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Annexure- 1

Form for sending particulars of income under section 192(2B) for


Amount in Rs.
the year ending 31st March,...........
1 Name and address of the employee:
2 Permanent Account Number :
3 Residential status:
Particulars of income under any head of income
other than salaries (not being a loss under any
such head other than the loss under the head
Income from house property) received in the
4 financial year
(i) Income from house property (in case of loss,
enclose computation thereof)
(ii) Profits and gains of business or profession
(iii) Capital gains

(iv) Income from other sources

(a).Dividends
(b).Interest

(c)Other incomes (specify)


Total
5 Aggregate of sub-items (i) to (iv) of item 4
Tax deducted at source (enclose certificates) issued under section
6 203

Place:
Date: Signature of the employee
Verification

I, ................................................., do hereby declare that what is stated above is true to the best of my
knowledge and belief. Verified today, the ............................day of........................

Place:
Date: Name & Signature of the employee

Annexure- 1A
Computation of House Property Income
Owner-
Khata Plot No- Mouza- PO-
Dist
i. Gross annual Value
ii. Less Municipal tax
iii. NAV (i-ii)
iv. Less Deduction U/s24
a. Standard Deduction(NAV)
b. Interest on Borrowed Capital ( Proof of payment / accrual of interest
on loan to be enclosed. Max.of Rs.30,000/Rs.2.00 Lac for self occupied)
v. Income/Loss From House Property {iii-(iva+ivb)}

(Name & Signature of the employee)


Annexure-2

Details of investments / savings in support of claim for deduction for the Financial Year
& Asst. Year .are enclosed as follows
Name of the employees:
Designation: Dept.
PAN No.
Contact No.
DECLARATION FOR COMPUTATION OF INCOME TAX FOR THE FINANCIAL YEAR 2016-
17

Employee Name:
Employee Code:
Section 80C Deduction
Sr.No. Investment Contribution Section Amount
1 Payment towards Life Insurance Policy 80C
2 Contribution to Superannuation Fund 80C
3 Subscription to notified Central 80C
Government security (NSS)
4 Contribution to ULIP 80C
5 Subscription to approved equity shares 80C
or debentures (Infrastructure)
6 Subscription to approved mutual fund 80C
(Infrastructure)
7 Contribution to Public Provident Fund 80C
8 Contribution to Recognised Provident 80C
Fund
9 Deposit under Post Office Savings 80C
Bank(Cumulative Time Deposits)
Rule1959
10 Subscription to notified Central Govmt 80L
Savings certificate (NSC VIII issue)
11 Contribution to notified unit linked 80C
insurance plan of LIC Mutual Fund
12 Contribution to provident fund as per 80C
PF Act,1925
13 Repayment of Housing loan 80EE &80C
14 Interest on NSC VIII issue 80C
15 Contribution to notified annuity plan of 80CCD
LIC
16 Subscription to notified mutual fund 80C
17 Subscription to notified pension fund 80C
18 Subscription to notified deposit scheme 80C
of the National Housing Bank
19 Subscription to deposit scheme of a 80C
public sector company or any
constituted authority in house
construction
20 Contract for a deferred annuity on life 80C
of specified persons
21 Deduction from salary for a deferred 32AD
annuity
22 Tuition fee - child 1 80C
23 Tuition fee - child 2 80C
24 Term Deposits under Section 80C 80C
25 Section 80C - 5 year time deposit under 80C
the Post Office Time Deposit Rules
1981
26 Section 80C - Senior Citizens Savings 80C
Scheme Rules 2004
27 Section 80C - Sukanya Samriddhi 80C
Scheme

Section 80D Dedections


1 Contribution to Certain Pension Funds 80CCC
2 Contribution to pension scheme of 80CCD (1B)
Central Government
3 Medical Insr Premium (Non-Senior Ctz) 80D
4 Medical Insr Premium (Senior Citizen) 80D
5 Medical Insr Premium(Payment on 80D
behalf of parents non-senior Ctz)
6 Medical Insr Premium(Payment on 80D
behalf of parents senior citizen)
7 Preventive Health Check up (Self) 80D
8 Preventive Health Check up (Parents) 80D
9 Medical Expenditure for Very Senior 80D
Citizen (Self)
Medical Expenditure for Very Senior 80D
10 Citizen (Parents)

11 Deduction for dependent with disability 80DD


(Please submit declaration in
Annexure-2A)
12 Deduction for dependent with severe 80DD
disability (Please submit declaration in
Annexure-2A)
13 Medical Treatment 80DDB
14 Medical Treatment for Senior Citizen 80DDB
15 Medical Treatment for Very Senior 80DDB
Citizen
16 Repayment of Interest on Loan for 80E
Higher Education
17 Interest from savings bank account 80TTA
(Sec 80TTA)
18 Rajiv Gandhi Equity Saving Scheme 80CCG

Note: For eligible limit please refer to the CBDT circular No. 01/2007, dt. 02.01.2017

Signature :
Date:
Annexure- 2A

Declaration u/s 80DD of Income Tax Act

Certified that Sri / Smt. ( Father / Mother / Son / Daughter/ ) of Sri /


Smt. for which deduction under section 80DD has been
claimed on the basis of the certificate issued by is
dependant on me during the year 2016-17. I am submitting the disability certificate of my Father/Mother/
Brother/ Sister/Son/Daughter who is dependent on me and all the expenditure for his/her medical
treatment (including nursing), and rehabilitation has been incurred by me.

