INVESTMENT DECLARATION FORM FOR FY 2012-13 Exemption and Deduction u/s 10, 24 & 80 Of Income Tax Act, 1961 | |Employee ID |AD2C014 | |Employee Name |Avinash Kumar Pandey |No of School going|No of Hostel | | | |Children |staying Children | |D. O. J. 24th of September 2012 | | | |PAN Number | |0 |0 | | | | | |Item |Particulars |Max Limits |Actual Investment | |Deduction Under Section 10 | |House Rent |Monthly Rent Paid : 12000. 00 | | | | |Monthly rent paid/payable for the period | | | | |From___________to_____________Rs.
__________p. m. From___________to_____________ | | | | |Rs. __________p. m.
Please specify the months for which the rent is paid/payable during | | | | |the Financial Year 2012-2013) | | | |Item |Rate Code |Particulars |Max Limits |Actual Investment | |Deduction under| |Interest on Housing Loan |1,50,000. 00 | | |Section 24 | | | | | | | |Interest if the loan is taken before 01/04/99 | | | |Note : Form 12 C along with the alculation of loss on house property needs to be attached for considering the above | |Item |Rate Code |Particulars |Max Limits |Actual Investment | |Deduction under| |Sec 80D – Medical Insurance Premium |15000. 00 | | |Chapter | | | | | |VI A | | | | | | | |Sec 80DD – Medical treatment/insurance of handicapped dependant |50000. 0 | | | | |Sec 80DDB – Medical treatment (specified diseases only) |40,000.
00 | | | | |SEC 80E – Deduction In Respect Of Repayment Interest Of Education Loan |NO LIMIT | | | | |Taken For Higher Education | | | | | |Sec 80U – DEDUCTION IN CASE OF PERSON WITH DISABILITY |50,000. 00 | | | | |Sec 80C, Sec 80CCD, Sec 80CCC – |1,00,000. 0 | | | |1 |Tax saving mutual funds (ELSS) with three years lock-in | | | | |2 |Five year tax-saver bank Fixed deposits | | | | |3 |Public provident fund (PPF) | | | | |4 |National Savings Certificate (NSC) or National Service Scheme (NSS) | | | | |5 |Employer contribution into New Pension Scheme (NPS) (Section 80CCD) | | | | |6 |Life insurance/Unit Linked Insurance Plan (ULIP) premium | | | | |7 |Employee’s contribution towards Employee provident fund (EPF) | | | | |8 |Home loan principal mount payment (only if you have got possession of | | | | | |house) | | | | |9 |Senior citizen savings scheme (SCSS), if your age is more than 60 years | | | | |10 |Post office tax saving deposit or tax saving bonds | | | | |11 |Pension scheme/Retirement plans (Secion 80CCC) | | | | |12 |Tuition fees paid for children’s education | | | | | |Long Term Infrastructure Bonds (Section 80 CCF): | | | Declaration: The above particulars of investments and deductions will be made by me during Financial Year 2012-13. I am also aware that the Company will be considering the above details in utmost good faith based on the details provided by me and that I am personally liable for any consequences arising out of errors, if any, in the above information. NAME : DATE : SIGNATURE OF EMPLOYEE