STATEMENT OF INCOME & TAX COMPUTATION
Computed under the Income-tax Act, 1961 for the assessment year
| Name / PAN | [Business Name / Assessee] / [PAN] |
| Status / Residential Status | [Individual / Firm / Company] / [Resident] |
| Financial Year / Assessment Year | [FY 20XX-XX] / [AY 20XX-XX] |
| Date | [DD/MM/YYYY] |
| Head of Income | Amount ₹ |
|---|---|
| Income from Salary | [₹] |
| Income from House Property | [₹] |
| Profits & Gains of Business/Profession | [₹] |
| Capital Gains | [₹] |
| Income from Other Sources | [₹] |
| Gross Total Income | [₹] |
| Less: Deductions under Chapter VI-A (80C/80D/80G ...) | [₹] |
| Total (Taxable) Income | [₹] |
| Tax on Total Income | [₹] |
| Add: Surcharge (if applicable) | [₹] |
| Add: Health & Education Cess @ 4% | [₹] |
| Gross Tax Liability | [₹] |
| Less: TDS / TCS / Advance Tax / Self-Assessment Tax | [₹] |
| Net Tax Payable / (Refundable) | [₹] |
Prepared for [Assessee Name]
Signature: ____________________
Legal note: Income is computed under the five heads of Section 14, aggregated as gross total income, reduced by Chapter VI-A deductions, and taxed at applicable slab/rates plus cess. Tax already paid by way of TDS/TCS/advance tax is set off to arrive at the net liability or refund.