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Form No. 130

Certificate under section 395 for tax deducted at source on salary paid to an employee under section 392 or pension or interest income of specified senior citizen under section 393(1) [Table: Sl. No. 8(iii)]

Prescribed under rule 215(1)[Table: Sl. No. 1] · Rule 215

Certificate No.

Last updated on

Details of the employer/specified bank

1.

Name

(refer Note 1)

2.

Address

(refer Note2)

3.

Permanent Account Number

4.

Tax Deduction and Collection Account Number

5.

Email id

6.

Contact number

Country Code

Number

7.

Tax year

8.

Period with the employer

(dd/mm/yyyy)

to

(dd/mm/yyyy)

Details of the employee/ specified senior citizen

9.

Name

(refer Note 1)

10.

Address

(refer Note 2)

11.

Permanent Account Number

PART B

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Quarter (s)

Receipt Numbers of original

quarterly statements ofTDS

under section 397(3)(b)

Amount

paid/credited

Rate of

deduction of

tax

Amount of

tax deducted

Amount of tax

deposited/ adjusted

Total

I. Details of tax deducted and deposited in the central government account through book adjustment (The deductor to provide payment wise details of tax deducted and deposited)

Sl. No.

Tax deposited

(refer Note 5)

Book Identification Number (BIN)

Receipt

numbers of

Form No.

DDO serial number inForm No. 137

Date of Transfer

voucher

(dd/mm/yyyy)

Status of Matching with Form No. 137

137

Total

II. Details of tax deducted and deposited in the central government account through challan (The deductor to provide payment wise details of tax deducted and deposited)

Sl. No.

Tax deposited

(refer Note 5)

Challan Identification Number (CIN)

BSR Code of

the Bank

Branch

Date on which tax

deposited (dd/mm/yyyy)

Challan Serial

Number

Status of matching with TIN 2.0

Total

DECLARATION

I, … … … … … .., (name of person responsible for deduction of tax) … … … … . having Permanent Account Number …… working in the capacity as … … . (designation) of … … … . (name of the deductor) do hereby certify that a sum of ₹ … … … … .. [₹ …………(in words)] has been deducted and deposited to the credit of the Central Government.

I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place: Signature of person responsible for deduction of tax

Date: Name:

Designation: …………………

Notes:

1. In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full

2. The address shall contain i. Country/Region, ii. Flat/Door/Block number iii. Road/Street/Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State

3. Government deductors to fill information in item I of Part B if tax is paid without production of an income-tax challan and in item II of Part A if tax is paid accompanied by an income-tax challan.

4. Non-Government deductors to fill information in item II of Part B.

5. In Part B, total tax deducted shall be sum of amount of tax deducted, surcharge and health & education cess.

6. If an assessee is employed under one employer only during the year, certificate in Form No. 130 issued for the quarter ending on 31st March of the tax year shall contain the details of tax deducted and deposited for all the quarters of the tax year.

7. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A and Part B of the certificate in Form No. 130 pertaining to the period for which such assessee was employed with each of the employer.

8. Some of the information in the Form would be pre-filled to the extent possible.

9. Amounts to be filled in ₹ unless otherwise provided.

PART C (Annexure-I)

In relation to employees for tax deduction under section 392

Row

No.

Particulars

A

Whether opting out of taxation under section 202(1)?

(Yes/No)

1.

Gross Salary

(a) Salary as per provisions contained in section 16

(b) Value of perquisites under section 17 (as per Form No. 123, wherever applicable)

(c) Profits in lieu of salary under section 18 (as per Form No. 123, wherever applicable)

(d) Total

(e)Reported total amount of salary received from other employ- er(s)

2.

Allowances to the exempt under section 11

(a) Travel concession or assistance under section 11 being of the nature referred to in Schedule III [Table: Sl. No. 8]

(b) House rent allowance under section 11 being of the nature referred to in Schedule III [Table: Sl. No. 11]

(c) Other special allowances under section 11 being of the na- ture referred to in Schedule III [Table: Sl. No. 12 and 13]

(d) Amount of any other exemption under section 11

section

section

section

…

(e) Total amount of any other exemption under section 11

(f) Total amount of exemption claimed under section 11 [2(a)+2(b)+2(c)+2(e)]

3.

Total amount of salary received from current employer [1(d)-2(f)]

4.

Deductions under section 19(1)

(a) Tax on employment under section 19(1) [Table: Sl. No.1]

(b) Standard deduction under section 19(1) [Table: Sl. No.2]

(c) Gratuity under section 19(1) [Table: Sl. No.3,4,5,6]

(d) Commuted value of pension under section 19(1) [Table: Sl.

No. 7,8,9]

(e) Compensation as received by workmen under section 19(1) [Table Sl. No. 10,11]

(f) Amount received on voluntary retirement or termination of service under section 19(1) [Table Sl. No. 12]

(g) Cash equivalent of leave salary encashment under section 19(1) [Table: Sl. No. 13,14]

5.

Total amount of deductions under section 19(1) [4(a)+4(b)+4(c) +4(d)+4(e)+ 4(f) +4(g)]

6.

Income chargeable under the head "Salaries" [3+1(e)-5]

7.

Any other income reported by the employee as per section 392(4)

(a) Amount chargeable under any head of income other than “Salaries” as per section 392(4)(a)(iv)

(b) Any loss from house property reported by employee under section 392(4)(a)(iii)

8.

Total amount of other income reported by the employee [7(a)- 7(b)]

9.

Gross total income (6+8)

10.

