APOGEE Services Pvt. Ltd.

DECALARATION BY EMPLOYEE FOR THE FINANCIAL YEAR ENDED ON 31st MARCH 2024

(N.B : This Declaration must be returned by employee to Accounts Department not later than 31 th Jan 2024 if he
/ she wished to obtain tax relief under the exiting Income –tax Act.)

Employee Id: N2494809 Location Kalwa (w)

Emp. Name: Sanket Prashant Dhoke_________________________________________

Designation: _Sourcing specialist_________ PAN / GIR No.: EJPPD9260M (Mandatory (Copy of PAN)

Date of Joining : 16TH May 2022____________________________________

Residential Address: B-003 Pragati chs near Parsik bank, Kharegaon, kalwa (w), Thane 400605

I have made or proposed to make the following investment/payments for which, I shall be entitled for tax relief
and shall submit the actual investment proofs by 31st Mar., 2024

1) Rent Paid for residential accommodation.

I hereby declare that the rent paid by me for the residential accommodation is Rs._________-________
Per month for the period from _________-________to _________-__________and the address of the
landlord is
______________________________________________________________________________________

________________________________________________________________________________________

Total rent payable for F.Y.: 2023-24 -

2) Housing Loan:

Name of the Bank/ Financial institution: ________________________________________________________

Principal Interest Total

- - -

If the housing loan is joint name, the proportion/ ratio of Emi Paid.
 Sr. No. Name of borrower Share of EMI EMI Amount
Paid ( %) ( Rs.)
- - - -
- - - -

3) Investments allowed for exemption u/s 80C & 80CCC

Sr. Name / Description of investment Amount ( Rs.) Proposed/ Actual

No date of Payment
I) Public Provident Fund - -

II) Unit Linked Insurance Plan of Unit Trust of India or LIC - -

Mutual Fund
III) National Saving Certificate ( VIII) - -

IV) Mutual Funds ( ELSS) - -

V) Tuition fees ( max 2 Childrens) - -

VI) Housing loan principal - -

VII) House stamp duty / registration fees etc. - -

VIII) Fixed Deposits in scheduled bank ( for period of more - -

than 5 years)
IX) Infrastructure bonds - -

4) Life Insurance / Pension Plan Premium.

Sr. Name Of Insured Sum insured Premium Amount Date of Premium Term of Payment
No. person ( Rs.) (Rs.) Paid / due
1 Sanket Dhoke 150000 971 28TH OF EVERY MONTHLY
MONTH
2 Sanket Dhoke 500000 3900 ONCE IN QUATERLY
EVERY 3
MONTS

( Note :Kindly attach an additional sheet if more than 7 policies.)

5) Investment /Expenses allowed for exemption under chapter VI –A other than section 80C & 80CCC

Sr. Description of investment / Section Amount ( Rs.) Max limit

no. expenses
I) Mediclaim insurance premium U/S 80D - Rs. 25000.00
II) Expenses for maintenance / U/S 80DD - Rs. 125000.00
medical treatment of dependant
who is person of disability of
80%
III) Expenses in respect of medical U/S 80DDB - Rs. 40000.00
treatment.
IV) Interest on loan taken for higher U/S 80E -- 100% ofr
education. interest on loan
V) Deduction in case of person with U/s 80U Rs. 75000.00
disability.

6) Other Income

Other Income Declaration

Sr. Description of Income Period From Period To Amount ( Rs.)

no.
I) - - - -
II) - - - -
III) - - - -

7) PREVIOUS EMPLOYER INCOME DETAILS:-

Form 16 or signed tax computation sheet from the previous Employer along with Form 12B is mandatory
the current F.Y. ( if any)
I) Salary paid by the previous Employer after sec10 exemption -
II) Professional tax deducted by the previous Employer -
III) Provident Fund Deducted by the previous Employer -
IV) Income tax deducted by the previous Employer -

Note :-

New recruit to furnish previous employer salary details (earning/deductions) for the current F.Y.
 RENT EXEMPTION REQIREMENTS

1. Original rent receipts indicating amount, period, rental residence address, Landlord’s
name/address/PAN signature on revenue stamp.
2. If Pan not available, true copy of agreement or declaration from landlord ( declaration format
enclosed)
3. In case of joint holders of property, receipt jointly signed or two separate receipts.

I undertake to abide by the declaration given above and take the responsibility of informing the accounts department
of any change latest by 10th Jan-2024 . I also understand that in my personal tax assessment, I can be required by
assessing ITO to substantiate the contents of the above declaration, so I hereby solemnly declare that to the best of
my knowledge and belief , the information given above are correct and complete.

Date:Signature of employee

Place:
To
Name & Address
DECLARATION
I _____-_______(Full name and address of the declarant) aged __-__ do hereby declare that I
have leased the Flat No.__________________-_____________ From 1st April’2023 to 31st
March’2024 to ______--_____( Name of lessor) at a monthly rent of Rs. ____-___/-
( _________-_________ only). Further I do hereby declare that my total income during the
financial year 2023-2024 did not exceed the statutory limit prescribed under Income tax
Act,1962 and have not assessed to tax and does not have a PAN card .
Verification
I,____________-_____ do hereby declare that what is stated above is true to the best of my
knowledge and belief.
Verified today, the _______-______ day of ________--_________
Date : ____-____________Place : _________-_______ (Name of The Declarant)

EXTRACT FROM THE CIRCULAR NO. 8/2013, Dated: Dated: October 10, 2013 RELATED
TO HRA
Under section 10(13A) of the Act, any special allowance specifically granted to an assessee by
his employer to meet expenditure incurred on payment of rent (by whatever name called) in
respect of residential accommodation occupied by the assessee is exempt from Income-tax to
the extent as may be prescribed, having regard to the area or place in which such
accommodation is situated and other relevant considerations. According to Rule
2A of the Rules, the quantum of exemption allowable on account of grant of special allowance
to meet expenditure on payment of rent shall be the least of the following:
(a) The actual amount of such allowance received by the assessee in respect of the relevant
period i. e. the period during which the accommodation was occupied by the assesse during
the financial year; or
(b) The actual expenditure incurred in payment of rent in excess of 1/10 of the salary due for
the relevant period; or
(i) Where such accommodation is situated in Bombay, Calcutta, Delhi or Madras, 50% of the
salary due to the employee for the relevant period; or