Professional Documents
Culture Documents
RULES,1962
FORM No. 12BB
(See rule 26C)
Statement showing particulars of claims by an employee for deduction of tax under section 192
Company Name : NORMA GROUP PRODUCTS INDIA PVT LTD
1. Name and address of the employee: Mr. LALIT SHANTILAL GANDHI
2. Permanent Account Number of the employee: AJPPG1259H
3. Financial year: 20212022
Details of claims and evidence thereof
Amount Evidence/
Sl.No. Nature of claim
(Rs.) Particulars
(1) (2) (3) (4)
1. House Rent Allowance: 0 Landlord Declaration
Note: Permanent Account Number shall be
furnished if the aggregate rent paid
during the previous year exceeds one
lakh rupees
2. Leave travel concessions or assistance 0.00
3. Deduction of interest on borrowing:
First lender details:
(i) Interest payable/paid to the lender 200,000.00
(ii) Name of the lender Suhasini Lalit Gandhi
(iii) Address of the lender Sinhagad Road,manik Baugh
(iv) Permanent Account Number or Aadhaar of the
lender
(a) Financial Institutions(if available)
(b) Employer(if available)
(c) Others AJPPG1258G
4. Deduction under Chapter VIA
(A) Section 80C,80CCC and 80CCD
(i) Section 80C
(a) Provident Fund: 63,229.00
(b) Voluntary Provident Fund: 0.00
(c) Employee's National Pension Scheme
0.00
80CCD(1):
(d) Housing Loan Principal: 175,600.00
(e) Life Insurance Premium: 185,000.00
(f) National Saving Certificate: 130,000.00
(g) National Saving Certificate Accrued Interest: 0.00
(h) Public Provident Fund: 0.00
(i) Unit Linked Insurance Plan: 0.00
(j) E.L.S.S (Tax Saving Mutual Fund): 50,000.00
(k) Tuition fees for 2 children: 0.00
(m) Tax Saving Shares/NABARD and Other Bonds: 0.00
(n) Tax saving Fix Deposits (Tenure 5 years or
0.00
more):
(o) Stamp Duty & Registration: 0.00
(p) Other Investment: 0.00
(q) Post Office Time Deposit Scheme: 0.00
(r) Senior Citizen Saving Scheme: 0.00
(s) Sukanya Samriddhi Scheme: 0.00
(ii) Section 80CCC
(a) Pension Plan from Insurance
0.00
Companies/Mutual Funds :
(iii) Section 80CCD
(a) Employer's National Pension Scheme
0.00
80CCD(2):
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under
Chapter VIA
(a) Equity Savings Scheme (80CCG): 0.00
(b) Additional contribution to NPS 80CCD (1B): 50,000.00
(c) Mediclaim (80D): 37,500.00
(d) Handicapped Dependent (80DD): 0.00
(e) Treatment of Specified Diseases (80DDB): 100,000.00
(f) Interest on Educational Loan (80E): 0.00
(g) Donation (80G): 0.00
(h) Physically Handicapped (80U): 0.00
(i) Interest on deposit in Saving account
10,000.00
(80TTA):
(j) Interest on deposit For Senior citizen only
0.00
(80TTB):
(k) Interest on loan for purchase of Electric
0.00
Vehicle (80EEB):
(l) Donations for scientific research / rural
350,000.00
development (80GGA):
(m) Donation to registered political party /
0.00
electoral trust (80GGC):
5. Income From Let Out House Property:
Verification
I, Mr. LALIT SHANTILAL GANDHI ,son/daughter of _______________________________________________ do
hereby certify that the information given above is complete and correct.
Place:
Date:01/01/2022 (Signature of the employee)
Designation:Sr. Manager SCM Full Name:Mr. LALIT SHANTILAL GANDHI