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
Page 1 3

Employer - PAO CODE Name and Rank of the Employee

66 SUKHVIR SINGH
PAN of the Deductor TAN of the Deductor PAN of the Employee
CFTPS4202Q AGRP10517D GDOPS1896D
CIT(TDS) Address Assessment Year / Tax Option Period
AAYKAR BHAWAN SECTOR 3 VAISHALI 2025-2026 / NEW 01/04/2024 TO 31/03/2025
GHAZIABAD UP
Summary of Tax deducted at Source
Quarter Receipt Numbers of original statements of Amount of tax deducted Amount of tax deducted/remitted
TDS under sub-section(3) of section 200 in respect of the employee in respect of the employee
Quarter 1 770000255007760 13913 13913
Quarter 2 770000271301111 12796 12796
Quarter 3 770000281254945 14167 14167
Quarter 4 770000311540364 4379 4379
Total 45255 45255
PART-B
DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
` ` ` `
1. Gross Salary 1010143
2. Standard Deduction 75000
3. Less Allowance to the extent exempt under Section 10 0
4. BALANCE (1 - 2) 935143
5. DEDUCTIONS :
a. Interest payable on loan u/s 24 : 0
6. Aggregate of 5 ( a to b ) 0
7. Income chargeable under the Head 'SALARIES' (3 - 5) 935143
8. Add: Any other income reported by the employee * 0
9. GROSS TOTAL INCOME (6 + 7) 935143
10. DEDUCTIONS UNDER CHAPTER VI-A GROSS AMT QUAL AMT QUAL AMT DEDUCT AMT
a) Qualified under Sec.80C 0 0 0
b) Qualified for 100% deduction 0 0 0
c) Qualified for 50% deduction 0 0 0
d) Qualified under Sec.80DD 0 0 0
e) Qualified under Sec.80U 0 0 0
11. Aggregate of deductible amount under Chapter VI-A 0
12. Total Income (8 - 10) Rounded 935140
13. TAX ON TOTAL INCOME 43514
14. Health & Education Cess @4% (on tax computed at Sl.No.12) 1741
15. Tax Payable (12 + 13) 45255
16. Less: Relief under Section 89(attach Details) 0
17. Less : Tax Deducted 45255
18. TAX PAYABLE/REFUNDABLE (15 - 16) 0

**
VERIFICATION
 BREAK UP OF TAXABLE EMOLUMENTS FINANCIAL YEARWISE Page 2 3
Note : Health and Education Cess @4% Charged On Income Tax (Rounded off to next higher rupee)

I, KUMAR MANI SHANKAR, son/daughter of MAHAVIR SAH working in the capacity of AAO do hereby
certify that a sum of Rs. 45255 (in words) Rupees Forty Five Thousand Two Hundred Fifty Five only has been
deducted and deposited to the credit of Central Government. I further certify that the above information is true,
complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and
other available records.

Note * : Sl.No.8 above Other Income includes taxable interest accrued on Fund Subscription above 500000 Rupees

Place : FATEHGARH Signature of the person responsible for deduction of tax

Date : 05/06/2025 Full Name KUMAR MANI SHANKAR
Designation AAO
 BREAK UP OF TAXABLE EMOLUMENTS FINANCIAL YEARWISE Page 3 3

Employer - PAO Code Name and Rank of the Employee

66 SUKHVIR SINGH
For the financial year from 01/03/2023 to 29/02/2024 = 65969.0
For the financial year from 01/03/2024 to 28/02/2025 = 944174.0
Total taxable emoluments 1010143.0