Name of the Institution: O/o. Executive Engineer (R&B) Diivision, Kakinada.

INCOME TAX STATEMENT FOR THE YEAR 2016-2017

ANNEXURE - I

P.Phani Lingeswara Rao,A.E.E.(R&B), E

1) Name and Designation of the Govt. Servant : Buildings section, Kakinada.
with the deatiled residential address Door No.2-43,
Revenue colony, Cheediga Indrapalem
PAN No. CNWPP6369N Kakinada

2) Whether living in OWN HOUSE or rented house, : Rent

if rented house actual rent paid per annuam (A declaration
regarding payment of house rent shall be recorded)

3) Pay and allowances including HRA paid or payable

including value of rent free accommodation for the
year 2016-2017 (Salaries of March, 2016 to February, 2017)
including income from other sources and including arrears
shall be enclosed) : Rs. 7,56,184/-

4) H.R.A. exemption U/S. 10 (13A)

A) Actual amount of HRA received during 2016-2017 : Rs. 99,000
B) Excess of rent paid over and above 10% of Basic pay+DA i.e. : Rs.
i) Actual rent paid per annum : R 100000
ii) 10% Basic Pay+DA per annum 64210.9
Excess rent paid (i - ii) Rs. 35789.1
Deduct (A) or (B) whichever is less for HRA exemption : Rs. 35,789

5) Gross salary income for 2016-2017 (Col- 3,4) : Rs. 7,20,395/-

(Note: No Standard deduction is allowed as per new I.T.Rules)

6) Less profession tax paid : Rs. #REF!

7) Loss on Self occupied house property.

Interest on housing loan where the house is self occupied
and HRA exemption is not claimed U/ Section : 24(B) : Rs. ,/-
229362 /- limited to Rs.2,00,000/-
8) Income chargable under Head Salaries / Col.5-(6+7) : Rs. #REF!

9) Add any other income received by the Employee.Specify

the details Interest on Previous NSCs : Rs. ---
Bank Deposits if any : Rs. ---
Income from house property : Rs. ---
--------------------
---
10) Gross Total Income (Col. 8+9) : Rs. #REF!

11) Deduction under Chapter VI-A

A) U/Section 80-D (Upto Rs.10,000/-, Sr.Citizens Rs.15,000) Rs. 1440
B) U/Section 80-DD (Upto Rs.75,000/-) : Rs.
C) U/Sec.80.G (50% on donation to institutions recorgnised
by the IT Department (Subject to minimum of Rs.250/- : Rs.
(Donation to CM Relief Fund 100% exemption if any) #REF!
D) U/Section 80U : Rs.
E) U/Section 80 DDB : Rs.
F) U/Section 80E (Loan Interest Exempted) : Rs. 16,000
G) U/Section 80C (as furnished at Col.No.15 at Page No.2) : Rs. 103,826
H) U/Section 80CCD (1b) : Rs. 50,000
-------------------

12) Aggregate of deductable amount under Chapter VI - A : Rs. #REF!

13) Net taxable income (Col. 10-12) : Rs. #REF!

14) INCOME TAX ON TOTAL INCOME AT COL.NO.13 : Rs. #REF!

After rebate of Rs.5000/- under Sec.87A Rs. #REF!

Rates of tax for calculation

Rs.2,50,000 /- (MEN OR WOMEN) BELOW 60 YEARS Tax Nil
Rs.2,50,000/- to 5,00,000/- 10% of the amount by which the total income exceeds 2,50,000/-
Rs.5,00,001/- to 10,00,000/- Rs.25,000 + 20% of the amount by which the total income exceeds Rs.5,00,000/-
Above Rs.10,00,000/- Rs.1,25,000 + 30% of the amount by which the total income exceeds Rs.10,00,000/
 :: 2 ::

15) Aggregate of Savings under Section 80 - C

i) APGLI : Rs. 16,800
ii) PLI 1) AP-382021-CS(975X12) : Rs. 10,796/-
2) AP-518477-CS(830X12) Rs. 3,000/-
iii) LIC (General) Policy No.802793024 (Rs.10311/-) /YEAR : Rs. 26,347
LIC (General) Policy No.804174274 : Rs. 0/-
iv) LIC Jeevan Suraksha etc., U/s 80-CCC : Rs.
v) LIC Jeevan Suraksha etc., U/s 80-CCC : Rs.
vi) G.I.S. : Rs. 1,440
vii) U.L.I.P : Rs.
viii) P.P.F. A/C.No.34473308311 in SBI,Samalkota : Rs. 0/-
Sukanyasamriddhi A/c.No.35020729451 in SBI,Samalkot : Rs. 0/-
ix) N.S.C's (New N.S.c.'s purchased on : Rs.
maturity of the old one's)
x) Interest on previous N.S.C's : Rs.
xi) Tution fee of children:Actual fee - limited to : Rs.
two children
xii) Repayment of house building loan (Principle amount) : Rs. 0/-
xiii) Equity linked savings scheme : Rs. 36,000/-
xiv) ICICI Savings Bonds : Rs.
IDBI Flexi Bonds : Rs.
Any othe deductions as specified by the IT Dept. : Rs.
(Total deduction amount suhet to a maximum of Rs.1.50 lakh only)
Employee's CPS under section 80 CCD(1):
i) CPS Amount Rs. 59,443 - 50,000 Rs. 9,443
TOTAL : Rs. 103,826

