DECLARATION FOR COMPUTING INCOME TAX ON SALARIES

FINANCIAL YEAR 01-04-2022 TO 31-03-2023 (ASSESSMENT YEAR 2023-2024)

FROM: To:
Employee ID: Finance Team
Employee Name: Arrk Solutions Pvt. Ltd.
Income Tax PAN: Unit No. 1 & 2, Building No. 5,
Designation: Sector 2, MBP, Mahape,
Residential Address: Navi Mumbai – 400 710

I am furnishing my proposed investments and certain other particulars like house rent, Telephone reimbursements etc.
for the financial year 2022-2023. These details shall be considered by the Company whilst computing income tax
deduction from my Salary during the year.

Sr No Investment Amount (Rs.) Proofs to be submitted and restrictions

(per annum) thereof
A. Housing:
House Rent Allowance {Sec. 10 (13A)} 1) Copy of Rent agreement between
Landlord and Employee only.
Rent per month: 24000 2) Original Rent Receipts duly
stamped & signed by Landlord.
Number of Months stay in rented house: 45 3) Copy of PAN card of Landlord.
4) If Rent paid in Cash, Agreement
Total Rent paid during the year: 288000 has to be Registered and NOC to
be obtained from Local Police
Station.
5) If Rent paid through cheque,
provide Bank statement.
Housing Loan {Sec. 80C and 24(b)}
1. Copy of possession letter or society bill.
Have you got the possession of flat?
Yes Repayment of Housing Loan and Interest
Expected Interest Payment 139359 thereon qualifies for Deduction after getting
the possession of property.

Expected Principal Outgo 185433 2. Home Loan in Joint Names:

a) Eligible for Deduction if employee is a
joint owner of the Property as per the
Agreement.
b) Deduction Amount will be derived on
the basis of Property Ownership Ratio
mentioned in Agreement.
c) Declaration for Joint House Property to
be provided (available on Easy HR
Portal)
3. Provisional Certificate required by Jan-
2023, but Actual Certificate must be
produced by 20th April 2023.

B. Leave Travel Allowance {Sec. 10(5) } Original Used Tickets and Boarding Passes
with details of person travelling (names,
relationship, etc.)
Details of LTA Exemption benefit availed in
the calendar year
Year Amount
2022
2023

C. Telephone Reimbursement {Sec. 10(14) } Landline, Mobile, Internet bills in the name
of and paid by Employee. Residential
Landline Phone Bill in the name of Parent is
allowed.
 Sr No Investment Amount (Rs.) Proofs to be submitted and restrictions
(per annum) thereof
D. Children Education Allowance {Sec. 10(14) } Birth Certificate of Child or any other proof
for you having child. (Exemption Rs. 100
per month per child, for max 2 children)
E. Mediclaim Premium for Parents {Sec. 80D} 29854 Yearly premium paid receipt with Original
Premium Certificate u/s 80D in the name of
employee issued by the Insurance Company.
F. Mediclaim Premium for Self and Family {Sec. 80D} 32921 Yearly premium paid receipt with Original
Premium Certificate u/s 80D issued by the
Insurance Company
G. Investments {Sec. 80C}
PPF Copy of passbook and challan
NSC Copy of Certificate
Pension Premium Copy of receipts and/or certificate
Fixed Deposits (Tax Saver FD) 50000 Copy of Receipts
Sukanya Samriddhi Scheme Copy of Passbook
Tuition Fees paid for Children’s Full Time Education to Copy of Receipts
Indian School / University
Life Insurance Premium 11562 Copy of Receipts, Policy wise details of
Sum Assured and premium paid. Payment
of Premium for spouse and children are
allowed only if paid from employee’s
account. Premium Payment for Parents,
Brothers and/or Sisters are not allowable
even if they are dependent.

ELSS Tax Saving (SIP) 78000 Statements, Receipts

H. National Pension System (NPS) {Sec. 80 CCD(1B)} Copy of Statement/Passbook

Note:

For any other tax savings please check with the finance team in advance. Also, in case of any confusion, please
check with the finance team in advance for admissibility of particular claim.

The undersigned employee agrees to keep the company indemnified for any failure to invest/pay as declared above
and/or failure to produce proof thereof.

I hereby agree and undertake to indemnify the company against each & every consequence of having relied upon my
declaration.

_________________
Signature

Date: 27/02/2023