EmpNo/PERNR 91025279 Name TAPAS KUMAR DAS

Cadre Pensioner PAN No. AAUPD6721D

Branch LHO Patna Position/Desig Integration: default posi/SBI Pensioner
Office Financial Year 01.04.2020 -31.03.2021

1.80C, 80CC Details:-- Amount

01. Public Provident Fund 150,000.00
02. National Saving Certificate VIIIth issue 0.00
03. Subscription to notified mutual fund 0.00
04. Annuity Plan of LIC (New Jeevan Dhara,NJD- I, New Jeevan Akshay,NJA-I,NJA-II) 0.00
05. Postal Insurance Premium, Life Insurance, SBI Life/ICICI Prudential Premium 0.00
06. Sum paid as tuition fees (whether at the time of admission or thereafter) 0.00
07. Accrued interest on NSC VIII issue only 0.00
08. Repayment of Housing loan Principle-Purchase/Construction of House 0.00
09. Stamp duty and Registration fee paid on house property 0.00
10. Term/Fixed Deposit for five years and above in Bank 0.00
11. Unit Linked Insurance Plan 1971 of UTI 0.00
12. Amt. Deposited with the National Housing Bank 0.00
13. Post Office C. T. D. 0.00
14. Contribution to Superannuation Funds 0.00
15. Subscription to notified Central Government security (NSS) 0.00
16. Contribution to Recognized Provident Fund 0.00
17. Contribution to notified unit linked insurance plan of LIC Mutual Fund 0.00
18. Contribution to provident fund as per PF Act, 1925 0.00
19. Subscription to notified pension fund 0.00
20. Subsr to dpst schm of a pblc sectr com or any constituted athry in house constrc 0.00
21. Contract for a deferred annuity on life of specified persons 0.00
22. Section 80C - Senior Citizens Savings Scheme Rules 2004 0.00
23. Section 80C - Sukanya Samriddhi Scheme 0.00
2.Other Permissible Deductions:-- Amount
01. Deduction in respect of medical insurance Premium (80D)
a) Medical insurance Premium for Non Senior Citizen (Max. 25,000) 0.00
b) Medical insurance Premium Senior Citizen (Max. 50,000) 0.00
c) Expenditure on preventive health check self (Max. 5,000) 0.00
d) Medical Expenditure for Senior Citizen (Sec 80D)(Max Limit Rs.50,000/-) 0.00
02. Medical Insurance Premium (Payment on behalf of parents)(Sec. 80D)
a) Medical insurance Premium for Non Senior Citizen (Payment on behalf of parents) (Max. 25,000) 0.00
b) Medical insurance Premium for Senior Citizen (Payment on behalf of parents) (Max. 50,000) 0.00
c) Expenditure on preventive health check senior citizen (Max. 5,000) 0.00
d) Medical Expenditure for Senior Citizen (Parents)(Sec 80D)(Max Limit Rs.50,000/-) 0.00
03. Ded in respect of maintenance incl. Med. treatment of handicapped dependent(80DD)
a) Disability (Max. 75,000) 0.00
b) Severe Disability (Max. 1,25,000) 0.00
04. Ded. in respect of treatment of specified desease on ailment prescribed(80DDB)
a) Non Senior Citizen (Max. 40,000) 0.00
b) Senior Citizen (Max. 1,00,000) 0.00
05. Repayment of interest on education loan (For self,spouse and dependent children) 0.00
06. Section 80G - Donation to PM's Rel.Fund (100% Exem), 0.00
the chief Minister's relief fund and the Lieutenant Governor's relief fund
07. Ded. in case of an assessee with Physical disability/Physical Blindness(80U)
a) With disability (Maximum Rs. 75,000) 0.00
b) With severe disability over 80%(Maximum of Rs. 1,25,000) 0.00
08. Ded. in respect of rent paid(for those who are not getting HRA and Paying Rent) 0.00
09. Electric Vehicle interest deduction U/S 80EEB 0.00
10. Interest from savings bank account (Sec 80TTA) 0.00
11. Interest on deposits for senior citizens (Maximum exemption is Rs.50,000/- U/S 80TTB) 0.00
12. Contribution to Pension Scheme of Central Government (NPS - Other than Salary) 0.00
13. Donation to CRY or other institution/fund (50% exemption) 0.00
14. House Loan Interest Deduction U/S 80EE 0.00
3.Computation of Loss from House Property:-- Amount
1.Rent Received 0.00
2.Less : Municipal Taxes 0.00
3.Interest on Housing Loan ( Let Out Property) 0.00
4.Interest on Housing Loan (Self Occupied ) 0.00
4.Income from other sources:-- Amount
01. Income from Interest 0.00
02. TDS on Other Income 0.00
03. Other Income 0.00

Date:20.04.2020 SIGNATURE
Time: 17:00:09 ( TAPAS KUMAR DAS )
1
EmpNo/PERNR 91025279 Name TAPAS KUMAR DAS
Cadre Pensioner PAN No. AAUPD6721D
Branch LHO Patna Position/Desig Integration: default posi/SBI Pensioner
Office Financial Year 01.04.2020 -31.03.2021

PERK VALUES FOR LOANS

Type of Loan Perquisite value

01. Housing Loan Perk 0.00

02. Add. Housing Loan Perk 0.00

03. Personal Loan Perk 0.00

04. Two wheeler Loan Perk 0.00

05. Car Loan Perk 0.00

06. Car Repair Loan Perk 0.00

07. Additional Car Loan Perk 0.00

08. Bicycle Loan Perk 0.00

09. Consumer Loan Perk 0.00

10. Dmnd Loan Agnst Sec Loan Perk 0.00

11. Others (Computer Loan , Etc.) 0.00

Date:20.04.2020 SIGNATURE
Time: 17:00:09 ( TAPAS KUMAR DAS )
2
From:
Mr./Ms : TAPAS KUMAR DAS
Position/Designation : Integration: default posi/SBI Pensioner
STATE BANK OF INDIA,
Branch/Office : LHO Patna/
PAN : AAUPD6721D
PFINDEX NO : 1025279
EmpNo/PERNR : 91025279
To

STATE BANK OF INDIA,

,
,
.

Dear Sir,

FINANCIAL YEAR 01.04.2020- 31.03.2021

VALUATION OF PERQUISITES

1. I understand that Income Tax Rules for valuation of perquisites (Rule 3 duly amended till date)
is applicable for the Current FinancialYear 01.04.2020 - 31.03.2021.

2. In the event of any such perquisites as concessional/interest free loans etc are held by the
Courts/IncomeTax Department,as taxable, I undertake to pay the demands made by the tax
authorities, including interest, penalty, on the Bank as well as on me in my individual capacity
as an assessee for current as well as previous financial years.

3. This authority for recovery from me extends, inter-alia to my salary, terminal benefits,
including pension in the event of my retirement/cessation of service.

4. By declaring the information on-line I undertake to abide by all the rules relating to my Income,
Investment and Tax liability.

5. I am submitting the satisfactory proof of Investments made by me.

6. I understand the investments/Interest on educational loans of children/ Lettable value of

house/houses and the interest/investment under Sec-80G declared in the investment declaration
form will be accounted for by the system and will be reflected in my form 16 and cannot be
changed at a later date.

7. I am wholly and solely responsible for it.

Date:20.04.2020 SIGNATURE
Time: 17:00:09 ( TAPAS KUMAR DAS )
3