Employee's CPS under section 80 CCD(1B):

i) CPS Rs. 59,443 Limited to Rs. 50000
(All put together Rs. 50,000/- limited)
16) Income tax actually to be paid (at Col.14) : Rs. #REF!
17) Add Eduction cess @ 3% on income tax at Col.16 : Rs. #REF!
18) Add Surcharge @10% on Income tax payable at Col.16 : Rs. #REF!
if the total net taxable income @ col.13 exceeds Rs.10 lakhs ---
19) Total Income tax payable for the year 2016-2017 : Rs. ---
20) Amount of Tax already paid if any upto November,2016 : Rs. ---
21) Tax to be deducted from salary for the month Dec.2016 : Rs. 5,000/-
Jan.2017 : Rs. 10,000/-
Feb.2017 : Rs. 10,413/-

TOTAL : Rs. 25,413/-

RENT DECLARATION

I,P.Phani Lingeswara Rao, Assistant Executive Engineer(R&B) do here by declare that I am paying
monthly rent of Rs: 8250/-towards my residential accommodation bearing door No.2-43, Revenue colo
cheediga, Indrapalem, Kakinada. But House Rent Allowance is not claimed for Incometax calculations.

Certified that the particulars furnished in this annexure are true and correct.

Station : Kakinada Signature & Designation

Date : 06.02.2017
STATEMENT FOR THE YEAR 2016-2017
ANNEXURE - I

P.Phani Lingeswara Rao,A.E.E.(R&B), East

Buildings section, Kakinada.

Revenue colony, Cheediga Indrapalem

--------------------

-------------------
00 + 20% of the amount by which the total income exceeds Rs.5,00,000/-
000 + 30% of the amount by which the total income exceeds Rs.10,00,000/-
 :: 2 ::

(All put together Rs. 50,000/- limited)

RENT DECLARATION

istant Executive Engineer(R&B) do here by declare that I am paying a

y residential accommodation bearing door No.2-43, Revenue colony,
e Rent Allowance is not claimed for Incometax calculations.

Signature & Designation

 DETAILS OF INCOME DURING THE YEAR 2016-2017 (FROM 03/2016to 02/2017)
NAME : PITCHIKA Phani Lingeswara Rao Employee code : 2595545
DESIGNATION : Assistant Executve Engineer(R&B),(R&B)Section:GOLLAPALEM.
Deductions Towards
Health
Sl. No. Month/Year PAY P.P. D.A. I.R. HRA S.L C.C.A Gross P.Tax
C.P.S Loan APGLI Insuran FA EWF G.I.S
ce
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 03/2016 40270 -- 3587 0 8054 -- 500 52,411 4,386 -- 1400 120 - -- 120 200
2 DA Arrears 0 -- 18745 0 0 -- -- 18,745 1869 -- 0 0 -- -- 0 0
04/2016 40270 -- 4853 0 8054 -- 500 53,677 4,512 -- 1400 120 -- -- 120 200
3 05/2016 40270 -- 4853 0 8054 -- 500 53,677 4,512 -- 1400 120 -- -- 120 200
4 06/2016 40270 -- 4853 0 8054 -- 500 53,677 4,512 -- 1400 120 -- -- 120 200
6 07/2016 40270 -- 4853 0 8054 -- 500 53,677 4,512 -- 1400 120 -- -- 120 200
7 08/2016 40270 -- 4853 0 8054 -- 500 53,677 4,512 -- 1400 120 -- -- 120 200
8 09/2016 41380 -- 4991 -- 8276 -- 500 55,147 4,637 -- 1400 120 -- -- 120 200
9 DA Arrears 0 -- 19025 0 0 -- -- 19,900 1907 -- 0 0 -- -- 0 0
10/2016 41380 -- 6288 -- 8276 -- 500 56,444 4,767 -- 1400 120 -- -- 120 200
10 11/2016 41380 -- 6288 -- 8276 -- 500 56,444 4,767 -- 1400 120 -- -- 120 200
11 12/2016 41380 -- 6288 -- 8276 -- 500 56,444 4,767 -- 1400 120 - -- 120 200
12 01/2017 41380 -- 6288 -- 8276 -- 500 56,444 4,767 -- 1400 120 -- -- 120 200
13 02/2017 41380 -- 6288 -- 8276 -- 500 56,444 4,767 -- 1400 120 -- -- 120 200
14 Incr. Arrears Aug & Sept 2220 -- 268 -- 444 -- -- 2,932 249 -- -- -- -- -- -- --
Surrender Leave 41380 -- 6288 -- 8276 -- 500 56,444 -- -- -- -- -- -- -- --

Grand Total 533500 0 108609 0 106700 0 6500 756184 59443 0 16800 1440 0 0 1440 2400
Details of Pay & Allowances from March 2016 to February 2017
1 Total Gross Salary including HRA during the 2016-17(As per the satement shown above) Rs. 7,56,184
2 Amount if any received from other sources (Other than salary) such as examination remuneration, paper valuation etc., Rs. --
during theyear 2016- 2017. Total 7,56,184

Signature of the Govt. Employee

 CM Releif/ Total Deduc-
IT SWF/AP.Capital NET
Fund tions

19 20 21 22
-- -- 6,226 46,185
-- -- 1869 17,245
-- -- 6,352 47,325
-- -- 6,352 47,325
-- -- 6,352 47,325
-- -- 6,352 47,325
-- -- 6,352 47,325
-- -- 6,477 48,670
-- -- 1907 17,906
-- -- 6,607 49,837
-- -- 6,607 49,837
-- -- 6,607 49,837
-- -- 6,607 49,837
-- -- 6,607 49,837
-- -- 249 2,683
-- -- -- 56,444

0 0 81523 674943

7,56,184
--
7,56,184

of the Govt. Employee