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Quarterly statement of deduction of tax under section 397(3)(b) of the Act in respect of salary paid to employee under section 392, or income of specified senior citizen under section 393(1) [Table: Sl. No. 8(iii)], for the quarter ended ............. (June/September/December/March) ...... (Tax Year)]

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.... Receipt Number of original statement   11. If Government deductor/payer, please mention AIN of PAO/DTO/CDDO     Particulars of the person responsible for deduction of tax 12. Name (refer Note 1) 13. Permanent Account Number   14. Address (refer Note 2) 15. Email id   16. Contact number Country Code Number   PART B: Details of tax Deducted at source and paid to the credit of the Central Government 1. Sl. No. Total tax (refer Note 4) Total interest Total fee (refer Note 5) Total penalty/others   Total amount deposited as per challan / Total amount adjusted through Book Adjustment (B + C + D+E) (refer Note 6) Mode of payment of tax (by way of challan/by way of book adjustment (refer Note 7) BSR code/ Receipt Number of Form No. 137 (refer Note 8) Date on which amount deposited through challan/ Date of transfer voucher (dd/mm/yyyy) (refer Note 8) Challan Serial No. / DDO Serial No. of Form No. 137 (refer Note 8) Minor Head of Challan (refer Note 9) A B C D E F G H I J K   ....

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....s/payers to write "C". 8. Challan/Transfer Voucher (CIN/BIN) particulars, i.e. H, I, J should be exactly the same as available at TIN 2.0/TRACES portal. 9. In column (K), mention minor head as marked on the challan. 10. Amounts to be filled in Rs. unless otherwise provided ANNEXURE I: DEDUCTEE WISE BREAKUP OF TDS Details of salary paid and tax deducted therefrom from the employees/specified senior citizen Sl. No. Challan Reference No. (Sl. No. of Table (Sl. No. A) in Part B Permanent Account Number of the employee/ specified senior citizen Name of the employee/ specified senior citizen Employee reference number provided by employer/ PPO number, if available Section Code (refer Note 1) Date of payment / credit (dd/mm/yyyy) Date of deduction (dd/mm/yyyy) Amount Paid or Credited (A) (B) (C) (D) (E) (F) (G) (H) (I)                                       Total Tax Deducted (refer Note 2) Whether total amount of tax deducted as mentioned in column (J) has been de....

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....ount of gross salary received from current employer (refer Note 1) (H+I+J) A B C D E F G H I J K                           Reported total amount of salary received from other employer (s) under section 392(4)(a) (i) (see Note 1 for definition of salary) Travel concession or assistance under section 11, Schedule III [Table: Sl. No. 8] House rent allowance under section 11, Schedule III [Table: Sl. No. 11] Permanent Account Number of landlord (s), if exemption is claimed under section 11, Schedule III [Table: Sl. No. 11] (refer Note 3) Other special allowances under section 11, Schedule III [Table: Sl. No. 12 and 13] Amount of any other salary component which is exempt under section 11 Total amount of exemption claimed under section 11 (M+N+P+ Q) Tax on employment under section 19(1) [Table: Sl. No. 1] Standard deduction under section 19(1) [Table: Sl. No. 2] Gratuity under section 19(1) [Table: Sl. No.3,4,5,6] L M N O P Q R S T U             ....

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....p;                                                     Deduction in respect of interest on deposits in savings account under section 153 Amount deductible under any other provision(s) of Chapter VIII Total Amount deductible under Chapter VIII [AF + AH + AJ + AL + AN + AP + AR + AU + AX + BB] Total taxable income (AD - BC) Income Tax on total income Rebate under section 156, if applicable Surcharge, wherever applicable Health and Education Cess Gross amount Qualifying amount Deductible amount Section (refer Note 5) Gross amount Qualifying amount Deductible amount AV AW AX AY AZ BA BB BC BD BE BF BG BH                                                       Form 39 Acknowledgment N....

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....ent fund(to the extent to which it is chargeable to tax under sub-paragraphs (4) and (5) thereof, any contribution made by the Central Government to the account of the employee under a pension scheme referred to in section 124 or any other sums chargeable to income-tax under the head 'Salaries'. Where an employer deducts from the emoluments paid to an employee or pays on his behalf any contributions of that employee to any approved superannuation fund, all such deductions or payments should be included in the statement. 2. Where an employer deducts from the emoluments paid to an employee or pays on his behalf any contributions of that employee to any approved superannuation fund, all such deductions or payments should be included in the statement. 3. Permanent account number of landlord(s) shall be mandatorily furnished where the aggregate rent paid during the Tax Year exceeds one lakh rupees. 4. Permanent account number of lender(s) shall be mandatorily furnished where the housing loan, on which interest is paid, is taken from a person other than a Financial Institution or the Employer. 5. List of section is as under: Sl. No. Section Particulars 1 ....

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....;   Total Deduction in respect of donations to certain funds, charitable institutions, etc. under section 133 Deduction in respect of interest on deposits in savings account under section 153(2)(b) Amount deductible under any other provision(s) of Chapter VIII Aggregate of deductible amount under Chapter VIII [N + P + R + T + W + Z + AD] Gross amount Qualifying amount Deductible amount Gross amount Qualifying amount Deductible amount Section (refer Note 2) Gross amount Qualifying amount Deductible amount U V W X Y Z AA AB AC AD AE                                               Total taxable income (L - AE) Income Tax on total income Rebate under section 156, if applicable Surcharge, wherever applicable Health and Education Cess Tax Payable [AG + AI + AJ - AH] Income‐tax relief under section 157 Net Tax Payable [AK - AL] AF AG AH AI AJ AK AL AM     &....