FORM NO.

120
See rule 20
Statement showlng particulars of claims
by an employee for deduetion of tax under seetion 192
. Name and
address of the employee: DPTARMAR AO (TR) Godhra 99315232
2. 1Permanen Account Number Aadhaar Numer| of the employee ADOPFI208N/
or
4617366952
3. Financial year:
2021- 2022
DETAILS OF CLAIMS AND EVIDENCE THIEREOP
S. No. Nature of ctaim Amount (Rs.) videncelparticulars
() (2) (J) (4)
House Rent Allowance
() Rent paid to the landlord
ii) Name of the landlord
(ii) Address of the landlord
(iv) |Permanent Account Number or
AadhaarNumber] of the landlord
Note: [Permanent Account Number or Aadhaar
Number] shall be furnished if the aggregate rent paid
| during the previous year exceeds one lakh rupees

2. |Leave travel concessions or assistance

3 Deduction of interest on borrowing
) Interest payable/paid to the lender
(ii) Name of the lender Rs.169244/ HDFC LTD Vadodara
(iii) Address of the lender K131438+37806) AAACH0997E
(iv) LPermanent Account Number or Aadhaar
Number] of the lender
(a) Financial Institutions (if available)
(b) Employer (if available)
(c) Others

4. Deduction under Chapter VI-A

(A) Sections 80C, 80cCC and 80cCD
i) Section 80C
(a) GPF - 15000*12= 180000/- |Rs. 180000 From Salary
(6) *****************o*****

(C) **************************

(i) Section 80CCC

(ii) Section 80CCD

(B) Other sections (e.g. 80E, 80G, 80TTA, etd)

under Chapter Vl-A

() section.. e******************

(ii) sectio

in sectio

(iv) sectioo

(v) ************

Verificaton
I, DIPAKKUMAR, son/daughter of PREMJIBHAI do hereby certify shat the information given above is complete
and correct.

Place: GODHRA. ********** **********°"*****°

Date: 20.04.2021
(Signature of the employee)
Designation ACCOUNTS OFFICER Full Name: DIPAKKUMAR PREMJIBHAI PARMAR
 Date 20/04/2021 TO WHOMBOEVER IT MAY CONCERN

TYPE 571- RESI DENT HOME LOAN-VARIABLE RATE-MONTHLY

PEG
PROVISIONAL STATEMENT for claiming deduct ion under Sect lons 24 (b) 8OC
of the INCOME-TAX ACT, 1961 for the
per lod 01/04/2021 to 31/03/2022
This is to cert ify that MR PARMAR DI PAKKUMAR P
(Loan account number 618021559) has/have been granted a HOUs ING LOAN
of Rs 20,00, 000 88.358 per annum in respect of the following property
PLOT NO: 15/P-16, MAA GAYATRI NAGAR--2, RS 264, NR SETU HEALTH
CLUB,
BAMROLI ROAD, GODHRA, GODHRA, GODHRA- 389001

The above loan is REPAYABLE in Equated Monthly Instalments (EMIs)

comprising
Princi pal and Interest. The total amount of EMIs payable from 01/04/2021 to
31/03/2022 is Rs. 2,41,224.00. The break-up of the amount into Principal and
Interest is given below

PRINCIPAL COMPONENT Rs. 1,09,786.00

INTEREST cOMPONENT RS. 1,31,438.00

NOTES
1. Interest is calculated on monthly rests. Principal repayments are
credited at the end of each month.
2. Interest and Principal figures are subject to change in case of
prepayment/s and/or change in repayment schedule.
3.Principal repayments through EMIs and/or Prepayments qualify for deduct ion
under Section 80C, i f the amounts are ACTUALLY PAID by 31/03/2022.
4 .Deduction under Section 80C can be claimed only if
(i) The repayment of the loan is made out of income chargeable to tax and
(ii) The property for which the loan is taken is not transferred
before the expiry of 5 years from the end of the financial year in
which the possession of such property is obtained.
THESE CONDITIONS HAVE NOT BEEN VERIFIED BY HDFC.
5.Interest payable on the loan ( including Pre-EMI Interest, if any )
is allowed as a deduction under Section 24 (b).
THIS STATEMENT BEING PROVISIONAL IN NATURE REQUIRES NO AUTHORISATION FROM HOUSIN
DEVELOPMENT FINANCE CORPORATION LIMITED (PAN: AAACH0997E)

618021559
MR PARMAR DIPAKKUMAR P
PLOT NO:15/P-16,
MAA GAYATRI NAGAR-2, RS 264,
NR SETU HEALTH CLUB, BAMROLI ROAD,
GODHRA, GODHRA, GODHRA- 389001

Regd. office : Ramon House, H T Parekh Marg, 169, Backbay Reclamat ion, Churchgate, Mumbai 400 020.
Tel: 66316000, 22820282. Fax: 022-22811205, 22046834, 22046758.,CIN: L70100MH1977PLCO19916

931S37
 HCA CA VIMLCPENI FRAKE COBAAICN LIM

www.hdtc.
Date: 20/04/2021 TO WHOMSOEVER IT MAY CONCERN

TYPE: 5879- RESIDENT TOP-UP LOAN -EXIST HSG LOAN CUST

- V ()
PROVISIONAL STATEMENT for the
period 01/04/2021 to 31/03/2022
This is to certify that MR PARMAR
DIPAKKUMAR
(Loan account number 639009242) has/have been
e8. 55% per annum in respect of granted
of Rs. 5,00,000 a Loan
the following property
15/P-16, MAA GAYATRI NAGAR-2, RS 264, NR SETU HEALTH CLUB, :

BAMROLI ROAD, GODHRA, GODHRA, GODHRA-

389001
The above loan is REPAYABLE in
Equated Monthly Instalments (EMIs) comprising
Principal and Interest. The total amount of EMIs
31/03/2022 is Rs. 69, 492.00. The payable from 01/04/2021 to
Interest is given below :
break-up of the amount into
Principal and
PRINCIPAL COMPONENT
RS 31,686.00
INTEREST COMPONENTT
RS. 37,806.00

NOTES
1.Interest is calculated on monthly rests.
credited at the end of each month.
Principa1 repayments are

2.Interest and Principal figures are subject to change in case of

prepayment/s and/or change in repayment schedule.

THIS STATEMENT BEING PROVISIONAL IN NATURE

REQUIRES NO AUTHORISATION FROM HOUSIN
DEVELOPMENT FINANCE cORPORATION LIMITED (PAN: AAACHO997E)

639009242
MR PARMAR DIPAKKUMAR
15/P-16,, MAA GAYATRI NAGAR-2,
RS 264, NR SETU HEALTH CLUB,
BAMROLI ROAD, GODHRA,
GODHRA, GODHRA-389001

Regd. Office : Ramon House, H T Parekh Marg, 169, Bac kbay Reclamation, Churchgate, Mumbai 400 020.
Tel: 6631 6000,
22820282. Fax: 022-22811205, 22046834, 22046758.
,CIN: L70100MH1977 PLCO19916