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Fillable Printable Submission of Investment Delcaration/ Proof - Year 2015-2016

Fillable Printable Submission of Investment Delcaration/ Proof - Year 2015-2016

Submission of Investment Delcaration/ Proof - Year 2015-2016

Submission of Investment Delcaration/ Proof - Year 2015-2016

Submission of InvestmentDeclaration / Proof-Financial Year2015-16
U/S 24
1
HousingLoan Repayment of Interest
Rs.
Max. uptoRs.2,00,000/- Only for self
occupied property
Under Construction[ ] / SelfOccupied[ ]
Claimed only after occupation of flat
U/S 80 C
2
HousingLoan Repayment ofPrincipal
Rs.
Max. uptoRs.1,50,000/-
3
Public Provident Fund/ NationalSavings
Certificates
Rs.
,,
4
Sukanya SamriddhiScheme
Rs.
,,
5
ELSS / Mutual Fund ( Tax savings exemptu/s80Conly)
Rs.
,,
6
Unit LinkedInsuranceScheme
Rs.
,,
7
Payment of Life InsurancePremium
Rs.
,,
8
Children Education Fees (Only TuitionFees)
Rs.
,,
9
FiveYears Tax Savings FixedDeposit
Rs.
,,
10
Pension Plan(80CCC)
Rs.
,,
11
Investment inNPS (80CCD
Rs.
Max. uptoRs.50,000/-
Aggregate amt ofinvestments u/s 80C,80CCC Rs.1,50,000/-+ u/s 80CCD(1b)Additional deductionofRs.
50,000
Other deductions under Chapter VI-A
11
MediclaimU/S 80D
Rs.
Max. up to Rs.25,000/- for individual.
Max. up to Rs.30,000/- for Senior Citizen.
12
Payment ofEducation Loan Interest U/S 80E
Rs.
No limit on Interestpaid onLoan(Max.
for 7 yrsfrom the date repayment)
13
HandicappedDependant 80DD (Pls. submitForm 10-IA)
Rs.
Max.Rs.75,000/- (Rs.1,25,000/- in caseof
severe disability)
14
PhysicallyHandicapped 80U(Pls. submit Form 10-IA)
Rs.
,,
15
Treatment ofSpecified diseases 80DDB(Pls. submit
Form 10-IA)
Rs.
Actual expense incurredor Max Rs.
40,000 (Rs.60,000 forSenior citizen or
Rs.80,000 forvery senior citizen).
U/S 10
16
Number of School going Children, if any(No.)
Rs.100/-exempted per
child(Max.2 children)
I herebydeclare that whatis stated above is correct. I undertake to informany change in the above facts.
I hereby confirmthat Ishall submit necessary proof of investment details &Rent receipts by February 15th, 2014
failing which the tax reliefcomputed maybe withdrawn.
Employee No.:
Name:
Location
PAN (Mandatory)
Signature
Date
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