FORM NO. 16
[See rule 31(1)(a)]

Certificate under section 203 of the Inc ome-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income of specified senior citizen under section 194P

Certificate No.Last updated on
Name and address of the Employer/Specified BankName and address of the Employee/ Specified senior citizen
PAN of Deductor TAN of the Deductor
PAN of the Employee/
specificed senior
citizen		Employee Reference No./
Pension Payment order no.
provided by the Employer
(If available)
CIT (TDS)
Address…………………………………………………………………..
Assessment YearPeriod with the Employer
FromTo
1. Substituted by the Income-tax (Twenty-sixth Amendment) Rules, 2021, w.e.f. 2-9-2021.
City
Pin code
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
Quarter(s)Receipt Numbers of
original quarterly
statements of TDS
under sub-section (3) of
section 200		Amount paid/creditedAmount of tax deducted (Rs.)Amount of tax deposited/remitted (Rs.)
TOTAL
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL
GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT (the deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Sl. No.Tax Deposited in respect of the deductee (Rs. )Challan Identification Number (CIN)
Receipt numbers of Form No.24G DDO serial number in Form No. 24G Date of transfer voucher dd/mm/yyyy Status of matching with Form No. 24G
TOTAL
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deductedand deposited with respect to the deductee)
Sl. No.Tax Deposited in respect of the deductee (Rs. )Challan Identification Number (CIN)
BSR Code of the Bank BranchDate on which tax deposited (dd/mm/yyyy)Challan Serial NumberStatus of matching with OLTAS
TOTAL
Verification
I,
,son/daughter of
working in the capacity of
(designation) do
hereby
certify
that
a
sum
of
Rs
[Rs
(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 books of account, documents, TDS statements, TDS deposited and other available records.
Place
(Signature of person responsible for deduction of tax)
Date
Designation
Full Name
PART B (Annexure-I)
In relation to employees for tax deduction under section 192
Details of Salary Paid and any other income and tax deducted
1.Gross Salary
(a)Whether opting for taxation u/s 115BAC?Yes/No
(A)Salary as per provisions contained in section 17(1)Rs....
(B)Value of perquisites under section 17(2).(as per Form No. 12BA, wherever applicable)Rs....
(C)Profits in lieu of salary under section 17(3) (as per Form No. 12BA, whereverpplicable) Rs....
(D)TotalRs....
(E)Reported total amount of salary received from other employer(s)Rs....
2.Less: Allowances to the extent exempt under section 10
(A) Travel concession or assistance under section 10(5)Rs....
(B)Death-cum-retirement gratuity under section 10(10)Rs....
(C)Commuted value of pension under section 10(10A) Rs....
(D)Cash equivalent of leave salary encashment under section 10(10AA)Rs....
(E)House rent allowance under section 10(13A) Rs....
(F)Amount of any other exemption under section 10
clause...Rs....
clause…Rs....
clause…Rs....
clause…Rs....
clause…Rs....
...Rs....
(G)Total amount of any other exemption under section 10 Rs....
(H)Total amount of exemption claimed under section 10 [2(a)+2(b)+2(c)+2(d)+2(e)+2(g)] Rs....
3Total amount of salary received from current employer [1(d)-2(h)] Rs....
4Less: Deductions under section 16
(A)Standard deduction under section 16(ia) Rs....
(B)Entertainment allowance under section 16(ii) Rs....
(C)Tax on employment under section 16(iii) Rs....
5Total amount of deductions under section 16 [4(a)+4(b)+4(c)] Rs....
6Income chargeable under the head "Salaries" [(3+1(e)-5] Rs....
7Add: Any other income reported by the employee under as per section 192 (2B)
aIncome (or admissible loss) from house property reported by employee offered for TDS Rs....
bIncome under the head Other Sources offered for TDS Rs....
8Total amount of other income reported by the employee [7(a)+7(b)] Rs....
(C)Tax on employment under section 16(iii) Rs....
9Gross total income (6+8) Rs....
10Deductions under Chapter VI-A
Gross Amount Deductible Amount
(B)Deduction in respect of contribution to certain pension funds under section 80CCCRs. ...Rs. ...
(C)Deduction in respect of contribution by taxpayer to pension scheme under section 80CCD (1) Rs. ...Rs. ...
(D)Total deduction under section 80C, 80CCC and 80CCD(1) Rs. ...Rs. ...
(E)Deductions in respect of amount paid/deposited to notified pension scheme under section 80CCD (1B)Rs. ...Rs. ...
(F)Deduction in respect of contribution by Employer to pension scheme under section 80CCD (2) Rs. ...Rs. ...
