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INCOME TAX Declaration Form

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Dinesh Khanna
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48 views

INCOME TAX Declaration Form

Uploaded by

Dinesh Khanna
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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INCOME TAX OPTION/DECLARATION FOR FINANCIAL YEAR 2024-25

PAN NO. _______________ BILL UNIT No. ___________ PF/ Emp. No. _____________
Employee Name ______________________Designation ___________Station________

APO/Bills
DRM Office
New Delhi

Sub:- Option for Income Tax Slab (Old/New) and proposed savings declaration for Financial Year 2024-25
relevant to Assessment Year 2025-26 (only for old slab) to be submitted in Personal Branch , Bill
Section ,DRM Office , New Delhi upto 31.10.2024

I _______________________________ S/o, D/o, W/o __________________________ working as


________________ at ___________ hereby undertake and declare that I'm opting Old/New (struck out
of which is not opted ) Income Tax Slab for Financial Year 2024-25

Note :- No Proposed saving declaration is required from employees whom opted New Tax Slab.

Proposed saving declaration only by those employees who have opted Old Income Tax Slab is
mandatory.

I the undersigned hereby undertake and declare that the following amount has been/will be paid by me
during the Financial Year 2024-25
and proof of the same shall be submitted to your office before 31 st Oct. 2024 and that I shall be fully
responsible for all the consequences , if the declaration is found incorrect at anytime .

1. House Rent paid from ___________ to __________ @Rs. _______/- Per month (Original
receipt(s) of the same is enclosed) .Copy of PAN card of Landlord should be attached with
declaration and also PAN number should be mentioned on Rent receipt. Full address of
residence
.________________________________________________________________________

2. Accrued interest from house loan _____________ Residential house, proof must be attached
viz Possession/Completion Certificate , copy of permission / NOC of Railway Administration , if
the payment is being paid to other then railway .Copy of accrued interest & Form No. 12 C (Self
Declaration of Loss/Gain) to be filled up.

3. Rebate of 40% and above Handicapped employees (Handicapped Certificate must be attached).
In case employees ward 100% handicapped , certificate of the same is to be attached and also
certificated of expenditure spent thereon to be attached; Otherwise rebate will not be
permissible.

4. Rebate on Mediclaim Policy u/s 80D of Income Tax Act Rs. ______________for the year 2024-
25. Proof must be attached.
5. INVESTMENT UNDER SECTION 80 C (Max, Rebate Rs. 1, 50,000/-). Life Insurance premium Self ,
Wife, Minor Children ( Year 2024-25) , proof must be attached.

S No. Policy No. Due date of Premium Premium Amount Gross


Monthly /quarterly/ Half Amount
Yearly/

Proof of premium monthly/quarterly/half yearly /yearly paid by me for Self/Wife/Children must be


attached.
i. Public Provident Fund Account No. Rs.
ii. Unit Linked Insurance Plan /FDR of 5 years &
above infrastructure Bond
iii. N.S.C/FD for minimum 5 years (2024-25)
iv.
v. House Building advance – Repayment of loan Rs. ___________ (Proof attached ),
Possession/Completion /Permission by Railway Admin/Certificate)
vi. I paid uition fee for Amounting Rs. _____________ for the year 2024-25
first two living children only. Proof of Tuition fee duly verified by School/Institute must be
attached )
vii. Interest on education loan Rs. _____________ (Interest paid for a period of 8 years) under Sec.
80E

NOTE :

1. Option for Income Tax Slab is mandatory .


2. No declaration and proposed saving shall be accepted after 31.10.2024
3. The declaration without mentioning of PAN No. will not be accepted and Form No. 16 will
also not be issued.
4. Landlord’s PAN No. is mandatory for claiming Rebate of House Rent.

Signature of Employee

Name : Sh./Smt.-
Designation-
Bill Unit No. - Mob. No. -
Office Address –

Signature of Sr. Sub Ordinate Incharge with Stamp

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