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

FORM NO. 12B for Form for Furnishing Details of Income under Section 192(2). FORM NO. 12B is to be used by an assessee who is simultaneously employed under more than one employer, for purpose of designating one of such employer as the person responsible for deduction of the tax on the entire salary.

(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. 12B

[See rule 26A]

Form for furnishing details of income under section 192(2) for the year ending 31st March,


Name and address of the employee

Permanent Account No.

Residential status

 

Particulars of salary as defined in section 17, paid or due to be paid to the employee during the year

S. No

Name and address of employer(s)

TAN of the employer(s) as allotted by the ITO

Permanent Account Number of the employer(s)

Period of employment

Total amount of salary excluding amounts required to be shown in columns 7 and 8

Total amount of house rent allowance, conveyance allowance and other allowances to the extent chargeable to tax[See section 10(13A) read with rule 2A and section 10(14)]

Value of perquisites and amount of accretion to employee’s provident fund account (give details in the Annexure)

Total of columns 6, 7, and 8

Amount deducted in respect of life insurance premium, provident fund contribution, etc., to which sec. 80C applies (Give details)

Total amount of tax deducted during the year (enclose certificate issued under section 203)

Remarks

1

2

3

4

5

6

7

8

9

10

11

12




Signature of the employee

† With effect from 1-4-1991, section 80C has been replaced by section 88.

Verification

I,
, do hereby declare that what is stated above is true to the best of my knowledge and belief.

Verified today, the

day of

Place



Signature of the employee

ANNEXURE

[See column 8 of Form No. 12B]

Particulars of value of perquisites and amount of accretion to employee’s provident fund account

 

 

 

 

Name and address of the employee

Permanent Account No.
Period : Year ending 31st March,

Name of the employee

TAN/PAN of the employer

Value of rent-free accommodation or value of any concession in rent for the accommodation provided by the employer (give basis of computation)[See rules 3(a) and 3(b)]

Where accommodation is furnished

Where accommodation is unfurnished

Value as if accommodation is unfurnished

Cost of furniture (including television sets, radio sets, refrigerators, other household appliances and air- conditioning plant or equipment) OR hire charges, if hired from a third party

Perquisite value of furniture (10% of column 5) OR actual hire charges payable

Total of columns 4 and 6

Rent, if any, paid by the employee

Value of perquisite (column 3 minus column 8 or column 7 minus column 8 as may be applicable)

1

2

3

4

5

6

7

8

9

 

ANNEXURE

(Contd.)

Name of the employee

Whether any conveyance has been provided by the employer free or at a concessional rate or where the employee is allowed the use of one or more motor cars owned or hired by the employer, estimated value of perquisite (give details) [See rule 3(c)]

Remuneration paid by employer for domestic and/or personal services provided to the employee (give details) [See rule 3(g)]

Value of free or concessional passages on home leave and other travelling to the extent chargeable to tax (give details) [See rule 2B read with section 10(5)(ii)]

Estimated value of any other benefit or amenity provided by the employer, free of cost or at concessional rate not included in the preceding columns (give details), e.g., supply of gas, electricity or water for household consumption, free educational facilities, transport for family, etc.[See rules 3(d), 3(e) and 3(f)]

Employer’s contribution to recognised provident fund in excess of 10% of the employee’s salary [See Schedule IV – Part A]

Interest credited to the assessee’s account in recognised provident fund in excess of the rate fixed by the Central Government [See Schedule IV – Part A]

Total of columns 9 to 15 carried to column 8 of Form No. 12B

1

10

11

12

13

14

15

16


Signature of the employee

 

 

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