For the use of onsite employees only

Statement of Computation of Loss from House Property for the Financial Year 20013-14

Address of The Loaned Property on

which exemption is claimed

Amount of Loan taken in respect of

property on which exemption is claimed Rs.__________________/-

Name and address of Housing Finance

Company or Lender*

Whether jointly owned** No

Computation :

Interest on Housing Loan-taken for purchase or construction

Total -

Net Income / (Loss) from House Property -

Chek box: I,…………………………………………...(name of the employee) do declare that what is stated above is true to the best of my
information and belief and the loan is repaid by me out of income.

Date :
 For the use of onsite employees only
Statement of Computation of Loss from House Property for the financial year 2013-14(to be declared in respect of each rented property seperately)

Address of The Loaned Property

on which exemption is claimed

Amount of Loan taken in respect

of property on which exemption
is claimed Rs.
Name and address of Housing
Finance Company or Lender*

Whether jointly owned** Yes

Computation :

Income From House Property Mentioned above (Gross Annual Value): 10,000
(Only in case of let-out property: mention the total rent received / receivable during the FY 2013 - 2014)

Less : Property Tax paid( only if actually paid during the year) 1,000

Net Annual value 9,000

Repairs (@30%) of NAV 2,700

(not eligible if self occupied)

Interest on Housing Loan-taken for purchase or construction 100,000

Total 102,700

Net Income / (Loss) from House Property (93,700)

Chek box: I,…………………………………………...(name of the employee) do declare that what is stated above is true to the best of my
information and belief and the loan is repaid by me out of income.

Date :
 Declaration for non-availment of Income Tax Benefits On House Property and Declaration of repayment of loan by borrower

I, …………………………………………………………….(mention relationship) of Mr/ Mrs ……………………………………………... Working in HCL Technologies Ltd

(Employee Code…………….) do hereby declare that in respect of the house property for which he/she is claiming tax benefit under Income
Income from House Property under Income Tax Act 1961 and wherein I am the joint owner thereof, I am not claiming rebate or relief
under the Income Tax Act 1961 for the FY 2019-20 as my spouse/co-owner is assessed to tax in respect of this property/part of this
property for which he/she is claiming tax benefits.

Signature of joint owner:

Date:

I ………………………………………………..(name of the employee)………………..(ecode) do hereby declare that the repayment in respect of

the above home loan for which I am claiming loss under interest on home loan for FY 2019-20 is made by me out of my taxable income.

Signature of the employee:

Date:
 Declaration for Non-Availment of Income Tax Benefits

I, ……………………….. wife/ husband/ of Mr/ Mrs ………………………………………………………………………………,

working in HCL Technologies Ltd(ecode……….) do hereby declare that in respect of the below mentioned investment
for which he/she is claiming tax rebate under Income Tax Act 1961, I am not claiming any rebate or relief whatsoever,
under the Income Tax Act 1961 for the Financial Year 2019-2020.

Amount(Rs.) Date of Payment Policy / Account Number

LIC Policy

PPF account

ULIP

Signature :

Date:
 Form of declaration to be filled by Landlord who does not have a permanent account number (PAN)

Name of Employee:____________________________
Employee code in HCL :______________

1. Full name of the Landlord ____________________________________________

2. Address of the Landlord _____________________________________________
3 Amount of monthly rent ______________________________________

I…………………………………………………….(name of landlord) owner of property located at ……………………………………………………………………..

leased to …………………………………………... (employee name) hereby declare that I do not have a Permanent Account Number under Income Tax Act 1961 .

Date: ________________ ____________________

Place: ________________ Signature of the Landlord