INCOME TAX CALULATION STATEMENT FOR THE FINANCIAL YEAR

2011-12 (ASSESSMENT YEAR 2012-2013)

Name: ________________________________________
Designation: ___________________________________
Address: ______________________________________
Permanent Account No (PAN) _____________________
(PAN No. Must be written in Capital Letters)
1.
2.
3.

Gross Salary (Including Allowance)

Add. Honorarium etc.
Any Other Income (Optional) income from House Property etc.
(Total (-) 30% for maintenance)

Rs____________
Rs ___________
Rs____________

4.
5.

Total (1+2+3)
Less:
i) H.C.A
ii) Profession Tax Paid
iii) C.M.Relief Fund
iv) Rent paid in excess of 10% of
Salary (Maximum amount
Restricted to HRA received)
v) Interest on H.B.A

Rs ___________

Total (i to v):6.

Gross Total Income (4-5)

7.

Savings (Under Sec.80C):i)

GPF
ii)
GIS
iii)
LIC Permia limited to 20%
Of the sum assured
iv)
PLI
v)
NSCVIII issue
vi)
National saving Scheme
vii)
Refund of HBA Loan
viii)
Any others (jeevan Surkasha/
Tuition fee) etc.

Total (i to viii)
(Saving i to viii restricted to
Rupees one lakh)
8.

Taxable income (6-7)

(Rounded to multiple of nearest Rs.10/-)

Rs ___________
Rs ___________
Rs ___________

Rs ___________
Rs ___________

Rs ______________
Rs ______________

Rs ____________
Rs____________
Rs ____________
Rs ____________
Rs _____________
Rs ____________
Rs ____________

Rs ___________
Rs ___________ Rs ______________

Rs ______________

9.

INCOME TAX

1. Tax Calculation (For Women)

Income Range

Rate of Tax

a) Taxable Income up to Rs.1, 90,000.

Amount of Tax

Nil
_____________

b) 1, 90,001 to 5, 00,000.

10%
______________

c) 5, 00,001 to 8, 00,000.

20%
_____________

d) Above Rs, 8, 00,000

30%
_____________

e) Total Tax Payable

Rs _____________

II.Tax Calculation (For others)

Income Range

Rate of Tax
Amount of Tax

10.

a)Taxable Income up to Rs 1, 80,000

Nil

_____________

b) 1, 80,001 to 5, 00,000

10%

______________

c) 5, 00,001 to 8, 00,000.

20%

_____________

d) Above Rs, 8, 00,000

30%

_____________

e) Total Tax Payable

Rs _____________

a) Education Cess @ 2 %( of total tax payable)

Rs _____________

b) Sec. & Higher Edu.cess @1%(of total tax payable)

Rs _____________

c) Total Education Cess + Sec.Higher Edu.Cess (a+b)

Rs _____________

11.

Total Income Tax + Edu. Cess + Sec.Higher Edu.Cess

(Col.9+10)

12.

Income Tax + Edu.Cess+Sec.Higher Cess already Paid

a) From Salary
Rs..
b) By Challan (attach proof)
Rs.

Rs ____________

13.

Balance Tax+Edu.Cess+Sec.Higher Edu.Cess Payable:

Rs ____________

14.

Tax to be paid from the pay for:i) December, 2011

ii) January, 2012
iii) February, 2012

Rs
Rs
Rs...

Rs ____________

Place:
Date:

Signature_____________________
Name
_____________________
Designation __________________