It Form

FINAL COMPUTION OF INCOME TAX FOR F.Y.-2008-09 (A.Y. 2009-10)

CIVIL HOSPITAL, VALSAD NAME: DESIGNATION:I.T.PAN NO: -

SEX BILL NO :-

:-

SR NO : -

Gross Total Income: Rs. (Less) Pay Recovery: Rs. Net Gross Total Income: Rs. 2 Less: - Allowance to the extend exempted [1] Uniform & Washing & Book Allow. (U/S.10) Rs. [2] Transport Allowance (U/S.10) Rs. [3] HRA U/s (13.A) (A) House Rent Paid Rs. (B) Actual HRA Received Rs. (C) Actual Rent Paid Less:-10% of Salary Rs. (Salary =Pay + D.A. + N.P.A) Rs. (D) Whichever is less exempted Rs. [4] Professional tax (U/S.16 (iii) Rs. Total of 1+2+3+4 ================================================ Rs. 3 Net Salary Income (1-2) ================================================ Rs. 1

4

5 6

7 8

ADD: - ANY OTHER INCOME:(A) Bank interest Rs. (B) Rent free Quarter Rs. (C) N.S.C.Int. (As per Annexure:-A) Rs. Total (A to C) ================================================ Rs. Gross Total Income (3+4) ================================================ Rs. DEDUCTION UNDER CHAPTER-VI-A:[4] Ded. To physically handicapped person Rs. U/S.80U (Max Rs.50000/-) Rs. [5] Med claim Insurance Premium U/S.80D (Max Rs.10000/-) Rs. [6] HBA Interest U/S/24(Maxi.1,50,000/-) Rs. [7] U/S 80 DD (Maxi.15,000/-) Rs. Total (1 + 3) ================================================ Rs. Total Income: - (5-6) Rs. DEDUCATION U/S.80-C (maxi.Rs.1,00,000/-) (From:-4/08 to 3/09) 1 G.P.F. Rs. 2 P.P.F. Rs. 3 LIC Premium Rs. 4 PLI Premium Rs. 5 N.S.C. Deposit Rs. 6 State Group Insurance Rs. 7 Mutual Fund U/S/10(23-D) Rs. 8 Housing Loan Principal Amt. Rs. 9 Invest in Infa-Strature & Power Project Rs. 10 Education Fees Rs. 11 U/S.80-CCC (Jivan Suraksha) Rs. 12 N.S.C. Interest Rs. TOTAL INVEST U/S.80-C(+) 80-CCC (MAX RS.1,00,000/-)

Rs.

0 0

0 0

0 0

0

NET TAXABLE INCOME (7-8) Rs. (ROUND IN NEAREST OF RS.10/-) 10 GROSS INCOME TEX ON TAXABLE INCOME:Rs. (+) 3% Education Cess on Gross Income Tex: Rs. 11 TOTAL INCOME TAX: ================================================ Rs. 9

FOR MALE:(A) (B) (G) (H)

As per Col.No.9, If Net Taxable Income is up to Rs. 1,50,000/- I.T. [a] Between Rs. 1,50,001/- To Rs. 3,00,000/- I.T. [b] Between Rs. 3,00,001/- To Rs. 5,00,000/- I.T. [c] Above Rs. 5,00,001/- I.T. [d]

Nil 10% 20% 30%

FOR FEMALE:(A) (B) (G) (H) 11

As per Col.No.9, If Net Taxable Income is up to Rs. 1,80,000/- I.T. [a] Between Rs. 1,80,001/- To Rs. 3,00,000/- I.T. [b] Between Rs. 3,00,001/- To Rs. 5,00,000/- I.T. [c] Above Rs. 5,00,001/- I.T. [d]

Nil 10% 20% 30%

Income Tax already Ded.From Salary up to 1/2009 Rs. (+) Income Tax Ded .From Salary of 2/2009 Rs. TOTAL INCOME TAX ================================================ Rs.

(SIGNATURE OF EMPLOYEE) Resi. Add:-

0

PROPOSED INCOME TAX FOR F.Y.-2009-10 (A.Y. 2009-10)

CIVIL HOSPITAL, VALSAD NAME: DESIGNATION:I.T.PAN NO: -

SEX BILL NO :-

:-

SR NO : -

Gross Total Income: (Less) Pay Recovery: Net Gross Total Income: 2 Less: - Allowance to the extend exempted [1] Uniform & Washing & Book Allow. (U/S.10) [2] Transport Allowance (U/S.10) [3] HRA U/s (13.A) (A) House Rent Paid (B) Actual HRA Received (C) Actual Rent Paid Less:-10% of Salary (Salary =Pay + D.A. + N.P.A) (D) Whichever is less exempted [4] Professional tax (U/S.16 (iii) Total of 1+2+3+4 ================================================ 3 Net Salary Income (1-2) ================================================ 1

4

5 6

7 8

9

ADD: - ANY OTHER INCOME:(A) Bank interest (B) Rent free Quarter (C) N.S.C.Int. (As per Annexure:-A) Total (A to C) ================================================ Gross Total Income (3+4) ================================================ DEDUCTION UNDER CHAPTER-VI-A:[4] Ded. To physically handicapped person U/S.80U (Max Rs.50000/-) [5] Med claim Insurance Premium U/S.80D (Max Rs.10000/-) [6] HBA Interest U/S/24(Maxi.1,50,000/-) [7] U/S 80 DD (Maxi.15,000/-) Total (1 + 3) ================================================ Total Income: - (5-6) DEDUCATION U/S.80-C (maxi.Rs.1,00,000/-) (From:-4/09 to 3/10) 1 G.P.F. 2 P.P.F. 3 LIC Premium 4 PLI Premium 5 N.S.C. Deposit 6 State Group Insurance 7 Mutual Fund U/S/10(23-D) 8 Housing Loan Principal Amt. 9 Invest in Infa-Strature & Power Project 10 Education Fees 11 U/S.80-CCC (Jivan Suraksha) 12 N.S.C. Interest TOTAL INVEST U/S.80-C(+) 80-CCC (MAX RS.1,00,000/-) NET TAXABLE INCOME (7-8) (ROUND IN NEAREST OF RS.10/-)

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs.

GROSS INCOME TEX ON TAXABLE INCOME:Rs. (+) 3% Education Cess on Gross Income Tex: Rs. 11 TOTAL INCOME TAX: ================================================ Rs. 10

FOR MALE:(A) As per Col.No.9, If Net Taxable Income is up to Rs. 1,50,000/- I.T. [a] (B) Between Rs. 1,50,001/- To Rs. 3,00,000/- I.T. [b] (G) Between Rs. 3,00,001/- To Rs. 5,00,000/- I.T. [c] (H) Above Rs. 5,00,001/- I.T. [d]

Nil 10% 20% 30%

FOR FEMALE:(A) As per Col.No.9, If Net Taxable Income is up to Rs. 1,80,000/- I.T. [a] (B) Between Rs. 1,80,001/- To Rs. 3,00,000/- I.T. [b] (G) Between Rs. 3,00,001/- To Rs. 5,00,000/- I.T. [c] (H) Above Rs. 5,00,001/- I.T. [d] 11

Nil 10% 20% 30%

Income Tax already Ded.From Salary up to 1/2009 Rs. (+) Income Tax Ded .From Salary of 2/2009 Rs. TOTAL INCOME TAX ================================================ Rs.

(SIGNATURE OF EMPLOYEE) Resi. Add:-