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    Income Tax Rules, 1962: Statement Showing Particulars of Claims by An Employee For Deduction of Tax Under Section 192

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    Santosh Aditya Sharma Mantha
    The document contains forms and annexures for an employee to claim tax deductions from their income tax. It requests details on house rent allowance, interest payments on loans, tax deductions under section 80C and other sections, income from house property, and declaration of income from other sources to determine accurate tax withholding amounts. Supporting documentation is required for claims and income sources must be declared.

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    Income Tax Rules, 1962: Statement Showing Particulars of Claims by An Employee For Deduction of Tax Under Section 192

    Uploaded by

    Santosh Aditya Sharma Mantha
    97 views5 pages
    The document contains forms and annexures for an employee to claim tax deductions from their income tax. It requests details on house rent allowance, interest payments on loans, tax deductions under section 80C and other sections, income from house property, and declaration of income from other sources to determine accurate tax withholding amounts. Supporting documentation is required for claims and income sources must be declared.

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    The document contains forms and annexures for an employee to claim tax deductions from their income tax. It requests details on house rent allowance, interest payments on loans, tax deductions under section 80C and other sections, income from house property, and declaration of income from other sources to determine accurate tax withholding amounts. Supporting documentation is required for claims and income sources must be declared.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    97 views5 pages

    Income Tax Rules, 1962: Statement Showing Particulars of Claims by An Employee For Deduction of Tax Under Section 192

    Uploaded by

    Santosh Aditya Sharma Mantha
    The document contains forms and annexures for an employee to claim tax deductions from their income tax. It requests details on house rent allowance, interest payments on loans, tax deductions under section 80C and other sections, income from house property, and declaration of income from other sources to determine accurate tax withholding amounts. Supporting documentation is required for claims and income sources must be declared.

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    1

    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

    Name: PAN No:


    Designation: Div/Sec/Emp.Code:
    Financial Year:

    Details of claims and evidence thereof


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


    of the landlord

    Note: Permanent Account Number


    shall be furnished if the
    aggregate rent paid during the
    current financial year exceeds
    one lakh rupees
    2
    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 of
    the lender
    (a) Financial Institutions (if
    available)
    (b) Employer (if available)
    (c) Others
    4. Deduction under Chapter VI-A
    (A) Section 80C, 80CCC and 80CCD
    (i) Section 80C (Annexure-I)
    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.
    (Annexure-II)
    (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..........................

    Through: Personnel Executive


    (with stamp)
    3
    ANNEXURE-I

    Actual Savings / Proposed Savings (Consideration upto Dec-17) 80C,


    80CCC and 80CCD

    Sl. Nature of Savings Document/ Certificate/ Date Holder’s Amount


    No. Receipt No. Name (Rs.)

    ANNEXURE - II

    80E, 80G, 80TTA, 80U, 80DD etc. Under chapter VI-A

    Sl. Nature of Savings Document/ Certificate/ Date Holder’s Amount


    No. Receipt No. Name (Rs.)
    4

    ANNEXURE - III
    INCOME FROM HOUSE PROPERTY FOR THE YEAR 2017-18
    Name: PAN No:
    Designation: Div/Sec/Emp.Code:
    Address of House for which rent receipt produced for
    HRA exemption, if any

    I(a) Address of Property for which this


    computation/ declaration

    (b) Self Occupied / Let Out Rent received per month Rs.

    II(a) Name of Financial Institution (Loan


    Borrowed)
    (b) Letter No. & Date
    III. Purpose of Loan: Purchase/Construction/
    Renovation/Repairs
    Rs.
    1. Annual Lettable Value (ALV)
    2. Muncipal Tax Paid (U/s.23)
    Not allowed in case of self coppied property
    3. Net Adjustable Value (Annual Rent Muncipal
    Tax Paid (1-2)
    4. Provision for repairs @ 30% of net adjusted
    value (U/s.24)
    5. Interest on Housing Loan for 2017-18
    Certificate enclosed
    6. Total of deductions (4+5)

    7. Net Income from House Property (3-6)


    I do hereby declare that:
    1. The property is in my own name.
    2. The HRA received during the year is not claimed as an exemption against the above property.
    3. The verification, if any, from the declared above interest will be informed immediately.
    4. The above loss from house property is claimed by me only, but not any body in ECIL or elsewhere.
    5. The above payments have been made out of my income chargeable to tax under Income Tax Act, 1961.
    6. The particulars furnished above are true to the best of my knowledge and belief.

    Place: Signature:
    Name:
    Date: Emp Code No:

    Through: Personnel Executive


    (with stamp)
    To
    Sr.Manager(Pay),
    ECIL
    5
    ANNEXURE - IV

    DECLARATION OF PARTICULARS OF INCOME UNDER SECTION 192(2B) FOR THE


    YEAR 2017-18

    The particulars of Income under the head of Income “other than Salaries” (not being a
    loss under any such head other than loss under the head “Income from House Property”)
    received in the financial year 2017-18.

    1. Income from House Property Rs...................


    (Enclose computation in case of loss)

    2. Profits and gains of business or profession Rs....................

    3.Capital gains Rs....................

    4.Income from other sources


    a) Dividends Rs................
    b) Interest Rs................
    c) Other Income (specify) Rs................
    d) Salary Pension Rs................

    5.Aggregate of Item 4 Rs....................

    TOTAL Rs.(1 to 5) _____________

    6.Tax deducted at source (enclose original certificate) issued U/s.203.

    Signature of Employee:
    Code No.:
    VERIFICATION

    I.......................................... do hereby declare that what is stated above is true to the best
    of my knowledge and belief.

    Verified today..........................Day of ......................Year........................

    Place: Signature:
    Name:
    Date: Emp Code No:

    Through: Personnel Executive


    (with stamp)
    To
    Sr.Manager(Pay),
    ECIL

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