INCOME TAX DECLARATION FOR THE YEAR 2012- 2013

INTEGRAL COACH FACTORY , CHENNAI -38

                

INCOME TAX DECLARATION FOR THE YEAR   2012- 2013

                                                                                                      

EMP.NO:                          NAME :      

Pay Rs. 

    

PAN NUMBER:

I.   EXEMPTION UNDER SECTION 10 (13A)

   

1)   Residing in a rented house. Rent paid per Month  :    Rs.   

     From________ onwards.Yearly Rent Paid__________ Rs.                

                                                                                   

     MAXIMUM EXEMPTION

a)  Actual HRA Received  or

b) Rent paid in excess of 1/10 of the salary(i.e.,pay+DA) or

c) 50% of the salary whichever is the least.

II.  DEDUCTION UNDER CHAPTER VIA

1)   Mediclaim (Max Rs.15000)                   80D               :Rs.

2)   Expenditure incurred on Medical treatment,Training,

     and rehabilitation of Handicapped Dependent 80DD     :Rs.

      (Expenditure Bills to be produced )

3)   Expenditure incurred on specified Disease/Ailment

                                                          80DDB                 :Rs.

4)   Permanent Physical disablement  80U                        :Rs.

      (For SL.No.1 to 4 proof to be produced) 

5)   Expenditure incurred for Repayment Interest on          :Rs.

     Higher Education Loan(B.E.MBA,MCA etc, Day Colleges)

     (Bank authority Letter to be produced)    U/Sec-80/E.

III. Deduction of Investments for Income U/SEC -80/C.

a)   Annual repayment amount towards HBA/Housing Loan

       Principal:                                                                 :Rs.

     (Attach Photo copy of salary Bill/Financial Institutions

       Provisional Certificate)

b)   Contribution towards ULIP                                       :Rs.

c)    Contribution towards ELSS                                      :Rs.

d)  Subscription  towards PPF (Max Limit:Rs.70000)        :Rs.

            (PPF A/C No.                                   )                       

 e)   Tuition fees paid per childrens (for 2 children) (     )      :Rs.

     (Original Fees Receipt (or) Bonofide certificate to be Enclosed)

f)    Investment of Infrastructure Bond (U/S-80/CCF)(Max  : Rs.

       Limit: Rs.20000)

g)   Post Office Time Deposit Scheme -1981                      :Rs.

                                                                                                           ( Contd ….  /2 )

                                                 - :   2   : -

(g) Annual premium paid towards LIC/PLI other than salary savings scheme

                        (Attested copy to be enclosed)        

Sl. No.	Policy Number	Whose Life Insured	Date of Maturity	Sum Assured	Annual  Premium
1
2
3
4
5
6
7

(h) Purchase of National Savings Certificate

 {VIII Issue for the Current Year } (Attested copy to be enclosed)

Sl. No.	N S C No.	Date	Year of Maturity	Amount
1
2
3
4
5

IV. The maximum of Amount of deduction in any one of the above mentioned

   (A-h)   savings   or    together    Investments      shall   be  allowed   up  to

   Rs.1,20,000/-.

V.  EARNINGS/LOSS

    1. Income/Loss from house property : INCOME  (               ): Rs.

                    (attach Form-12/C)  or   LOSS      (               ): Rs.

    2. Income received from outside bodies             (               ): Rs.

    3. Interest received on Units                             (               ): Rs.

        I certify that the above particulars are true to the best of my knowledge.

 Place :                               Signature :         

 Date  :                               Emp.No.   :

                                        Unit/T.No    :

 Forwarded to APO/B& W/FUR for further necessary action please.