Signature
Designation
Date:
Annexure- 3

Taxability of Salary, Allowances & Perquisites (Ref. Finance Act 2016)

Sl. No. Earning Components Taxability Submission


of Documents

1 Basic Pay Fully Taxable


2 Personal Pay Fully Taxable
3 Grade Pay Fully Taxable
4 Dearness Allowance Fully Taxable
5 House RentAllowance Exemepted under Section 10 subject to Rent Receipt
submission of proof of payment of Rent to from Landlord
Landlord.
Exempted least of the following
(i)40% of Salary
(ii)HRA received
(iii)Excess of rent paid over 10% of salary
Salary = (Pay + GP+DA)
6 Arrear House Rent Fully Taxable
Allownace of previous
years, received during the
year
7 Green Card Allowance Fully Taxable
8 Professional Development Fully Taxable
Allowance
9 Green Card Incentive Fully Taxable
10 Washing Allowance for Exempted
Uniforms as per policy of
the company
11 Medical Reimbursement Exempted up to Rs.8400/- per year subject to Proof of
paid Monthly - Rs.700 PM production of medical expenses bills ( Bills which Medical
are not claimed and paid by OPGC) Expenses
12 Medical Reimbursement Fully exempted. Proof of
Claims pertaining to Medical
expenses incurred at Expenses
specified hospital
13 Medical Reimbursement Exempted up to Rs.15000/- including Rs.8400/- at Proof of
Claims pertaining to sl. no.11 Medical
expenses incurred at Expenses
unspecified hospital
14 Medical Reimbursement Exempted up to Rs.15000/- per year subject to Proof of
(For MBS & PR) production of medical expenses bills Medical
Expenses
15 Messenger Allowance Fully Taxable
16 Reimbursement of Local As per OPGC Scheme of Reimbursement of Local
Conveyance Expenses - Conveyance Expenses, an employee is eligible for
paid monthly calculated cost of petrol in terms of certain litres at different
based upon cost of petrol grades along with maintenance charges monthly.
and maintenance charges In absence of maintenance of LOG BOOK
showing date of journey, destination, mileage
amount of expenses etc and journey for official
work and certification by OPGC representative,
exemption is allowed Rs.1800 PM for use of Motor
Car and Rs.900/- per month for two Motor Cycle
and Moped. Balance is treated as perquisite and
taxable
17 Transport Allowance (For Fully exempted (Rs.1600/-)
MBS & PR)
18 News paper Exempted subject to production of bills in support Bills in support
Reimbursement of expenses of expenses
with a
certificate
19 Tution Fees Taxable subject to exemption of Rs.100/- per
month per child for max 2 Children.
20 Hostel Taxable subject to exemption of Rs.300/- per
month per child for max 2 Children.
21 Technical Allowance Fully Taxable
22 Thermal Allowance Fully Taxable
23 Special Area Allowance Fully Taxable
24 Night Shift Allowance Fully Taxable
25 Overtime Wages Fully Taxable
26 Cashier Allowance Fully Taxable
27 Special Pay Fully Taxable
28 Personal Pay - Deputation Fully Taxable
Employees
29 Deputation Allowance Fully Taxable
30 Leave Encashment Taxable subject to exemption u/s 10(AA) of
Income Tax Act.
31 Single Extra Wages Fully Taxable
32 Bonus - Year End Fully Taxable
33 Variable Pay / Exgratia Fully Taxable
34 Professional Membership Fully Taxable
35 Other Allowances (For Fully Taxable
MBS & PR)
36 Office Wear Maintenance Fully Taxable
(For MBS & PR)
37 Site Allowance (For MBS & Fully Taxable
PR)
38 LTA/LTC (For MBS & PR) Full taxable on payment. Exemption allowed on Bills in support
production of proof of expenditure and subject to of expenses
provisions of Income Tax Act for Home Town and
other place.
39 Canteen facility Exempted up to Rs.50/- per meal
40 Concessional loan / Difference between rate charged by SBI on 1 st
advances (conveyance, April of the year & rate charged by OPGC will be
education, computer taken as taxable perquisite
41 Rent free /concessional
accommodation provided
by OPGC:
(i) OPGC own Building (i)Taxable @ 7.5%(at ITPS) / 10% (CO) of salary
including CMT Houses
(ii)Lease Accommodation (ii)Taxable amount = Lease Rent paid by OPGC or
provided by OPGC 15% of salary whichever is lower
Salary: All taxable salary, allowances & any
monetary payments.
Recovery of rent per month will be reduced from
perquisite.
42 Electricity Charges Taxable as per present policy.

Note: Other allowances and perquisite shall be exempted / taxable as per provisions
of Income Tax Laws.

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