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1.
Gross Salary a) Salary as per provisions contained
in sec.17(1)
b) Value of perquisites u/s 17(2) (as per Form
No.12BA, wherever applicable)
c) Profits in lieu of salary under section 17(3)(as
per Form No.12BA, wherever applicable)
d) Total
2.
Less: Allowance to the extent exempt u/s 10
3.
Balance(1-2)
4.
Deductions :
a) Standard deduction Rs
… … …
b) Entertainment allowance Rs
… … … c) Tax on employment Rs
… … …
5.
Aggregate of 4(a) to (c)
6.
Income chargeable under the head 'salaries' (3-5)
7.
Add: Any other income reported by the employee
8.
Gross total income (6+7)
9.
Deductions under Chapter VIA
Gross
Amount
a)
Rs
… … …
b) Rs
… … …
c) Rs
… … …
d) Rs
… … …
e) Rs
… … …
f) Total[(a) to (e)] Rs.…
… …
10.
Aggregate of deductible amount under Chapter VIA
11.
Total Income (8-10)
12.
Tax on total income
13.
Rebate and relief under Chapter VIII
I. Under section 88
(please specify)
Gross
Amount
a)
Rs
… … …
b) Rs
… … …
c) Rs
… … …
d) Rs
… … …
e) Rs
… … …
f) Total[(a) to (e)] Rs.…
… …
II
(a) Under section 88B
(b) Under section 88C
III.
Under section 89 (attach details)
14.
Aggregate of tax rebates and relief at 13 above
[I(f) + II(a)+ II(b) + III]
15. Tax payable (12-14) and surcharge thereon
16.
Less: Tax deducted at source
17.
Tax payable/refundable (15-16)
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