Professional Documents
Culture Documents
(a).Dividends
(b).Interest
Place:
Date: Signature of the employee
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........................
Place:
Date: Name & Signature of the employee
Annexure- 1A
Computation of House Property Income
Owner-
Khata Plot No- Mouza- PO-
Dist
i. Gross annual Value
ii. Less Municipal tax
iii. NAV (i-ii)
iv. Less Deduction U/s24
a. Standard Deduction(NAV)
b. Interest on Borrowed Capital ( Proof of payment / accrual of interest
on loan to be enclosed. Max.of Rs.30,000/Rs.2.00 Lac for self occupied)
v. Income/Loss From House Property {iii-(iva+ivb)}
Details of investments / savings in support of claim for deduction for the Financial Year
& Asst. Year .are enclosed as follows
Name of the employees:
Designation: Dept.
PAN No.
Contact No.
DECLARATION FOR COMPUTATION OF INCOME TAX FOR THE FINANCIAL YEAR 2016-
17
Employee Name:
Employee Code:
Section 80C Deduction
Sr.No. Investment Contribution Section Amount
1 Payment towards Life Insurance Policy 80C
2 Contribution to Superannuation Fund 80C
3 Subscription to notified Central 80C
Government security (NSS)
4 Contribution to ULIP 80C
5 Subscription to approved equity shares 80C
or debentures (Infrastructure)
6 Subscription to approved mutual fund 80C
(Infrastructure)
7 Contribution to Public Provident Fund 80C
8 Contribution to Recognised Provident 80C
Fund
9 Deposit under Post Office Savings 80C
Bank(Cumulative Time Deposits)
Rule1959
10 Subscription to notified Central Govmt 80L
Savings certificate (NSC VIII issue)
11 Contribution to notified unit linked 80C
insurance plan of LIC Mutual Fund
12 Contribution to provident fund as per 80C
PF Act,1925
13 Repayment of Housing loan 80EE &80C
14 Interest on NSC VIII issue 80C
15 Contribution to notified annuity plan of 80CCD
LIC
16 Subscription to notified mutual fund 80C
17 Subscription to notified pension fund 80C
18 Subscription to notified deposit scheme 80C
of the National Housing Bank
19 Subscription to deposit scheme of a 80C
public sector company or any
constituted authority in house
construction
20 Contract for a deferred annuity on life 80C
of specified persons
21 Deduction from salary for a deferred 32AD
annuity
22 Tuition fee - child 1 80C
23 Tuition fee - child 2 80C
24 Term Deposits under Section 80C 80C
25 Section 80C - 5 year time deposit under 80C
the Post Office Time Deposit Rules
1981
26 Section 80C - Senior Citizens Savings 80C
Scheme Rules 2004
27 Section 80C - Sukanya Samriddhi 80C
Scheme
Note: For eligible limit please refer to the CBDT circular No. 01/2007, dt. 02.01.2017
Signature :
Date:
Annexure- 2A
Signature
Designation
Date:
Annexure- 3
Note: Other allowances and perquisite shall be exempted / taxable as per provisions
of Income Tax Laws.