TO WHOMSOEVER IT MAY CONCERN

I, __________________________________________ resident of ______________

________________________________________ do hereby solemnly declare as
under
1. That I have acquired/constructed* a residential property on _______________
(Date

of

occupation/

possession

of

the

property)

located

at

______________________________ _____________________________ (Address

of the property).
2. That the aforesaid property has been acquired in Joint name and the loan has
been borrowed in the joint names of ___________________ (Name of Employee)
and

__________________________

(name

of

joint

owner)

who

is

my

_________________ (Relationship of joint owner).

3. The entire principal & interest is repaid by me and Co-owner is not claiming any
tax benefit.
OR
4. ____________ % of the entire principal & interest is repaid by me and the balance
is paid by my co-owner

Date:
Place:

Signature
Name of Employee:
Emp ID:

Signature
Name of the co-owner/ coborrower/ joint holder

Verification
I, ______________________ do hereby declare that what is stated above is true to
the best of my knowledge and belief. Verified today, this _____ day of ___________
20__.

Date :
Place:

Signature
Name of the employee