{"id":50,"date":"2014-12-11T00:00:00","date_gmt":"2014-12-10T18:30:00","guid":{"rendered":""},"modified":"2015-12-29T10:31:15","modified_gmt":"2015-12-29T05:01:15","slug":"format-of-form-no-12ba-part-6-of-circular-17-2014","status":"publish","type":"post","link":"https:\/\/taxclick.org\/type\/income-tax\/format-of-form-no-12ba-part-6-of-circular-17-2014\/","title":{"rendered":"Format of Form No. 12BA (Part 6 of Circular 17\/2014)"},"content":{"rendered":"

<\/a>ANNEXURE-II<\/strong><\/span><\/v:line><\/p>\n

 <\/p>\n

  <\/p>\n

FORM
\nNO.12BA {See rule 26A(2)(b)}<\/strong><\/p>\n

 <\/p>\n

Statement
\nshowing particulars of perquisites, other fringe benefits or amenities and
\nprofits in lieu of salary with value thereof<\/strong><\/p>\n

 <\/p>\n

1)     
\nName
\nand address of employer : <\/p>\n

 <\/p>\n

2)     
\nTAN\n<\/p>\n

 <\/p>\n

3)   
\nTDS
\nAssessment Range of the employer : <\/p>\n

 <\/p>\n

4)     
\nName,
\ndesignation and PAN of employee : <\/p>\n

 <\/p>\n

5)     
\nIs the employee a director or a person
\nwith : substantial interest in the company <\/p>\n

 <\/p>\n

(where
\nthe employer is a company) <\/p>\n

 <\/p>\n

6)      Income
\nunder the head “Salaries” of the employee : (other than from
\nperquisites) <\/p>\n

 <\/p>\n

7)     
\nFinancial
\nYear : <\/p>\n

 <\/p>\n

8)     
\nValuation
\nof Perquisites <\/p>\n

 <\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

S.No<\/p>\n<\/td>\n

\n

Nature of perquisite<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

Value of<\/p>\n<\/td>\n

\n

Amount,
\n if any<\/p>\n<\/td>\n

\n

Amount of<\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

(see
\n rule 3)<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

perquisite as per<\/p>\n<\/td>\n

\n

recovered
\n from<\/p>\n<\/td>\n

\n

perquisite<\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

rules<\/p>\n<\/td>\n

\n

the employee<\/p>\n<\/td>\n

\n

chargeable
\n to tax<\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

(Rs.)<\/p>\n<\/td>\n

\n

(Rs.)<\/p>\n<\/td>\n

\n

Col(3)
\n – Col(4)<\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

(Rs.)<\/p>\n<\/td>\n<\/tr>\n

\n

(1)<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

(2)<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

(3)<\/p>\n<\/td>\n

\n

(4)<\/p>\n<\/td>\n

\n

(5)<\/p>\n<\/td>\n<\/tr>\n

\n

1<\/p>\n<\/td>\n

\n

Accommodation<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

2<\/p>\n<\/td>\n

\n

Cars\/Other automotive<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

3<\/p>\n<\/td>\n

\n

Sweeper, gardener,<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

watchman or personal<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

attendant<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

4<\/p>\n<\/td>\n

\n

Gas, electricity, water<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

5<\/p>\n<\/td>\n

\n

Interest<\/p>\n<\/td>\n

\n

free or<\/p>\n<\/td>\n

\n

concessional<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

loans<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

6<\/p>\n<\/td>\n

\n

Holiday expenses<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

7<\/p>\n<\/td>\n

\n

Free or concessional
\n travel<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

8<\/p>\n<\/td>\n

\n

Free meals<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

9<\/p>\n<\/td>\n

\n

Free Education<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

10<\/p>\n<\/td>\n

\n

Gifts, vouchers etc.<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

11<\/p>\n<\/td>\n

\n

Credit card expenses<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

12<\/p>\n<\/td>\n

\n

Club expenses<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

13<\/p>\n<\/td>\n

\n

Use  of  movable  assets 
\n by<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

employees<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

14<\/p>\n<\/td>\n

\n

Transfer<\/p>\n<\/td>\n

\n

of<\/p>\n<\/td>\n

\n

assets<\/p>\n<\/td>\n

\n

to<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

employees<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

<\/a>15<\/p>\n<\/td>\n

\n

Value<\/p>\n<\/td>\n

\n

of<\/p>\n<\/td>\n

\n

any<\/p>\n<\/td>\n

\n

other<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

benefit\/amenity\/service\/privil<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

ege<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

16<\/p>\n<\/td>\n

\n

Stock  options 
\n (non-qualified<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

options)<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

17<\/p>\n<\/td>\n

\n

Other benefits or
\n amenities<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

18<\/p>\n<\/td>\n

\n

Total value of
\n perquisites<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

19<\/p>\n<\/td>\n

\n

Total value of
\n Profits in lieu<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

\n

 <\/p>\n<\/td>\n

\n

of salary as per 17(3)<\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n

\n

 <\/p>\n<\/td>\n<\/tr>\n

<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

9. 
\nDetails of tax, –<\/p>\n

(a) Tax deducted
\nfrom salary of the employee u\/s 192(1)                  \u2026\u2026\u2026<\/p>\n

(b) Tax paid by employer on
\nbehalf of the employee u\/s 192(1A)   \u2026\u2026\u2026<\/p>\n

(c) Total tax
\npaid                                                                                \u2026\u2026\u2026<\/p>\n

 <\/p>\n

(d) <\/strong>Date of payment
\ninto Government treasury                                 \u2026\u2026\u2026<\/p>\n

 <\/p>\n

DECLARATION BY EMPLOYER<\/strong><\/p>\n

 <\/p>\n

I \u2026\u2026\u2026\u2026\u2026\u2026. s\/o \u2026\u2026\u2026\u2026\u2026\u2026\u2026.  working as \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026(designation)<\/p>\n

 <\/p>\n

do hereby declare on behalf of \u2026\u2026\u2026\u2026\u2026..\u2026.. (name of
\nthe employer) that the information given above is based on the books of
\naccount, documents and other relevant records or information available with us
\nand the details of value of each such perquisite are in accordance with section
\n17 and rules framed thereunder and that such information is true and correct.<\/p>\n

 <\/p>\n

 <\/p>\n

Signature of the person responsible<\/p>\n

for deduction of tax<\/p>\n

Place\u2026<\/p>\n

Date\u2026                                                                              Full
\nName \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n

 <\/p>\n

Designation\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n

 Download Circular No. 17\/2014<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

ANNEXURE-II        1)      Name and address of employer :   3)    TDS Assessment Range of the employer :     (where the employer is a company) 6)      Income under the head “Salaries” of the employee : (other than from perquisites)   8)      Valuation of Perquisites S.No Value of Amount of     (see … Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[40],"yoast_head":"\nFormat of Form No. 12BA (Part 6 of Circular 17\/2014) - All About Finance<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/taxclick.org\/type\/income-tax\/format-of-form-no-12ba-part-6-of-circular-17-2014\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Format of Form No. 12BA (Part 6 of Circular 17\/2014) - All About Finance\" \/>\n<meta property=\"og:description\" content=\"ANNEXURE-II        1)      Name and address of employer :   3)    TDS Assessment Range of the employer :     (where the employer is a company) 6)      Income under the head “Salaries” of the employee : (other than from perquisites)   8)      Valuation of Perquisites S.No Value of Amount of     (see ... 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