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    vignesh1995krishnan
    The document is a form for employees to claim tax deductions. It requests information like the employee and department details, tax regime, and claims for deductions under sections like house rent allowance, interest payment on loans, and deductions under Chapter VI-A.

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    The document is a form for employees to claim tax deductions. It requests information like the employee and department details, tax regime, and claims for deductions under sections like house rent allowance, interest payment on loans, and deductions under Chapter VI-A.

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    The document is a form for employees to claim tax deductions. It requests information like the employee and department details, tax regime, and claims for deductions under sections like house rent allowance, interest payment on loans, and deductions under Chapter VI-A.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views2 pages

    Retention

    Uploaded by

    vignesh1995krishnan
    The document is a form for employees to claim tax deductions. It requests information like the employee and department details, tax regime, and claims for deductions under sections like house rent allowance, interest payment on loans, and deductions under Chapter VI-A.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    FORM NO.

    12BB
    [See rule 26C]
    Statement showing particulars of claims by an employee for deduction of tax under section 192

    1. Name of the employee:


    2. Employee ID:
    3. Permanent Account Number of the employee:
    4. Department:
    5. Location:
    6. Financial year:

    TAX Regime New Old


    (Note: Selecting of Regime is compulsory. If the
    employee fails to select the regime, then the default
    regime would be New Regime)

    DETAILS OF CLAIMS AND EVIDENCE THEREOF


    Sl. No. Nature of claim Amount (Rs.) Evidence/particulars

    (1) (2) (3) (4)

    1. House Rent Allowance:


    (i) Rent paid to the landlord
    (ii) Name of the landlord
    (iii) Address of the landlord
    (iv) [Permanent Account Number or
    AadhaarNumber] of the landlord

    Note : [Permanent Account Number or Aadhaar


    Number] shall be furnished if the aggregate rent paid
    during the previous year exceeds one lakh rupees
    2. Leave travel concessions or assistance

    3. Deduction of interest on borrowing:


    (i) Interest payable/paid to the lender
    (ii) Name of the lender
    (iii) Address of the lender

    (iv) [Permanent Account Number or Aadhaar


    Number] of the lender
    (a) Financial Institutions (if available)
    (b) Employer (if available)
    (c) Others
    4. Deduction under Chapter VI-A
    (A) Sections 80C, 80CCC and 80CCD
    (i) Section 80C
    (a) ................................
    (b) ................................
    (c) ................................
    (d) ................................
    (e) ................................
    (f) ................................
    (g) ................................
    (ii) Section 80CCC
    (iii) Section 80CCD
    (B) Other sections (e.g. 80E, 80G, 80TTA, etc.)
    under Chapter VI-A
    (i) section..............................
    (ii) section..............................
    (iii) section..............................
    (iv) section..............................
    (v) section..............................

    Verification
    I, .............. son/daughter of ........................ do hereby certify that the information given above is complete
    and correct.
    Place .............. ...............................................................
    Date .............. (Signature of the employee)
    Designation .............. Full Name: .......................................

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