(G)Deduction in respect of health insurance premia under section 80DRs. ...Rs. ...
(H)Deduction in respect of interest on loan taken for higher education under section 80E Rs. ...Rs. ...
Gross AmountQualifying AmountDeductible Amount
(I)Total Deduction in respect of donations to certain funds, charitable institutions, etc. under section 80G Rs. ...Rs. ...Rs. ...
(J)Deduction in respect of interest on deposits in savings account under section 80TTA Rs. ...Rs. ...Rs. ...
(K)Amount deductible under any other provision(s) of Chapter VI-A
section …Rs. ...Rs. ...Rs. ...
section …Rs. ...Rs. ...Rs. ...
section …Rs. ...Rs. ...Rs. ...
section …Rs. ...Rs. ...Rs. ...
section …Rs. ...Rs. ...Rs. ...
section …Rs. ...Rs. ...Rs. ...
…Rs. ...Rs. ...Rs. ...
(L)Total of amount deductible under any other provision(s) of Chapter VI-A Rs. ...Rs. ...Rs. ...
11Aggregate of deductible amount under Chapter VI-A [10(a)+10(b)+10(c)+10(d)+10(e)+10(f)+10(g)+10(h)+10(i) 10(j)+10(l)] Rs. ...
12Total taxable income (9-11) Rs. ...
13Tax on total income Rs. ...
14Rebate under section 87A, if applicable Rs. ...
15Surcharge, wherever applicable Rs. ...
16Health and education cess Rs. ...
17Tax payable (13+15+16-14) Rs. ...
18Less: Relief under section 89 (attach details) Rs. ...
19Net tax payable (17-18) Rs. ...
I,
,son/daughter of
working in the capacity of
(designation) do hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, and other available records.
Place
(Signature of person responsible for deduction of tax)
Date
Full Name
Annexure II
In relation to specified senior citizen for tax deduction under section 194P
Whether opting for taxation u/s 115BAC? [YES/NO]
1.Gross Salary
(a)Pension as per provisions contained in clause (ii) of section 17(1)Rs....
2Total amount of salary received Rs....
3Less: Deductions under section 16
(b)Tax on employment undersection 16(iii) Rs....
4Total amount of deductions under section 16 [3(a)+3(b)] Rs....
5Income chargeable under the head "Salaries" [(2-4] Rs....
6Interest Income under the head Other Sources paid by the specified bankRs....
7 Gross total income (5+6) Rs....
8Deductions under Chapter VI-A
Gross AmountDeductible Amount
(a)Deduction in respect of life insurance premia, contributions to provident fund etc. under section 80CRs....Rs....
(b)Deduction in respect of contribution to certain pension funds under section 80CCC Rs....Rs....
(c)Deduction in respect of contribution by taxpayer to pension scheme under section 80CCD(1)Rs....Rs....
(d)Total deduction under section 80C, 80CCC and 80CCD (1) Rs....Rs....
(e) Deductions in respect of amount paid/deposited to notified pension scheme under section 80CCD (1B)Rs....Rs....
(b)Deduction in respect of health insurance premia under section 80DRs....Rs....
(e)Deduction in respect of interest on loan taken for higher education under section 80ERs....Rs....
Gross AmountQualifiying AmountDedctible
(f)Total Deduction in respect of donations to certain funds, charitable institutions, etc. under section 80GRs....Rs....Rs....
(g)Deduction in respect of interest on deposits in savings account under section 80TTBRs....Rs....Rs....
(h)Amount deductible under any other provision(s) of Chapter VI_A
section … Rs....Rs....Rs....
section … Rs....Rs....Rs....
section … Rs....Rs....Rs....
section … Rs....Rs....Rs....
section … Rs....Rs....Rs....
section … Rs....Rs....Rs....
… Rs....Rs....Rs....
(i) Total of amount deductible under any other provision(s) of Chapter VI_A Rs....Rs....Rs....
9Aggregate of deductible amount under Chapter VI-A [8(a)+8(b)+8(c)+8(d)+8(e)+8(f)+8(g)+8(h)+8(i)] Rs....
10Total taxable income (7-9)Rs....
11Tax on total income Rs....
12Rebate under section 87A, if applicableRs....
13Surcharge, wherever applicable Rs....
14Health and education cess Rs....
15Tax payable (11+13+14-12) Rs....
16Less: Relief under section 89 (attach details) Rs....
17Net tax payable (16-17) Rs....
Verification
I,
,son/daughter of
working in the capacity of
(designation) do do hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, and other available records.
Place
(Signature of person responsible for deduction of tax)
Date
Full Name :