Income Tax Proof Submitted For The Year 2012-2013 Self Declaration Form

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INCOME TAX PROOF SUBMITTED FOR THE YEAR 2012-2013

SELF DECLARATION FORM

I have paid the premium for the following policies where the life assured is of my
spouse/children. I have deposited the amount in LIP (Life Insurance Premium) / PPF
(Public Provident Fund) account of my Spouse / Children. I declare that they will not
claim any benefit under Income tax Act for the same and the benefit of this should be
given to me while calculating tax on my salary

Details

Amount

I also undertake to reimburse to the company, any liability arising out of disallowance
of the above exemption by the income tax authorities of account of error.

Place
Date

Signature of the employee

INCOME TAX PROOF SUBMITTED FOR THE YEAR 2012-2013


Employee Code___________________
Employee Name____________________________________
Address of Property

UNDERTAKING FOR JOINT LOAN


I,_______________________________S/o, D/o_________________________________
Residing at ___________________(Location), hereby solemnly undertake that I will be
the one and only /______% beneficiary of the Income Tax rebate and concession for the
joint loan taken from ____________________________(Bank Name) for the property
mention above.
I have paid the installment for the loan taken out of my taxable income for the financial
year period 2012-2013.
Signature_____________________________
Name________________________________
Place________________________________
Date______/_______/_________

CONFIRMATION FOR JOINT LOAN


We confirm that we are the joint co applicant of the above loan and we hereby solemnly
confirm and undertake that we shall take any benefit / restrict the benefit taken by us to
benefit % mentioned below for purpose of claiming rebate under the Income Tax Act,
1961 for the Financial Year period of 2012-2013.

Benefit %
Signature
Name
Place
PAN No

Co-Borrower One
____________________
____________________
____________________
____________________
____________________

Co-Borrower Two
________________
________________
________________
________________
________________

Co-Borrower Three
__________________
__________________
__________________
__________________
__________________

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