Annexure II

Joint Housing Loan Self Declaration for the Financial Year 2021-22

This is to certify that I ________________________________ (Employee Name) working in

_________________________________________________ (Company) vide Employee No.
_______________ is having a House property situated at
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________ (House Address)
and has availed a housing loan of Rs _________________ vide Loan No.
_____________________________against the above mentioned property. The loan taken is a
joint loan between me & my ____________________________ (Relationship)
________________________ (Name).

As per the provisional Statement issued by the financial Institution, the interest and Principle
amount payable for the current financial year 2020-21 for the above said loan is
Interest Rs. Principle Rs.

Note: Tick either A or B whichever is applicable

Option – A
A) I am claiming 100% benefit of Interest of
amount to Rs ____________/- & Principal of
amounting to Rs. __________/- against the
above loan and the same is not claimed by
my co-applicant of the loan.
Option – B
B) My spouse /father/mother/brother is having a
____% of share in the property and accordingly I
am claiming the balance benefit of _____ % of
total Interest paid on loan to an extent of Rs
__________________/- and Principal paid on
loan to an extent of Rs ______________/-

I hereby declare that the information given above is correct and true in all respects. I am also
aware that the company will be considering the above details in utmost good faith based on the
details provided by me and I will be personally liable if found otherwise.

Signature: Name :

Emp. No. :