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FORM NO.

16A [See rule 31(1)(b)] Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source Financial year Whether Original / Duplicate / Amended TAN of Deductor PAN of Deductee TDS Unique Transaction Number (UTN) as provided by Income Tax Department TDS Certificate number# If Amended give Previous TDS Certificate number Name of the Deductor Name of the Deductee

Whether PAN uploaded was validated by Income Gross Amount Paid Tax Department? (Y/N)

TDS

Gross TDS amount Total TDS amount where PAN was found valid by Income Tax Department I _____________________________________, son/daughter of ___________________________________ working in the capacity of ______________________________________ (designation) do hereby certify that a sum of Rs. ____________________________ [Rupees _____________________________________ ________________________________________________________________________________ (in words)] has been 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 Designation Signature of person responsible for deduction of tax Full Name

# TDS certificate number is an internal reference number to be given by the Deductor (optional)

www.taxguru.in

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 2010-11 Whether Original / Duplicate / Amended TAN of Deductor -RTKR05817A PAN of Deductee TDS Unique Transaction Number (UTN) as provided by Income Tax Department TDS Certificate number# If Amended give Previous TDS Certificate number Name of Deductor Name of Deductee

Rajesh Kumar Vahishtha Prop. M/S VPN INDIA Aarti Mittal Cutormer Relation Manager

Whether PAN uploaded was Gross Amount validated by Income TDS/TCS Amount Paid / Collected Tax Department? (Y/N)

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 1 Gross Salary (a) (b) (c) (d) 2 Salary as per provisions contained in sec.17(1) Rs Value of perquisites u/s 17(2) (as per Form No.12BB, wherever applicable) Profits in lieu of salary under section 17(3)(as per Form No.12BB, wherever applicable) Total Rs Rs Rs 3 4 Balance(1-2) Deductions : (a) (b) (c) 5 6 Standard deduction Entertainment allowance Tax on employment Rs. Rs. Rs. Rs 183740 Nil 183740 Rs Rs 183740 183740

Less: Allowance to the extent exempt u/s 10

Aggregate of 4(a) to (c) Income chargeable under the head 'salaries' (3-5)

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Add: Any other income reported by the employee

Rs Rs Nil Nil

8 9

Gross total income (6+7) Deductions under Chapter VIA Gross Amount (a) U/S 80C (b) (c) (d) 30000 Rs Rs Rs Qualifying Amount Rs Rs Rs Rs Rs Rs Rs 30000 153740 Nil Deductible Amount 300000

10 11 12 13

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) Gross Amount (a) (b) (c) (d) (e) Rs Rs Rs Rs Rs Qualifying Amount Rs Rs Rs Rs Rs Rs Rs Rs Rs Nil Nil Nil Nil Tax rebate/ relief

(f) Total Rs [(a) to (e)] II (a) (b) III 14 15 16 17 Under section 88B Under section 88C

Under section 89 (attach details)

Aggregate of tax rebates and relief at 13 above [I(f) + II(a)+ II(b) + III] Tax payable (12-14) and surcharge thereon Less: Tax deducted at source Tax payable/refundable (15-16)

I Rjesh Kumar Vashistha son/daughter of _________________________________ working in the capacity of Proprieter do hereby certify that a sum of Rs. Nil [RupeesNil] has been 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- FARIDABAD Date 07.07.2011 Designation Proprieter Signature of person responsible for deduction of tax Full Name-Rajesh Kumar Vashishtha www.taxguru.in

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