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T D S - FORM 16 for Assessment Year 2014-15 (Financial Year 2013-14)
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Select Age for Auto Tax Calculation
Below 60 years Above 60 but below 80 yearsAbove 80 years
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www.sahayam.in
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FORM NO. 16
[See rule 31(1)(a)]
Part A		www.sahayam.in
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Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on Salary
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 Certificate No. Last updated on
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Name and address of the Employer Name and address of the Employee
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PAN of the Deductor TAN of the Deductor PAN of the Employee Employee Reference No. provided by the Employer (If available)
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CIT(TDS) Assessment YearPeriod
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Address
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2014-15FromTowww.sahayam.in
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CityPin code
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Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
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Quarter 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. )
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Quarter 1
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Quarter 2
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Quarter 3
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Quarter 4
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Total (Rs.)000
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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)
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Sl. No.Tax Deposited in respect of the deductee
( Rs. )		Book Identification Number (BIN)
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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
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Total ( Rs. )0
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II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
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Sl. No.Tax Deposited in respect of the deductee
( Rs. )		Challan Identification Number (CIN)
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BSR Code of the Bank BranchDate on which tax deposited (dd/mm/yyyy)Challan Serial
Number		Status of matching with OLTAS
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1
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Total ( Rs. )0
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Verification
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I,
son/daughter of
working in the capacity of
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(designation) do hereby certify that a sum of Rs.
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#NAME?
(in words)] has been
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deducted and deposited to the credit of the Central Government. I further certify that the information given above is
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true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and
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other available records.
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 Place
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 Date(Signature of person responsible for deduction of tax)
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 Designation: Full Name:
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Notes:
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1Government deductors to fill information in item I if tax is paid without production of an income-tax challan and in item II if tax is paid accompanied by an income-tax challan.
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Non-Government deductors to fill information in item II.
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The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TDS statements
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of the assessee.
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4If an assessee is employed under one employer only during the year, certificate in Form No. 16 issued for the quarter ending on 31st March of the financial year shall contain the details of tax deducted and deposited for all the quarters of the financial year
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5If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No. 16 pertaining to the period for which such assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No.16 may be issued by each of the employers or the last employer at the option of the assessee.
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In items I and II, in column for tax deposited in respect of deductee, furnish total amount of TDS and education cess.
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PART B (Annexure)
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 DETAILS OF SALARY PAID AND ANY OTHER INCOME AND TAX DEDUCTED
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1. Gross salary
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(a) Salary as per provisions contained in
section 17(1)		Rs.
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(b) Value of perquisites u/s 17(2) (as per
Form No. 12BB, wherever applicable) 		Rs.
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(c) Profits in lieu of salary under section
17(3) (as per Form No. 12BA,
wherever applicable) 		Rs.
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