(This declaration should be on a Rs.

20/- stamp paper and notarized)

Declaration by Joint Owners / Applicant of Housing Loan

We, <names> do hereby declare that we are the Joint Applicants to the Loan availed, of
the following house.

Address of Property:
<address here>

We, have jointly availed a Housing loan for Rs.__________ (Loan A/c No.
____________ ) from _____________.. However the principal and interest amount in
respect of the house loan availed for the construction/acquisition of the above-referred
house is fully paid by ______________________

We further declare that the income tax benefit in respect of repayment of either the
principle or the interest amount on this loan will be claimed by ___________and we,
_______________________, have not and will not avail any income tax benefit in
respect of repayment of either the principle or the interest amount on this loan during the
Financial Year __________.

Date: Self
(Name & Signature)

Declarant/s
(Name & Signature)