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Investment Declaration Form11-12

This document is an income tax declaration form for the fiscal year 2011-2012 to be used by an employee of Triumph Systems & Solutions Pvt Ltd to declare investments that will be made from April 1, 2011 to March 31, 2012 for income tax purposes. It includes sections for the employee to provide their PAN number, details of deductions allowed under various sections of the income tax act including sections 80C, 80D, 80DD, 80E, 80GG, 80U, and 24. The employee is required to declare the maximum limit and amount being claimed for each deduction and provide their signature and date at the bottom acknowledging the declarations made in the form.

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138 views

Investment Declaration Form11-12

This document is an income tax declaration form for the fiscal year 2011-2012 to be used by an employee of Triumph Systems & Solutions Pvt Ltd to declare investments that will be made from April 1, 2011 to March 31, 2012 for income tax purposes. It includes sections for the employee to provide their PAN number, details of deductions allowed under various sections of the income tax act including sections 80C, 80D, 80DD, 80E, 80GG, 80U, and 24. The employee is required to declare the maximum limit and amount being claimed for each deduction and provide their signature and date at the bottom acknowledging the declarations made in the form.

Uploaded by

girijasankar11
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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INCOME TAX DECLARATION FORM - F.Y.

2011-12
(To be used to declare investment that will be made during the period from 01/04/2011 to 31/03/2012 for Income Tax purpose)

Company Name Employee Name

Triumph Systems & Solutions Pvt Ltd

Emp ID PAN of Employee (compulsory)

As per newly introducted section 206AA, in case PAN is not submitted, TDS will be deducted at flat rate of 20% ITEMS DEDUCTION U/S 10 I am staying in a rented house and I agree to submit Leave & METRO / Licence A'ment when required.The Rent Paid is (Rs. NON METRO _____________ X _______ months) & the house is located in a METRO / NON METRO (Tick whichever is applicable) Max Limit Sec 80D - Medical Insurance Premium (If the policy covers a senior citizen then exemption is Rs.20,000/-) DEDUCTION UNDER CHAPTER - VI A Sec 80DD - Handicapped Dependent Sec 80E - Repayment of Loan for higher education (only Interest) Sec 80GG - Rent Paid Sec 80U - Handicapped Any other Deduction (Please specify) Any other Deduction (Please specify) Contribution to Pension Fund (Jeevan Suraksha) Life Insurance Premium on life of self/spouse/child only Deferred Annuity Public Provident Fund in own name/spouse/child only ULIP of UTI/LIC in own name or spouse and child only Repayment of Housing Loan (Only principal) DEDUCTION U/S 80C Contribution to Pension Fund or UTI or Notified Mutual Fund Investment in ELSS made in units of Notified Mutual Fund Children Tuition Fee: Restricted to a max of 2 Children Deposit in home loan account scheme of NHB/HDFC 5 yrs. Term deposit in a Sch.Bank Others (please specify) Others (please specify) DEDUCTION U/S 80CCC Annuity/Pension Plan DEDUCTION U/S 80CCD Notified Pension Scheme DEDUCTION U/S 80CCF Investment in Notified Infrastructure Bonds Interest on Housing Loan on fully constructed accomodation only Interest if the loan is taken before 01/04/99 on fully constructed accomodation only 1,00,000.00 1,00,000.00 1,00,000.00 20,000.00 Max Limit 150,000.00 30,000.00 Max Limit 1,00,000.00 1,00,000.00 1,00,000.00 70,000.00 1,00,000.00 1,00,000.00 1,00,000.00 1,00,000.00 1,00,000.00 1,00,000.00 1,00,000.00 Declared Amount Declared Amount PARTICULARS MAXIMUM LIMIT DECLARED AMOUNT

HOUSE RENT

RENT PERIOD

Aggregate Deduction U/S 80C, 80CCC & 80CCD cannot exceed Rs. 100000/Declared Amount

DEDUCTION U/S 24

DECLARATIONS:
1. I hereby declare that the information given above is correct and true in all respects. I am also aware that the company will be considering the above details in utmost good faith based on the details provided by me and that I am personally liable for any consequences arising out of errors, if any, in the above information. 2. I am also aware that any person making a false statement / declaration in the above form shall be liable to be fined and prosecution u/s 277 of the Income Tax Act, 1961 3. The proof of payment / Supportings for claim, will be provided post December 2011 latest by Jan 15, 2012.

Note -

Date : Place: SIGNATURE OF THE EMPLOYEE

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