIMAI (Signature of person responsible for deduction of Tax) 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 details of 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 such assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee. 4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL. Legend used in Form 16 * Status of matching with OLTAS Legend Description Definition U P F O Unmatched Provisional Final Overbooked Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment details in bank match with details of deposit in TDS / TCS statement Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."p" status will be changed to Final (F) on verification of payment details submitted by Pay and Accounts Officer (PAO) In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government account have been verified by Pay & Accounts Officer (PAO) Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or makes new payment for excess amount claimed in the statement Page 2 of 2
3 Rashtriya Ispat Nigam Limited Visakhapatnam Steel Plant Emp.Name : Designation: APPA RAO D Sr.Manager(Marketing) FORM NO.16[See rule 31(1)(a)] PART B(Annexure) Emp.No.: PAN: ADSPD3183G Page:1/ Dept.Code: 2112 AY: Details of salaray paid, other income and tax deducted ( ) ( ) ( ) 1. Gross Salary a)salaray as per provisions contained in Sec.17(1) b)value of Perquisites U/S 17(2)(as per Form12BA) c)profits in lieu of salary U/S 17(3) d)total Less: Allowance to the extent exempt U/S 1 Allowance ( ) House Rent 872 Uniform 8 Transport 184 Professional Development Educational Scholarship 66 Children Education Children Hostel Expenditure Washing Allowance 6 LTC/LTA Balance(1-2) Deductions: (a) Entertainment Allowance (b) Tax on employment(profession Tax) 5. Aggregate of 4(a) and 4(b) 6. Income chargeable under the head 'salaries'(3-5) 7. Add: Any other income reported by the employee Income ( ) Income/(Loss) from House Property Interest and others Gross Total Income(6+7) 9. Deductions under Chapter VI-A (A) Sections 8C,8CCC and 8CCD (a) Section 8C (i) CPF + VPF + SBF (ii) LIC (iii)ppf (iv) Repayment of Housing Loan (v) NSC & Other savings as declared 24 Gross Deductible
4 FORM NO.16 [See rule 31(1)(a)] PART B(Annexure) Page:2/2 Emp.Name : Designation: APPA RAO D Sr.Manager(Marketing) Emp.No.: Dept.Code: 2112 PAN: ADSPD3183G AY: (b) Section 8CCC (c) Section 8CCD(1) Gross Qualifying (B) Other Sections under Chapter VI-A (a)section 8CCD(1B) (b)section 8D (c)section 8DD/U (d)section 8E (e)section 8G: 15 Deductible (i) PM Relief Fund (ii)cm Relief Fund (f)section 8TTA 1. Aggregate of deductible amt under Chapter V1-A Total Income (8-1) Tax on total income Less : Rebate U/S 87A 14. Tax on total income after rebate Education 3%(on tax computed at Sl.No.14) Tax Payable ( ) 17. Less: Relief under section Tax Payable (16-17) Verification I, Nimai Mondal son of Narayan Chandra Mondal working in the capacity of Manager(F&A) do hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements and other available records. Place : Visakhapatnam Date : (see digital sign) (Signature of person responsible for deduction of tax) Full Name & Designation: Nimai Mondal, Manager(F&A)
5 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 : Rashtriya Ispat Nigam Limited 2 TAN : VPNR545G 3 TDS Assessment RANGE OF THE EMPLOYER : DCIT(TDS),RANGE-6,VISAKHAPATNAM 4 Name,Designation and PAN of employee : APPA RAO D, Sr.Manager(Marketing), ADSPD3183G Dept.Code: Is the employee a Director or a person with substantial interest in the company: No 6 Income under the head'salaries'of the employee(other than from perquisites): Financial Year : Valuation of perquisites : SNo Nature of perquisite (see rule 3) Amt.of perquisite chargeable to tax Col.(3)-Col.(4)( ) (1) (2) (3) (4) (5) 1 Accomodation 2 Cars/Other Automotive 3 Sweeper,gardener,watchman/ personal attendant Gas, Electricity, Water 5 Int.free or concessional loans 6 Holiday expenses 7 Free or Concessional Travel 8 Free meals 9 Free education 1 Gifts, vouchers, etc. 11 Credit card expenses 12 Club expenses 13 Use of movable asset by employee 14 Transfer of assets to employees 15 Value of any other benefit/ aminity/service/privilege Value of perquisite as per rules( ), if any recovered from the employee( ) Stock optns(non-qualified options 17 Other benefits/amenities 18 Total value of perquisites 19 Total value of profits in lieu of salary as per Section 17(3) ) Details of tax (a)tax deducted from salary of the employee u/s 192(1) (b)tax paid by employer on behalf of employee u/s 192(A) (c)total Tax Paid (d)date of payment into Govt.Treasury: As per Form No.16 Part A(II) DECLARATION BY EMPLOYER I, Nimai Mondal son of Narayan Chandra Mondal working as Manager(F&A) do hereby declare on behalf of M/s.Rashtriya Ispat Nigam Limited that the information given above is based on the books of account, documents and other relevant records or information available with us and the details of value of each such perquisite are in accordance with Section 17 and rules framed therunder and that such information is true and correct. Place : Visakhapatnam Date : (see digital sign) (Signature of person responsible for deduction of tax) Full Name & Designation: Nimai Mondal, Manager(F&A)
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