0% found this document useful (0 votes)
35 views

Statement Showing Particulars of Claims by An Employee For Deduction of Tax Under Section 192

The document is a Form 12BB statement showing tax deductions claimed by an employee, Sandeep Melgiri, of Bristlecone India Ltd. for the fiscal year 2016-17. It details Rs. 24,552 deducted from his salary and contributed to his provident fund under Section 80C. It also provides details of his rental payments from April 2016 to March 2017 for his residence in Bangalore to landlord Abdul Aleem.

Uploaded by

Sandeep Melgiri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
35 views

Statement Showing Particulars of Claims by An Employee For Deduction of Tax Under Section 192

The document is a Form 12BB statement showing tax deductions claimed by an employee, Sandeep Melgiri, of Bristlecone India Ltd. for the fiscal year 2016-17. It details Rs. 24,552 deducted from his salary and contributed to his provident fund under Section 80C. It also provides details of his rental payments from April 2016 to March 2017 for his residence in Bangalore to landlord Abdul Aleem.

Uploaded by

Sandeep Melgiri
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

FORM NO.

12BB
(See rule 26C)
Statement showing particulars of claims by an employee for deduction of tax under section 192

BRISTLECONE INDIA LTD.


Employee I41735 - SANDEEP MELGIRI Declaration No 1

Employee Address

F.Y. 2016 - 17 Declaration Dt. 09-Jan-2017

Chapter VI-A (80CCE)


Deducted Actual
Description Section
From Salary Investments
Provident Fund 80C 24552 0

Total ( 24552 ) 24552 0


House Rent
Land Lord Name Land Lord PAN From Date To Date Rent Per Month Metro City
Abdul Aleem 01-Apr-2016 30-Sep-2016 8000 No
Address : #540, 1st Avenue, Teachers colony, Kormangala 1st block, Bangalore 560034
Abdul Aleem 01-Oct-2016 31-Mar-2017 8000 No
Address : #540, 1st Avenue, Teachers Colony, Kormangla 1st block, Bangalore 560034

I, SANDEEP MELGIRI ,son/daughter of...................................................... do hereby certify that the information given
above is complete and correct.

Signature

Name SANDEEP MELGIRI

Date 09-01-2017 10:49:30:AM

Printed On 09-01-2017 10:49:30:AM

You might also like