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Compliance Format

Form 16 (Salary TDS) Issuance Note

A covering note issued with the Form 16 TDS certificate summarising the salary and tax deducted for the financial year.

FORM 16 — TDS CERTIFICATE ISSUANCE NOTE

Issued with the Form 16 certificate under Section 203 of the Income-tax Act, 1961 read with Rule 31, for TDS on salary. Part A is downloaded from TRACES; Part B contains the salary computation.

Deductor (Employer): [Company Name], [Address]
TAN: [ABCD12345E]   PAN of Deductor: [ABCDE1234F]

Employee Name[Employee Name]PAN of Employee[ABCDE1234F]
Employee Code[EMP-____]Financial Year[YYYY-YY]
Assessment Year[YYYY-YY]Certificate No. (Part A)[__________]
ParticularsAmount (₹)
Gross Salary (Sec 17)[Amount]
Less: Exemptions u/s 10 (HRA, LTA etc.)[Amount]
Standard Deduction / Professional Tax[Amount]
Deductions under Chapter VI-A (80C, 80D, etc.)[Amount]
Taxable Income[Amount]
Tax Payable (incl. cess)[Amount]
Total TDS Deducted & Deposited[Amount]

This is to certify that the above tax has been deducted from the employee's salary and deposited to the credit of the Central Government.

Place: [Place]   Date: [DD/MM/YYYY]     _______________________
Authorised Signatory (Name & Designation)

Compliance note: Form 16 must be issued to every salaried employee by 15th June following the financial year. Part A must be generated/downloaded from the TRACES portal; do not manually alter TRACES data.

Before you use it — fill in / check

  • Company name
  • Employee
  • Amount/detail
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.