tax declaration format fy 2015-16
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7/25/2019 Tax Declaration Format FY 2015-16
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INCOME TAX DECLARATION FORM
( To be used to declare investment for Income Tax that will be made during the period Apr 2015 to Mar 201!
Company Nam "emoso Technologies #vt$ %td
Employee Nam A&ash 'aurav
Father's Name ashrath #rasad )ingh
Employee ID "T#%005*
DOB 0+,10,1--.
Designation )oftware /ngineer
Department
PAN Nm!er /#'-250
Male " Female Male
DO# ,15,2015
E$mail I%
in INR
Item Parti&lars De&lare% Amont
De%&tion n%er (e&tion )*
I am sta3ing in a rented house and I agree to submit rent receipts when #er Month 4ent +6000
+ose Rent re7uired$The 4ent #aid per month is 4s$888888888888 9o of Months -
Total rent for 3ear *26000
,&opy Rent Pai% Re&eipts mst !e %eposite% -ith A&&onts Department
Lan%lor% " +ose$o-ner.s PAN an% Agreement Copy ,Man%atory i/ the Rent pai% is more than 0111"$ pm2
Ma3 Limit De&lare% Amont
)ec +0 : Medical Insurance #remium (for )elf6 )pouse6 ependent ;hildren! 256000$00
)ec +0 : Medical Insurance #remium (for )enior ;iti<en! =06000$00
)ec +0/ : Interest on /ducation %oan (for )elf6 )pouse > ;hildren! 9o %imit
(e&$0*CCC 4 (e&$0*C5$
: ;ontribution to #ension ?und (#ension ?und of %I; or other Insurance ;ompani
: %ife Insurance #remium ()elf6 )pouse > ;hildren!
: eferred Annuit3 #lan (in the name of self6 spouse > ;hildren!
: #ublic #rovident ?und ()elf6 )pouse > ;hildren!
: @%I# of @TI,%I; ()elf6 )pouse > ;hildren!
: #rincipal %oan (ousing %oan! 4epa3ment
: 9otied Mutual ?unds
: 5 Brs ?ixed eposits with )cheduled an&s : )chemes 9otied 3 ;entral 'ovt
: eposit in 9);
Interest earned on )u&an3a )amridhi Account to be full3 tax free
Total
De&lare% Amont
)A%A4B paid b3 the #revious /mplo3er after )ec 10 /xemption :
#4C?/))IC9A% TAD deducted b3 the #revious /mplo3er :
#4CEI/9T ?@9 deducted b3 the #revious /mplo3er :
I9;CM/ TAD deducted b3 the #revious /mplo3er :
In&ome other than (alary In&ome Ma3 Limit De&lare% Amont
ousing %oan : #rincipal #ortion
Interest on ousing %oan if loan ta&en after 01:Apr:1--- 2006000
Interest if the loan is ta&en before 01:Apr:1---
Note 5 Atta&h Copy o/ +osing Loan Certi6&ate7
#lease specif3 whether self:occupied or let out$ If let out please specif3 the annual rental amount$
)tart ate of ;onstruction of ouse
ate of ;ompletion of ;onstruction of ouse
ate of Cccupation of ouse
Medical ills (@p to 4s 15000! needs to be submitted
#etrol ills (as per 3our eligibilit3!
Telephone ills (as per 3our eligibilit3!
De&laration5
1! I hereb3 declare that the information given above is correct and true in all respects$
2! I also underta&e to indemnif3 the compan3 for an3 loss,liabilit3 that ma3 arise in the event of the above information being incorrect$
Date 5 2. Fun 15 A&ash 'aurav
Pla&e5 3derabad (ignatre o/ the Employee
a&ashG<emosolabs$com
a&ashgaurav$iitrGgmail$com
"s )*,)12 4Rle 8A
De%&tionn%er Chapter
9IA
+0;;Additional deduction of 4s 506000 towards contributions to #ension ?unds
,Ma3immDe%&tion
Allo-e% n%erthis hea% is
Rs7):*;***"$2
:Tuition ?ee paid to @niversit3,;ollege,edu$ Institute : paid in India (for an3
Pre<iosEmployment
(alary ,(alaryearne% /rom*)"*="): till
%ate o/ >oining2
#lease submit ?orm 1 from previous emplo3er or ?orm 12 with taxcomputation statement
De%&tionn%er (e&tion
8=,!2
Details /or&laiming
+osing Loan5
Any otherIn/ormation