Form for furnishing details of income under section 192(2) for the year ending 31st March, ………..

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..... nt Account Number or Aadhaar Number of the employer (s) Period of employ-ment Particulars of salary as defined in section 17, paid or due to be paid to the employee during the year Total of columns 6, 7, and 8 Amount deducted in respect of life insurance premium, provident fund contribution, etc., to which sec. 80C applies (Give details) Total amount of tax deducted during the year (enclose certificate issued under section 203) Remarks Total amount of salary excluding amounts required to be shown in columns 7 and 8 Total amount of house rent allowance, con-veyance allowance and other allowances to the extent charge .....

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..... --------------- Name of the employee TAN/ Permanent Account Number or Aadhaar Number of the employer Value of rent-free accommodation or value of any concession in rent for the accommodation provided by the employer (give basis of computation) [See rules 3(a) and 3(b)] Where accom-modation is unfurnished Where accommodation is furnished Rent, if any, paid by the employee Value of perquisite (column 3 minus column 8 or column 7 minus column 8 as may be applicable) Value as if accom-modation is unfurnished Cost of furniture (including television sets, radio sets, refrigerators, other house .....

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..... ), 3(e) and 3(f)] Employer's contribution to recognised provident fund in excess of 10% of the employee's salary [See Schedule IV - Part A] Interest credited to the assessee's account in recognised provident fund in excess of the rate fixed by the Central Government [See Schedule IV - Part A] Total of columns 9 to 15 carried to column 8 of Form No. 12B 10 11 12 13 14 15 16 ---------------------------------------- Signature of the employee ************* NOTES:- 1. Substituted .....

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