Deductions under Chapter VIII of the Act

Gross

Amount

Deductible

Amount

(a) Deduction in respect of life insurance premia, contributions to provident fund, certain pension funds, notified pension schemes etc. under section 123

(b) Deductions in respect of amount paid/deposited to notified pension scheme under section 124(3)

(c) Deduction in respect of contribution by Employer to pension scheme under section 124(1)(a)

(d) Deduction in respect of health insurance premia under sec- tion 126

(e) Deduction in respect of interest on loan taken for higher ed- ucation under section 129

(f) Deduction in respect of contribution by the employee to Ag- nipath Scheme under section 125 (1)

(g) Deduction in respect of contribution by the Central Gov- ernment to Agnipath Scheme under section 125 (2)

Gross

Amount

Qualifying

Amount

Deductible

Amount

(h) Total Deduction in respect of donations to certain funds, charitable institutions, etc. under section 133

(i) Deduction in respect of interest on deposits in savings ac- count under section 153

(j) Amounts deductible under any other provisions of Chapter VIII of the Act

section

section

section

(k) Total of amount deductible under any other provision(s) of Chapter VIII of the Act

11.

Aggregate of deductible amount under Chapter VIII of the Act [10(a) + 10(b) + 10(c) + 10(d) + 10(e) + 10(f) + 10(g) + 10(h) + 10(i) + 10(k)]

12.

Total taxable income (9-11)

13.

Tax on total income

14.

Rebate under section 156, if applicable

15.

Surcharge, wherever applicable

16.

Health and education cess @ 4%

17.

Tax payable (13+15+16-14)

18.

Relief under section 157 (attach details)

19.

Tax deducted at source as per Form No. 122 submitted under provisions of section 392(4)

20.

Tax collected at source as per Form No. 122 submitted under provisions of section 392(4)

21.

Net tax payable (17-18-19-20)

DECLARATION

I, … … … … … .., (name of person responsible for deduction of tax) … … … … . having Permanent Account Number …. …… working in the capacity as … … . (designation) of … … … . (name of the deductor) do hereby certify that a sum of ₹ … … … … .. [₹ …………(in words)] has been deducted and deposited to the credit of the Central Government.

I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place: Signature of person responsible for deduction of tax

Date: Name:

Designation: ………… ………

Notes:

1. Part C (Annexure-I) of the certificate in Form No. 130 may be issued by each of the employers or the last em- ployer at the option of the assessee.

2. Deductor shall duly fill details, where available, in item numbers 2(c) and 10(h) before furnishing of Part C (Annexure-I) to the employee.

3. Amounts to be filled in ₹ unless otherwise provided.

PART C (Annexure-II)

In relation to specified senior citizen for tax deduction under 393(1) [Table: Sl. No. 8(iii)]

A

Whether opting out of taxation under section 202(1)?

YES/NO

1.

Gross Salary

(a) Pension as per provisions contained in section 16

2.

Total amount of salary received

3.

Deductions under section 19

(a) Tax on employment under section 19 [Table: Sl. No.1]

(b) Standard deduction under section 19 [Table: Sl. No.2]

4.

Total amount of deductions under section 19 [3(a)+3(b)]

5.

Income chargeable under the head "Salaries" [(2-4]

6.

Interest Income under the head “Other Sources” paid by the speci- fied bank

7.

Gross total income (5+6)

8.

Deductions under Chapter VIII of the Act

Gross

Amount

Deductible

Amount

(a) Deduction in respect of life insurance premia, contributions to provident fund, certain pension funds, notified pension schemes etc. under section 123

(b) Deductions in respect of amount paid/deposited to notified pen- sion scheme under section 124(3)

(c) Deduction in respect of health insurance premia under section 126

(d) Deduction in respect of interest on loan taken for higher educa- tion under section 129

Gross

Amount

Qualifying

Amount

Deductible

Amount

(e) Total Deduction in respect of donations to certain funds, chari- table institutions, etc. under section 133

(f) Deduction in respect of interest on deposits in savings account under section 153(2)(b)

(g) Amount deductible under any other provision(s) of Chapter VIII of the Act

section

section

section

(h) Total of amount deductible under any other provision(s) of Chapter VIII of the Act

9.

Aggregate of deductible amount under Chapter VIII of the Act[8(a) + 8(b) + 8(c) + 8(d) + 8(e) + 8(f) + 8(h)]

10.

Total taxable income (7-9)

11.

Tax on total income

12.

Rebate under section 156, if applicable

13.

Surcharge, wherever applicable

14.

Health and education cess @ 4%

15.

Tax payable (11+13+14-12)

16.

Relief under section 157 (attach details)

17.

Net tax payable (15-16)

DECLARATION

I, … … … … … .., (name of person responsible for deduction of tax) … … … … . having Permanent Account Number … … … working in the capacity as … … . (designation) of … … … . (name of the deductor) do hereby certify that a sum of ₹ … … … … .. [₹ …………(in words)] has been deducted and deposited to the credit of the Central Government.

I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place: Signature of person responsible for deduction of tax

Date: Name:

Designation: …………………

Notes:

1. Part C (Annexure-II) of the certificate in Form No. 130 may be issued by the specified bank to a specified sen- ior citizen.

2. Amounts to be filled in ₹ unless otherwise provided.

Source: Income-tax Rules, 2026, Appendix III – notified by the CBDT vide G.S.R. 198(E) dated 20 March 2026. Reproduced for reference; the layout of the official Gazette form may differ slightly. Please verify with the official notification.

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