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Income Tax Proof Submitted For The Year 2012-2013 Self Declaration Form
Income Tax Proof Submitted For The Year 2012-2013 Self Declaration Form
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
Benefit %
Signature
Name
Place
PAN No
Co-Borrower One
____________________
____________________
____________________
____________________
____________________
Co-Borrower Two
________________
________________
________________
________________
________________
Co-Borrower Three
__________________
__________________
__________________
__________________
__________________