Form 12B, Download Income Tax Form 12B in PDF Format

FORM NO. 12B for Statement Showing Particulars of Perquisites, Other Fringe Bene-Fits or Amenities And Profits In Lieu Of Salary. FORM NO. 12B is be complete and issued by the employer to the employee if the amount of salary paid or payable to the employee id more than Rs. 150000 and this form is signed by the same person who signs from No. 16 in relation to employee(1) The assessee may furnish to the person responsible for making the payment referred to in sub-section (1) of section 192, the details of the income under the head “Salaries” due or received by him from the other employer or employers referred to in sub-section (2) of that section and of any tax deducted at source from such income in Form No. 12B.

(2) The person responsible for paying any income chargeable under the head “Salaries” shall furnish to the person to whom such payment is made, a statement giving correct and complete particulars of perquisites or profits in lieu of salary and the value thereof in,—

(a)  relevant columns provided in Form No. 16, if the amount of salary paid or payable to the employee is not more than one lakh and fifty thousand rupees; or

[(b)  Form No. 12BA, if the amount of salary paid or payable to the employee is more than one lakh and fifty thousand rupees, which shall accompany the return of income of the employee.]

Explanation : “Salary” for the purposes of this rule shall have the same meaning as given in rule 3.]

FORM NO. 12BA

[See rule 26A (2) (b)]

Statement showing particulars of perquisites, other fringe bene-fits or
amenities and profits in lieu of salary with value there-of

1.

Name and address of employer

:

2.

TAN

:

3.

TDS Assessment Range of the employer

:

4.

Name, designation and PAN 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 (non-qualified options)

17.

Other benefits or amenities

18.

Total value of perquisites

19.

Total value of profits in lieu of salary as per section 17(3)

    (9)    Details of tax,—

(a)

Tax deducted from salary of the employee under section 192(1)

(b)

Tax paid by employer on behalf of the employee under section 192(1A)

(c)

Total tax paid

(d)

Date of payment into Government treasury

DECLARATION BY EMPLOYER

I,
, s/o
working as
(designation) do hereby declare on behalf of
(name of the employer) that the information given above is based on the books of account, documents and other relevant records or information available with us and the details of value of each such perquisite are in accordance with section 17 and rules framed there under and that such information is true and correct.

Signature of the person responsible
for deduction of tax

Place

Full Name

Date

Designation

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