HiKAL Declaration of Tavestment for claiming Tax Rebates 7 Deductions For the Financial Year 2019 -20 Employee Code Bienes [name of Employee Ba Voreko_~ as ee ee Date of Birth aoe lG77 - [eender Made Location ae [PAN ( Mandatory ) ABKLLP GIRL |Contact no. GCE COFZD Pate of Joining S/o gfrols . SECTION= DECLARATION OF SAVING ALLOWED U/S $0(13A) OF THE TTAK ACT, 1961) [in Respect of House Rent Paid RENT PM, Rent soreement mandatory slong wRh landlord pan Grd copy cl, Haha Park Souety, Lforo TER Oe codebeakas Maknolev Tenpte. RENT PA, live pire, Pervela + Zc by 000 (DECLARATION OF SAVING ALLOWED U/S 80 OF THE TT ACT, 1961) lowed under chaotes VisA ‘smo [Description ‘AMOUNT (R5) [Secion 800 —~Wedieat surance Premium Max up RS 75,0007 or nddual ad ¥seior ltuzon Max. up to Rs 50,000/- [ PBedtion B00 Medical insurance renTuM TO PERE MAR Op WS RES TOOT” Br Salar CRETE = rs, s0000 > [Seaton S000 Wail treatment of Nanaia Dapandant wy deabiiy Ma upta Ra, TEBOOT = (.1,25,000/-m case ofsevere asa) __}Secaon ou Permanent Physica aby (Re 750007) 5 ___ [Secon = _- Payment of mereston fan faken for igher Cauca a 6 [omen ‘SECTION PROOF OF SAVING U/S 80C OF THE TT ACT, 19 Investment under this Sec can be made upto Rs. 1.5 Lac in any of the below ‘sho [peecrstion Moun (Re) 1 __ [psi ronan Fon (PrP) 10,0007 2 [tite mowrance Ponces (U6) SRIFA, 3 [tna Savor Create Prctaea WEE) = ig Lon vpn of rca ono a manu of STAC A ning ae DA + [stoner Stren ced re pret Tran Pee Ae) ~ 5 [ot na rane an (UP) = © [rai rnas ess = 7 __[sstane snwaan See = 3 Pein Pn e0cccy = 9 __[estaren Econ Fees nly Tton Fos) = 30 [Fee eos Tx Suns Fd apo (pra rots an Seas) = i [overs (Pane spect — JAvaregate amt of investments u/s 80C, SOCCC Rs-150,000/- + u/s SOCCD(Ab)Additional deduction of Rs. 50,000 1 [section 0¢¢0 Conran bye lovee Netna Penn Scheme (MP5) — lx hereby declare that what le stated above i correct. X undertake to inform any change in the above facts, sionature ot employee ate otlor] 2 ro) age 2(PROOF OF DEDUCTION U/S 24 OF THE TT ACT, 1961) [Housing Loan - Repayment of Interest (Max. upto Rs.2,00,000/- Only for salf occupied property) rovsional certificate from bank along with this declaration form. fs. adores or te Property against which Loan taken 2. Sa - Occupied / Rete urpose ofthe Loan (constriction / Acquiring property) 5. construction of Property wit be completes on or before (ate) 6. pate on which Construction sl be Crete 7. Date of Possession of Property crease mertion month & Year Date cannot be known) pen mownt oimaret aia h an ar An 30 each 383) = sam ten — _ re amber re — i hs sects nen tre fr p-cnsctnpnen 9) 112. ownership (Joint or Sole) [ [ 3st owner tad Rep ah Owner) ea share of tnt Owner(s) im Property Wether any sum Contributes by int Owner in Acaung Property [ ams oop enh pW re ei ad a or Tt wether ont Owners are cating Deduction Under Income Tax Act, 1961 On Account of Housing Loan Taken for |< [mresais Property He £ ‘omchel do hereby declare that the aforesaid information is true and correct to the best of ry itrmation and beer ana shall inert te company against a costs and consequences any iformaton lotr on found to be incorrect. ~~ Iie lec po.FORM NO.1288 (See rule 26¢) 11. Name and address of the employee: Tometat [2. Permanent Account Number of the employee: 2 Ee Le = 3, Financial year 203 20(4- 70 Details of claims and evidence thereof ISINo. Nature of claim “Amount (Rs) | Evidence / particulars @ @ (3) (4) a [House Rent Allowance’ () Rent paid to the landlord \@) Name of the landlord (i) Address of the landlord (v) Permanent Account Number of the Note: Permanent Account Number shall be 300,000 | eatagreemen| Nabpicant Mester ~ 4, Hariha Pork Soue ABTIPINGSG3 AL Iz [Leave travel concessions or assistance 8 [Deduction of interest on borrowing: (Interest payable/paid to the lender (i Name of the lender i) Address of the lender (iv) Permanent Account Number of the (2) Financial nstitutions(if available) (0) Employertit available) (©)_Others [- - la Deduction under Chapter V-A (A) Section 80C,80CCC and 80C @ Section 80 (a)| (o) (| @) © (0| )| (i) Section 80CCC. (ii) Section 80CCD (8) Other sections (e.g. 80E, 80, 80TTA, (0 section.. . (i) section. (i) section. (iv) section. (W) section... “ie C2877 Verification Pipassces r, “sonldpahter of SA7EE TA. ‘do hereby certify that the information given| n Place. Date. Designation ol for [rere St be. Head onatre of ne oyeny beat receipts » Dinalipurm Pered 4 ve ceaprs olftecebed