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IT Declaration Form 2011-2012

This document is an investment declaration form for an employee of InfoStretch Solutions Pvt Ltd for the 2011-2012 financial year. It details the various tax-exempt investments and deductions the employee intends to make under sections 80C, 80CCF, 80D, 80DD, 80DDB, 80E, 80U, and chapter VI-A of the Indian Income Tax Act of 1961. These include investments in Public Provident Fund, life insurance premiums, National Savings Certificates, approved superannuation funds, housing loans, and infrastructure bonds. It also covers reimbursements, other income sources, interest payments on housing loans, and rent paid. The employee signs to declare the information is true and notes any changes must be

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Shishir Roy
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Download as XLS, PDF, TXT or read online on Scribd
54 views

IT Declaration Form 2011-2012

This document is an investment declaration form for an employee of InfoStretch Solutions Pvt Ltd for the 2011-2012 financial year. It details the various tax-exempt investments and deductions the employee intends to make under sections 80C, 80CCF, 80D, 80DD, 80DDB, 80E, 80U, and chapter VI-A of the Indian Income Tax Act of 1961. These include investments in Public Provident Fund, life insurance premiums, National Savings Certificates, approved superannuation funds, housing loans, and infrastructure bonds. It also covers reimbursements, other income sources, interest payments on housing loans, and rent paid. The employee signs to declare the information is true and notes any changes must be

Uploaded by

Shishir Roy
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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INVESTMENT DECLARATION FOR YEAR 2011-2012 Company : InfoStretch Solutions Pvt Ltd

*E.CODE : *NAME (Mr/Ms.) *DOJ. *PAN NO. *ADDRESS (for the purposes of HRA ) Details of Dependents
I undertake to make the following investments qualifying u/s 88C of the Income Tax Act, 1961 during the financial year 2011-2012 and submit the proof thereof alongwith proof under Chapter VI-A and Rent Receipts (if applicable) before January- 2012.

DESCRIPTION AMOUNT INVESTMENTS U/S 80C capped at Rs 1 Lac Public Provident Fund (PPF) Life Insurance Premium Paid (Like LIC,ICICI Prudential, TATA AIG etc..) National Savings Certificate (NSC) Interest accrued on NSC Approved Superannuation Fund Units purchased from a recognised mutual fund Children Education Expenses / Tuition Fees Housing Loan - Principal Payment Registration / Stamp Duty charges paid for registration of house property NHB Scheme Investment in Mutual Funds / equity shares of Companies engaged in Contribution to Pension Fund Senior Citizen Saving Scheme 2004 Fixed Deposit for 5 Years or more with scheduled bank Post Office Time Deposit Account Total Investments U/S 80C - limited to Rs 1,00,000/- only 0.00 INVESTMENTS U/S 80CCF Infrastructure Bonds (Maximum limit Rs.20,000/-) OTHER PERMITTED DEDUCTIONS 80D - Medical Insurance Premium (up to Rs.15,000/-or Rs 20,000/- as applicable and Additional 1 Deductioon of Rs 15,000/- or Rs.20,000/- allowed in an Individual paying Medical Insurance Premium for His or Her Parent or Parents 2 80DD - Medical Treatment of Dependent suffering from Permanent Disability (up to Rs.50,000/-) 3 80DDB - Expenditure on Medical Treatment for specified disease (up to Rs. 40,000) 4 80E - Repayment of Interest against Educational Loan - no limits on interest paid during the year 5 80U - Permanent Physical Disability (Rs.75000/- ) 6 Total Investments under chapter VI A 0.00 Amount of Bills D. REIMBURSEMENTS 1 Medical (Exemption up to Rs. 15,000/-) 2 Leave Travel Allowance ( 2 journeys in a block of four years exempted) LTA Claimed Current Block is 2010-2013 Yes / No If I do not submit the bills the amount of Medical / LTA paid can be taxed as per the rule. E. INCOME OTHER THAN SALARY- (Attach form 12-C detailing other Income) F. INTEREST PAYMENT ON HOUSING LOAN - (Attach Form 12-C) (up to Rs.1 .5 Lacs if the loan taken after 1-4-99, 30000 if it is prior to 1-4-1999 and there is no limit on let out property) G. RENT PAID PER MONTH ( Please mention the starting and ending month) Rent per month (IF the rent amount changes during the financial year please specify the To Date:amount and the period separately) From Date: To Date: (DD/MM/YYYY format) From Date: The house is located in a Metro / Non Metro H PREVIOUS EMPLOYMENT SALARY (Salary earned from 01/04/11 till date of Joining) If Yes, Form 16 from previous employer or Form 12 B attached If no form 16 or 12B attached, confirm whether the standard deduction and Working Woman Rebate considered by the previous employer or not VERIFICATION I do hereby declare that what is stated above is true to the best of my knowledge and belief. Further, in case of any change in rent and / or occupation of the above premises I would revise the declaration & inform immediately. Note: Please do not attach any proofs to this form. This is only a Declaration .

S.NO. A. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 15 B. 1 C.

Proposed Date of Investment / submission

Rent per month

*Employees' Signature. * Indicated filled is mandatory

Date:

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