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It Declaration Form Fy 2018-19

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  Employee Investment Declaration Form For the Financial Year 2018-2019 Employee IDEmployee NamePAN NumerDate o! oinin# A$$ress%etro &Yes'No(PAN o! )an$lor$*ection + - ,hapter I A - De$uctions !rom .otal Income A%/N. Medical Insurance Premium (U/s 80D) - Individual, Spouse & Children (Ma !imi I#$ %,000 P')Medical Insurance Premium (U/s 80D) - Paren s no ein* Senior Ci i+ens (Ma !imi I#$ %,000 P')Medical Insurance Premium (U/s 80D) - Paren s ein* Senior Ci i+ens (Ma !imi I#$ 0,000 P')Medical rea men /andicapped Dependen (U/s 80DD) .80Medical rea men /andicapped Dependen (U/s 80DD) 80Medical rea men 1or Disease/ilmen -Sel1/Dependen (U/s 80DD2) (Senior ci i+ens 30 4rs and .80 4rs)Medical rea men 1or Disease/ ilmen -Sel1/Dependen (U/s 80DD2) Super Senior ci i+ens ( 80 4rs )In eres on 5duca ional !oan (U/s 805)Permanen Ph4sical Disaili 4 (80U) . 80Permanen Ph4sical Disaili 4 Severe Disaili 4 (80U)  80#a ional Pension Scheme(80CCD) .otal0 *ection , - ,hapter IA *ec 80, !i1e Insurance Premium Pulic Providen 6und (PP6)#a ional Savin*s Cer i7ica e (#SC)Children 5duca ion (ui ion 6ees nl4)a Savin* Mu ual 6unds / 59ui 4 !in:ed Savin* Scheme (5!SS)Su:an4a Samriddhi Scheme U!IPa Savin*  ;ear erm 6ied Deposi  ousin* !oan - Principal moun paid, $e*is ra ion 6ees, S amp du 4 hers (Please men ion i1 an4) hers (Please men ion i1 an4) hers (Please men ion i1 an4) hers (Please men ion i1 an4) hers (Please men ion i1 an4) .otal &%aimum )imit IN 1304000(0 5ran$ .otal0 o al in eres paid durin* he 7inancial 4ear (pril <8 o March <=) - Sel1 ccupiedddress o1 he Proper 4 a*ains >hich !oan a:en .otal &%aimum )imit IN 2004000-e!er Anneure 1(0 Income a1 er Sec ion <0 eemp ion (?oined a1 er 0</0@/%0<8)Providen 6und (P6)Pro1essional a (P)a deduc ed a source (DS) .otal0 Declaration: Da eAPlaceA *i#nature o! the employeeFrom Date.o Date,ityent Per %onth*ection D - )oss !rom 6ouse Property - *E)F /,,PIED Ci 4Da e o1 ccupa ion (DD/MM/;;;;) *ection E - Previous Employment  &Please attach Income .a ,omputation *heet !rom Previous Employer !or FY 2018-19 ( I here4 declare ha he in1orma ion *iven aove is correc and rue in all respec s and I in end o ma:e he inves men s declared aove' nd I also under a:e o indemni14 he compan4 1or an4 loss/liaili 4 ha ma4 arise in he even o1 he aove in1orma ion ein* incorrec / declared inves men s no made'   Anneure-1Interest on 6ousin# )oan !or the FY 2018-197Note <'In eres on ousin* loan allo>ed up o $s'%,00,000'B' ddi ional eemp ion o1 I#$ 0,000 provided he 1ollo>in* condi ions are sa is7iedA a' he home loan should have een sanc ioned in 6; %0<3-<' ' !oan amoun should e less han $s B !a:h' c' he value o1 he house should no e more han $s 0 !a:h d' he home u4er should no have an4 o her eis in* residen ial house in his name'B' Sanc ion !e er/Provision Cer i7ica e is manda or4 1or claimin* in eres on housin* loan'  Important In!ormationFor In$ivi$uals the .a ates as elo !or the FY 2018-19Income in s7ate o! Income .a Applicale Up o $s' %,0,000#I!$s' %,0,00< o $s' ,00,000$s' ,00,00< o $s' <0,00,000%0  ($s'<%,00%0 aove $s' ,00,000)$s' <0,00,00< and aoveB0  ($s'<<%,00B0 aove $s' <0,00,000) Note <' 5duca ion Cess E@ as applicale %' a $ea e o1 $s'%,00 1or o al aale income up o $s' B' !a:h (s per Sec ion 8)B' o Claim $ 1ollo>in* suppor in*s should e provided in ?anuar4 %0<='a' $en $eceip s' P# o1 he >ner >i h address is manda or4 in case he ren eceeds $s'8,BBB/-Per Mon hc' Cop4 o1 $en al a*reen is manda or4 i1 ren pa4ale is more han $s'8,BBB/-Per Mon h@' Medical Insurance is disallo>ed i1 i is paid 4 cash' Should e paid 4 che9ue/#56/nline'