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TMI BlogIncome-tax (3rd Amendment) Rules, 2021 - Form No 12BA replaced - Statement showing particulars of perquisites, other fringe benefits or amenities and profits in lieu of salary with value thereofX X X X Extracts X X X X X X X X Extracts X X X X ..... sment Range of the employer : 4. Name, designation and Permanent Account Number or Aadhaar Number of employee : 5. Is the employee a director or a person with substantial interest in the company (where the employer is a company) : 6. Income under the head "Salaries" of the employee (other than from perquisites) : 7. Financial year : 8. Valuation of Perquisites : S. No. Nature of perquisites (see rule 3) Value of perquisite as per rules (Rs.) Amount, if any, recovered from the employee (Rs.) Amount of perquisite chargeable to tax Col. (3) - Col. (4) (Rs.) (1) (2) (3) (4) (5) 1. Accommodation 2. Cars/Other automotive 3. Sweeper, gardener, watchman or personal attendant 4. Gas, electricity, water 5. Interest free or concessional loans 6. Holiday expenses 7. Free or concessional travel 8. Free meals 9. Free education 10. Gifts, vouchers, etc. 11. Credit card expenses 12. Club expenses 13. Use of movable assets by employees 14. Transfer of assets to employees 15. Value of any other benefit/amenity/service/privilege 16. Stock options allotted or transferred by employer being an eligible start ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... er 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. ... 3. Total amount of salary received from current employer [1(d)-2(h)] Rs. ... 4. Less: 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. ... 5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] Rs. ... 6. Income chargeable under the head "Salaries" [(3+1(e)-5] Rs. ... 7. Add: Any other income reported by the employee under as per section 192 (2B) (a) Income (or admissible loss) from house property reported by employee offered for TDS Rs. ... (b) Income under the head Other Sources offered for TDS Rs. ... 8. Total amount of other income reported by the employee [7(a)+7(b)] Rs. ... 9. Gross total incom ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ;………….., 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 : …………………………… Notes: 1. Government deductors to fill information in item I of Part A if tax is paid without production of an income-tax challan and in item II of Part A if tax is paid accompanied by an income-tax challan. 2. Non-Government deductors to fill information in item II of Part A. 3. The deductor shall furnish the address of the Commissioner of Income-tax (T ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... AA). House rent allowance under section 10(13A). PAN of landlord, if exemption is claimed under section 10(13A) (see Note 3). Amount of any other exemption under section 10. Total amount of exemption claimed under section 10 (340+ 341 +342 +343 +344+ 346). Total deduction under section 16(ia). (339) (340) (341) (342) (343) (344) (345) (346) (347) (348) Total deduction under section 16(ii). Total deduction under section 16(iii). Income chargeable under the head "Salaries" [338+339- (347+348+ 349+350)]. Income (or admissible loss) from house property reported by employee offered for TDS as per section 192 (2B). PAN of lender, if interest on housing loan is claimed under section 24(b) (see Note 4). Income under the head other sources offered for TDS as per section 192 (2B). Gross total income (351+352+ 354). Deduction in respect of life insurance premia, contributions to provident fund etc. under section 80C. Deduction in respect of contribution to certain pension funds under section 80CCC. Deduction in respect of contribution by taxpayer to notified pension scheme under section 80CCD(1) (3 ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... nised provident fund chargeable to tax in accordance with rule 6 of Part A of the Fourth Schedule of the Income-tax Act, 1961, any sums deemed to be income received by the employee in accordance with sub‐rule (4) of rule 11 of Part A of the Fourth Schedule of the Income-tax Act, 1961, any contribution made by the Central Government to the account of the employee under a pension scheme referred to in section 80CCD or any other sums chargeable to income-tax under the head 'Salaries'. 2. Where an employer deducts from the emoluments paid to an employee or pays on his behalf any contributions of that employee to any approved superannuation fund, all such deductions or payments should be included in the statement. 3. Permanent Account Number of landlord shall be mandatorily furnished where the aggregate rent paid during the previous year exceeds one lakh rupees. 4. Permanent Account Number of lender shall be mandatorily furnished where the housing loan, on which interest is paid, is taken from a person other than a Financial Institution or the Employer.". [F.No. 370142/04/2019-TPL] ANKIT JAIN, Under Secy. (Tax Policy and Legislation) Note: The principal rules w ..... X X X X Extracts X X X X X X X X Extracts X X X X
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