declaration tds on salary

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  • 7/27/2019 Declaration TDS on Salary

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    DECLARATION FORM FOR INVESTMENTS TO BE MADE BY AN EMPLOYEEIN TAX SAVING SCHEMES FOR THE FINANCIAL YEAR 2012-13

    To:

    I wish to declare that I shall invest the following amounts in tax saving schemes during the

    financial year 2012-13 in addition to the Provident Fund deduction being made by the companyfor the purpose of computation and deduction of tax at source from my salary.

    (Amount in Rs.)

    Whether you will be claiming Deduction for HRAIF Yes Give the amount of Monthly Rent payable during various month

    of the year 2012-2013

    U/S 80D______________

    Premium to be paid for Medical Insurance(Deduction allowed up to maximum of Rs. 15,000/-)

    U/S 80DD

    ______________Expenditures incurred for permanent physical disability(Deduction allowed up to maximum of Rs. 1,00,000/-)

    U/S 80C

    1. LIC Premium _____________

    2. Deposits in Public Provident Fund _____________

    3. Contribution to UTI in ULIP Scheme _____________

    4. Deposit in National Savings Certificate _____________

    5. Interest on National Saving Certificate _____________ (Attach photocopy of NSC purchased)

    6. Payment made for construction/purchase of House/ _______________Repayment of housing loan (Only Principal Amount)

    7. Tution Fee(maximum upto 2 Children) _____________

    8. Others (Please Specify) _____________

    (Deduction allowed 80C and 80CCC up to maximum of Rs. 100,000/- incl. PF Ded.)

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    This is to inform you that, I am paying a rent of Rs. ______ per month from mysalary.

    My residential address is ______________________________________________________

    You are requested to consider this rent payment when you calculate tax on mysalary income.

    I declare that I shall immediately inform the company about any change in myaddress or the amount of rent paid.

    I further declare that, I shall submit the proof of payment of the rent at the end ofevery quarter.

    I undertake that the above statement is correct and any Income tax liability arising

    due to my failure in submitting the rent receipts or due to any misdeclaration willbe my responsibility and the company will be authorized to deduct tax on myincome as if I am not paying any rent.

    Name of the Employee

    Signature ______________________________

    Emp. ID _______________________________

    Date ______________________________

    PAN No. _____________________________

    (Please attach self attested photocopies of Rent receipts)

    DECLARATION IN FORM NO. 12 C (VOLUNTARY)[See rule 26B]

    Form for sending particulars of income under section 192(2B) for the yearending 31st March, 2013

    1. Name and address of the employee ___________________ ___________________

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    ______________________________________

    2. Permanent Account Number ___________________ 3. Residential status ___________________ 4. Particulars of income under any head of

    income other than salaries (not being aloss under any such head other than the

    the loss under the head Income fromhouse property) received in the F.Y

    (i) Income from house property __________________(In case of loss, enclose computation thereof)

    (ii) Profits and gain of business or profession __________________(iii) Capital gains __________________ (iv) Income from other sources

    (a) Dividends ______________ (b) Interest ______________ (c) Others (specify) ______________ ________________

    5. Aggregate of sub-items (i) to (iv) of item 4 ________________6. Tax deducted at source

    [enclose certificate(s) issued under section 203]

    Place ____________________Date ____________________ Signature of the employee

    Verification

    I, _____________________________ do hereby declare that what is statedabove is true to the best of my knowledge and belief.Verified today, the ___________day of ______________ 2012

    Place ________________Date ________________