Income Tax Formart

Income Tax format

Please input information in   " Orange "  cells only.
INCOME TAX DECLARATION FORM CUM TAX CALCULATOR FOR THE YEAR 1.4.2011 TO 31.3.2012
EMPLOYEE ID (IMP)				Please select your City		Metro
NAME				Voluntary Provident Fund (VPF) %		0%
DATE OF JOINING	April 1, 2011			Gender		Male
PAN NO.				-
INCOME 2011-12	PM	PA	INVESTMENTS 2011-12	31-Mar-12	DEDUCTIONS & INCOME TAX
360.00
Basic	0	0	PROVIDENT FUND	0	Salary_as_per_Sec_17_1	0
DA	0	0	VPF	0
HRA	0	0	LIFE INSURANCE PREMIUM	0	Perquisites_under_Sec_17_2	0
Conveyance	0	0	PPF	0
	0	0	ELSS	0	Total_Gross_Salary	0
	0	0	PENSION FUND (80CCC)	0	option	0
	0	0	ULIP	0	Deductions 80 C	0
	0	0	MUTUAL FUND (TAX SAVER)	0	Home Loan - Interest	0
Telephone	0	0	NSC	0	HRA Exemption	0
Meal Coupons (tax free)	0	0	NSC INTEREST	0	Conveyance Exemption	0
LTA	0	0	FIXED DEPOSIT IN SCHEDULED BANK	0	Profession Tax	0
Medical	0	0	EDUCATION EXPENDITURE(CHILDREN)	0	Infrastructre Bond	0
	0	0			Meal Coupons	0
	0	0	PRINCIPLE AMOUNT OF HSG LOAN	0	LTA	0
	0	0			Medical	0
	0	0	Total (1,00,000 MAX)	0	Mediclaim Self	0
	0	0			Mediclaim Parents (Sr)	0
Cash Award		0	Other Bills Proof to save tax		TOTAL EXCEMPTIONS	0
Incentive		0	option	0
Bonus		0	LTA	0	TAXABLE INCOME	0
		0	Medical Max 15000	0	INCOME TAX	0
		0			SURCHARGE	0
		0
					EDU CESS	0
					TOTAL TAX	0
TOTAL INCOME	0	0			TAX PER MONTH	0
HRA CALCULATION		0	INTEREST ON HOUSING LOAN (1,50,000 MAX)	0	INCOME TAX
HRA RECEIVED (A)		0	Mediclaim Premium u/s 80D (SELF Rs 15,000/-)	0	180000 TO 500000  10 %	0
10 % 0F BASIC		0	Mediclaim u/s 80D (PARENTS Rs 15,000/- & Sr. Citizen 20000/-)	0	500001 TO 800000 20 %	0
50% BASIC (40% Non Metro)		0	INFRASTRUCTURE BONDS ( NEW  MAX 20000)	0	800001 AND ABOVE 30 %	0
Rent Paid over 10% of Basic Salary (C)		0	Profession Tax	0	Women Rebate (-)	0
HRA exempt	0	0			TOTAL TAX	0
HRA Taxable		0	HOUSE RENT PAID (PA)	0
				0
I am giving details of salaries & perquisites received by me during the year April 2011 to March 2012 from my previous employer (s) in the prescribed format( applicable to employees joined from April 2011 onwards) I further undertake to abide by the declaration given above and take the responsibility of informing the HR /Accounts/Payroll of any change latest by January 10, 2012  I also understand that in my personal tax assessment , I can be required by the assessing I.T.O. to substantiate the contents of the above declarations. I hereby solemnly declare that to the best of my knoweledge and belief, the information given above is correct and complete.
Date :					Signature of Employee
Place :