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New IT Declaration Form

This document is a declaration form for employees to provide details for computing their income tax for the financial year 2022-2023. [1] It requests information such as the employee's name, designation, contact details, PF and PAN numbers. [2] It also asks for residential address details and rent paid if residing in a rented house. [3] The employee must provide details of deductions claimed under sections 80C, 80CCC of the Income Tax Act for items such as insurance premiums, tuition fees, investments, home loan repayment and more. [3] The form further asks for details of income/loss from property, deductions claimed under Chapter VI-A for medical expenditures and disabilities. [3] The

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253 views2 pages

New IT Declaration Form

This document is a declaration form for employees to provide details for computing their income tax for the financial year 2022-2023. [1] It requests information such as the employee's name, designation, contact details, PF and PAN numbers. [2] It also asks for residential address details and rent paid if residing in a rented house. [3] The employee must provide details of deductions claimed under sections 80C, 80CCC of the Income Tax Act for items such as insurance premiums, tuition fees, investments, home loan repayment and more. [3] The form further asks for details of income/loss from property, deductions claimed under Chapter VI-A for medical expenditures and disabilities. [3] The

Uploaded by

Mahakaal Digital Point
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Personal and Employment Information
  • Home Loan Declaration
  • Insurance Policies
  • Tuition Fee and Other Savings

DECLARATION FOR OTHER SAVINGS FOR THE COMPUTATION OF INCOME TAX FOR

FINANCIAL YEAR: 2022-2023 (AY: 2023-2024)


Opted for : Existing Tax Regime / New Tax Regime (Strike out whichever is not opted.)

1. A Name of the Employee/Officer :


B Designation :
C Office/Station/Depot/Shop :
D Contact No. (Office/CUG) :
2. A PF Number :
B Bill Unit Number :
C PAN Number(Compulsory) :
3. A Residential Address :

B Indicate Whether residing in own house :


Or rented house
C If rented house, indicate the amount of :
rent being paid monthly
(Rent receipt is to be enclosed)

D If the receipt produced for annual rent :


paid by the employee exceeds Rs
1,00000/- per annum, Indicate the name,
residential address & PAN of land lord.

4. Detalis of deduction under Sec. 80C/80 :


CCC(Maximum amount admissible for
deduction is Rs 1,50,000/- only)

a) Insurance Policies :

Sl Name of Insurance Policy No. Premium Period of quarter, Half & Whole Date of payment
No. Company amount Year for Which premium paid of premium
paid.
//2//
b). Tuition fees paid to School/College (Limited to 2 children only)
Sl Name of the child Class Name of School/College Amount of Date of payment
No /Std tuition fees paid of fees.
1.
2.
c) Indicate the details of other savings particulars viz. NSC-VII,
PPF, NSS-92, ULIP, Post Office Time Deposit- Rule 1981 etc.
d) Details of repayment of loan made towards HBA (Principal)
through financial institution for the above financial year.
(Certificate of the financial institution to be attached)
5. Details of earnings/loss on property for the above financial
year
a) Income from house property(Gain) :
b) Loss from house property(Interest) :
c) Whether housing loan borrowed. :
d) Date of loan availed :
6. Details of deduction under Chapter-VI-A
a) Medi-Claim U/s 80D :
b) Expenditure incurred on medical treatment, training :
& rehabilitation of Handicapped Dependent-U/s
80DD
c) For permanent physical disablement- U/s 80U :
d) Amount paid as interest on loan borrowed from
Financial Institution for Higher Education- U/s 80E :
7. Details of any other savings permissible under IT Act. :

(Photo copy of documentary proof as required under IT Act for the savings/expenditure for the items 4-8
shown above are to be enclosed along with this Declaration form without fail)
8. In case, no savings details are furnished under item No. 4 to
7 above, the employee is to indicate whether any
subscription of VPF is required to be deducted from salary
and if so, Indicate the amount of VPF to be recovered from
salary.

The particulars furnished by me vide item 1-7 above are true, correct and complete to the best of my
knowledge.

Yours faithfully

Place :
Date :

DECLARATION FOR OTHER SAVINGS FOR THE COMPUTATION OF INCOME TAX FOR FINANCIAL YEAR: 2022-2023 (AY: 2023-2024) Opted for :
//2// b). Tuition fees paid to School/College (Limited to 2 children only) Sl No Name of the child Class /St

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