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Model form for Income Tax 2015-2016
PREPARED BY:B.NOOR AHAMED,SA MATHS,ZPHS,BADIKAYALAPALLE,B.KOTHAKOTA
Employee Name				Designation
School / Office Address
Increment Month				PAN NO.
Pay as on March 2015				AAS - 6/12/18/24 yrs. (Date)
Increments Clamied in the Financial Year 2015 - 16, other than Regular Increment		Select the Increments		No. of Increments Taken		Mention the Month of Regular Bill the Increments Added
Arrears if any	Pay			CCA / SCA
	DA			Addi. & FP Increments
	HRA			AHRA
	P.Tax			Surrender leave		15/30 days	Month:
	PF / CSS			Are you C.P.S
PHC Allowance				If "Yes", Mention % of Disbility
		As on March Bill		If any changes in month		Change Value
HRA
HMA
PF
APGLI
GIS
LIC (IN SALARY)
Tution Fees Reim. Amount				90 % CSS Arrears (IF ANY)	Amount
EHF Premium					Interest
www. ateacher. in					CPS Deduction
				Living House		RENTED/OWN
Chapter IV Deductions				SEC 80 CC
Infrastructure Bonds (80 CCF)				L.I.C (Paid by hand annual)
Med. Insurance Pre. (80 D)				P.L.I
Main. of Dis. Person (80 DD)				P.P.F.
Exp. on Med.Treatment(80DDB)				N.S.C.
Education Loan (80 E)				Tution Fee
Housing Loan Interest (80 E)				Housing Loan Principle
Payment to Charity (80 G)				5 years Fixed Deposits
Others				Others
Rajiv Gandhi ESS				Others
DDO Designation				Name of The DDO
DDO Office Name
DDO Father Name				DDO TAN. No.
Advanced Income Tax Paid (IF ANY)
March - 2015		June - 2015		Sep - 2015		December - 2015
Apr - 2015		July - 2015		October - 2015		January - 2016
May - 2015		August - 2015		Nov - 2015		February - 2016
www. ateacher. in		www. ateacher. in		www. ateacher. in		www. ateacher. in