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Statement of Computation of Loss from House Property for the Financial Year 20012-13

Employee Code : Name of the Employee Address of The Loaned Property

Amount of Loan taken Name and address of Housing Finance Company or Lender Whether jointly owned Computation :

Rs.__________________/-

Yes

Interest on Housing Loan-taken for purchase or construction Total -

Net Income / (Loss) from House Property I,...(name of the employee) do declare that what is stated above is true to the best of my information and belief and the loan is repaid by me out of income. Signature of the Employee

Date :

Statement of Computation of Loss from House Property for the financial year 2012-13(to be prepared in respect of each rented property seperately)

Employee Code : Name of the Employee Address of The Loaned Property

Amount of Loan taken Name and address of Housing Finance Company or Lender Nature of property Whether jointly owned Computation :

Rs.

Let-Out Yes

Income From House Property Mentioned above (Gross Annual Value): (Only in case of let-out property: mention the total rent received / receivable during the FY 2011 - 2012) Less : Property Tax paid( only if actually paid during the year)

10,000

1,000

Net Annual value Repairs (@30%) of NAV (not eligible if self occupied) Interest on Housing Loan-taken for purchase or construction Total 2,700

9,000

100,000 102,700

Net Income / (Loss) from House Property I,...(name of the employee) do declare that what is stated above is true to the best of my information and belief and the loan is repaid by me out of income.

(93,700)

Signature of the Employee Date :

DECLARATION FOR NON-AVAILMENT OF INCOME TAX BENEFITS ON HOUSE PROPERTY and Declaration of repayment of loan by borrower

I, .(mention relationship) of Mr/ Mrs ... Working in HCL Technologies Ltd (Employee Code.) do hereby declare that in respect of the house property for which he/she is claiming tax benefit under Income Income from House Property under Income Tax Act 1961 and wherein I am the joint owner thereof, I am not claiming rebate or relief under the Income Tax Act 1961 for the FY 2012-13 as my spouse/co-owner is assessed to tax in respect of this property/part of this property for which he/she is claiming tax benefits.

Signature of spouse: Date:

I ..(name of the employee)..(ecode) do hereby declare that the repayment in respect of the above home loan for which I am claiming loss under interest on home loan for the year 2012-13 is made by me out of my taxable income.

Signature of the employee: Date:

Declaration for Non-Availment of Income Tax Benefits I, .. wife/ husband/ of Mr/ Mrs , working in HCL Technologies Ltd(ecode.) do hereby declare that in respect of the below mentioned investment for which he/she is claiming tax rebate under Income Tax Act 1961, I am not claiming any rebate or relief whatsoever, under the Income Tax Act 1961 for the Financial Year 2012-2013. Amount(Rs.) LIC Policy Date of Payment Policy / Account Number

PPF account

ULIP

Signature : Date:

Form of declaration to be filed by Landlord who does not have a permanent account number (PAN) Name of Employee:____________________________ SAP Code of Employee:______________ PAN of Employee:_____________

1. Full name of the Landlord ____________________________________________ 2. Address of the Landlord _____________________________________________ 3 Amount of monthly rent ______________________________________

Date: ________________ Place: ________________

____________________ Signature of the Landlord