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Certificate No. : 4 FORM NO.

16 [See rule 31(1)(a)] PART A Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source on Salary Name and address of the Employer Name and designation of the Employee MATRA ARCHITECTS & RURBAN PLANNERS SHWETA GARG 53, BASEMENT, NAVJIVAN VIHAR, NEW DELHI-110017 EXECUTIVE DELHI PAN of the Deductor TAN of the Deductor PAN of the Employee AABFM7063L DELM11290G AMGPG0218E CIT (TDS) Assessment Year Period THE COMMISSIONER OF INCOME TAX (TDS) From To AAYAKAR BHAWAN, DISTRICT CENTRE, 4TH FLOOR, LUXMI 2011-2012 01/04/2010 10/11/2011
NAGAR, DELHI-110092

Summary of tax deducted at source Receipt Numbers of original statements of TDS Amount of tax deducted in respect Amount of tax under sub-section (3) of section 200 of the employee deposited/remitted in respect of the employee Quarter 1 JPDIRHKG Nil Nil Quarter 2 BMMXHYOC Nil Nil Quarter 3 BMPXGEZC 1,158.00 1,158.00 Quarter 4 Yet to be furnished Nil Nil Total 1,158.00 1,158.00 Part B (Refer Note 1) Details of Salary paid and any other income and tax deducted Quarter
1. Gross Salary (a) Salary as per provisions contained in section 17(1) (b) Value of perquisites under section 17(2) (as per Form No. 12BA, wherever applicable) (c) Profits in lieu of salary under section 17(3) (as per Form No. 12BA, wherever applicable) (d) Total 2. Less: Allowance to the extent exempt under section 10 3. Balance (1-2) 4. Deductions: (a) Entertainment allowance (b) Tax on employment 5. Aggregate of 4(a) and (b) 6. Income chargeable under the head 'salaries' (3-5) 7. Add: Any other income reported by the employee 8. Gross total income (6 + 7) 9. Deductions under Chapter VIA (A) Sections 80C, 80CCC and 80CCD (a) Section 80C (b) Section 80CCC (c) Section 80CCD (B) Other Sections under Chapter VIA Gross Amount (a) 10. Aggregate of deductible amount under Chapter VIA 11. Total income (8 - 10) 12. Tax on total income 13. Education cess @ 3% (on tax at S. No. 12) 14. Tax payable (12+13) 15. Less : Relief under section 89 (attach details) 16. Tax payable (14-15) 201,245.00 Nil Nil 201,245.00 Nil 201,245.00 Nil Nil Nil 201,245.00 Nil 201,245.00 Gross Amount Nil Nil Nil Qualifying Amount Deductible Amount Nil Nil Nil Deductible Amount Nil 201,250.00 1,125.00 33.00 1,158.00 Nil 1,158.00

Verification I, VERENDER WAKLOO, son/daughter of _________________________ working in the capacity of PARTNER (designation) do hereby certify that a sum of Rs. 1,158.00 [Rs. One Thousand One Hundred Fifty Eight Only (in words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the book of accounts, documents, TDS statements, TDS deposited and other available records.

Place NEW DELHI Date 14/03/2011 PARTNER Signature of person responsible for deduction of tax Full Name: VERENDER WAKLOO Designation:

ANNEXURE-B
DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The Employer to provide payment wise details of tax deducted and deposited with respect to the employee) S. No. Tax Deposited in Challan identification number (CIN) respect of the employee BSR Code of the Bank Branch Date on which tax deposited (Rs.) (dd/mm/yyyy) 1,158.00 0 5 1 0 3 0 8 0 5 0 2 2 0 1 1 1,158.00

Challan Serial Number 0 4 7 0 8

1 Total

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