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FORM NO. 16 See rule 31 1 a Certificate under section 203 of the Income-tax Act 1961 for Tax deducted at source on Salary Financial year Whether Original / Duplicate / Amended TDS number If Amended give Previous TDS Certificate number TAN of Deductor Name of Deductor PAN of Deductee Deductee TDS Unique Transaction Number UTN as provided by Income Tax Department Whether PAN uploaded was validated by Income Tax Department Y/N Gross Amount Paid/ Collected TDS/TCS Amount Gross amount of TDS / TCS Total TDS amount where PAN was found valid by Income Tax Department Details of Salary paid and any other income and tax deducted Gross Salary a Salary as per provisions contained in sec.17 1 b Value of perquisites u/s 17 2 as per Form No.12BB wherever applicable c Profits in lieu of salary under section 17 3 as per Form No.12BB wherever applicable d Total Less Allowance to the extent exempt u/s 10 Balance 1-2 Deductions Standard deduction Entertainment allowance Tax on employment Aggregate of 4 a to c Income chargeable under the head salaries 3-5 Add Any other income reported by the employee Rs Gross total income 6 7 Deductions under Chapter VIA Gross Amount Aggregate of deductible amount under Chapter VIA Total Income 8-10 Tax on total income Rebate and relief under Chapter VIII I. Under section 88 please specify e a to II III Aggregate of tax rebates and relief at 13 above I f II a II b Tax payable 12-14 and surcharge thereon Less Tax deducted at source Tax payable/refundable 15-16 Qualifying Deductible Tax rebate/ relief I son/daughter of working in the capacity of designation do hereby certify that a sum of Rs. Rupees deducted at source and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on the books of accounts documents and other available records. Under section 88 please specify e a to II III Aggregate of tax rebates and relief at 13 above I f II a II b Tax payable 12-14 and surcharge thereon Less Tax deducted at source Tax payable/refundable 15-16 Qualifying Deductible Tax rebate/ relief I son/daughter of working in the capacity of designation do hereby certify that a sum of Rs. Rupees deducted at source and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on the books of accounts documents and other available records. Place Date Signature of person responsible for deduction of tax Designation Full Name TDS certificate number is an internal reference number to be given by the Deductor optional. Under section 88 please specify e a to II III Aggregate of tax rebates and relief at 13 above I f II a II b Tax payable 12-14 and surcharge thereon Less Tax deducted at source Tax payable/refundable 15-16 Qualifying Deductible Tax rebate/ relief I son/daughter of working in the capacity of designation do hereby certify that a sum of Rs. Rupees deducted at source and paid to the credit of the Central Government. I further certify that the information given above is true and correct based on the books of accounts documents and other available records..

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