12/16/22, 1:14 PM Managed HR and Payroll Self Service

 
Company: Solar Industries India Limited 
I.T. Declarations > Investment Declaration  

Income-Tax Rules, 1962

FORM NO. 12BB

(See rule 26C)

Statement showing particulars of claims by an employee for deduction of tax under section 192

12162 : Umesh Shirke

Address:  

Financial Year: 2022-2023 

Gender : Male PAN No : GNRPS5001M Date of Birth : 02/01/1981 Date of Joining : 21/02/2022

Declaration Number : 1 Tax Regim :    Status: Under Processing

 Landord Landlord
Metro City?  Actual Accepted Rejected Landord PAN    
Name Address

Apr
         

May
         

Jun
         

Jul
         

Aug
         

Sep
         

Oct
   

Nov
   

Dec
   

Jan
   

Feb
   

Mar
   

Section 80 C Actual Accepted Rejected Comment

a. Public Provident Fund 39576.00  0.00  0.00   

b. Tution Fees 49000.00  0.00  0.00   

c. Life Insurance Premium        

d. Principal Repayment of Housing Loan

       
 

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e. NSC and/or Interest on NSC        

f. Deposited in Post Office Savings Bank (CTD) Rules 1959        

g. Contribution in unit-linked insurance plan        

h. Contribution to notified Equity Linked Saving Scheme of  Mutual Fund,Infra Bond        

 i. Term deposit with a scheduled bank for a period of more than 5 years 

j. Senior Citizens savings scheme  

k. Subscription to notified bonds of NABARD   

 l. Stamp Duty and Registration fees for transferring a House Property  

m. Life Insurance Pension Scheme - Section 80 CCC        

n. Contribution to Pension Scheme of Central Govt. - Section 80 CCD        

o. Sukanya Samriddhi scheme 23000.00  0.00  0.00   

p. Others - Please specify        

Section 80D, 80D 2(B), 80DD, 80DDB, 80E, 80GG, 80U, 80CCG, 80TTA

Medical Insurance Premium for self / spouse / child - Section 80 D 37644.00  0.00  0.00   

Medical Insurance for Parents - Section 80D 2(B)  Sr. Citizen? N        

Medical Expenses for handicapped dependents - Section 80 DD   Severity:        

Medical treatement of self or dependents - Section 80 DDB    Deduction limit: 100000 100000.00  0.00  0.00   

Interest on Higher Education Loan - Section80 E        

Rent Deduction If HRA Not Received - Section 80 GG        

Additional 1 Lakh Home loan Interest Deduction u/s 80EE 0.00       

Rajiv Gandhi Equity Savings Scheme (RGESS) u/s 80CCG        

Interest on deposits in saving account - Section80 TTA        

Section 10

Medical Reimbursement        

Leave Travel Assistance     Have you claimed LTA more than 2 times from 2014 till 2017: N        

Uniform Maint Allowance  1800.00 0.00  0.00   

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Education Allowance      No. of school going children: 1 2400.00  0.00  0.00   

Fuel & Maintenance Reimbursement 21600.00  0.00  0.00   

Professional Development 6000.00  0.00  0.00   

Books & Periodicals 15000.00  0.00  0.00   

Income from House Property & Other income & Interest on Housing Loan

Interest on Housing Loan for Self occupied property (Enter Interest as -ve amount)        

Income/loss from Let-out Property        

Income from Other Sources (Dividend, Interest on bank deposits, etc)        

 Housing Rent / Lease Rent paid / payable during the year

 Landlord PAN Details

PAN Number:     Not available:

 
Comments

Employee  

TopSource Worldwide  

Declaration

I hereby declare that the particulars furnished by me are true and investments/ expenses have been out of my current income chargeable
to tax & I am entitled to claim deduction of the amount stated above as per conditions laid down in the aforesaid sections.

If any proof of investments/ expenses made is not submitted/ not accepted, I agree for the total tax deductible to be recovered from
subsequent payroll & the tax deducted, even if in excess, will not be refunded by the company.

12162 : Umesh Shirke

Friday, December 16, 2022 

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