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12BB
(See rule 26C)
Statement showing particulars of claims by an employee for deduction of tax under section 192
Employee Investment Declaration Form For the Financial Year 2016-2017
Employee ID *
Employee Name *
PAN No*
Date of Joining
Gender *
Address for claiming HRA:
From Date To Date City Metro PAN of Landlord Rent Paid
Yes/No per month
Declaration:
I hereby declare that the information given above is correct and true in all respects and I intend to make the
Iinvestments declared
also undertake above the company for any loss/liability that may arise in the event of the above information
to indemnify
being incorrect / declared investments not made
Date:
Place:
Signature of the employee
Signature of the employee
FORM NO. 12C
[See Rule 26B]
Form for sending particulars of income under section 192(2B) for the year
Year Ending 31st March, 2017
S.No Particulars
2 PAN
3 Residential status.
Amounts in Rs. Amounts in Rs.
Particular of income under head of income From
"Salaries" (not being a part received from the Current
4 Employer) received in the Financial Year 2016-17
c Capital Gains
Place
Date
Verification
I,........................., do hereby declare that what is stated above is true to the best of my knowledge and belief.
Place
Date
Address B
Note : 1. Provisional Interest certificate from bank is COMPULSORY to attach OTHERWISE NO BENEFIT GIVEN FOR INTEREST OR
PRINCIPAL REPLAYEMNT.
Note : 2. Gross Annual Value = HIGHER OF (i) Municipal value or fair rent w.e. is higher subject to maximum of standard rent (ii) Rent
actually received or receivable
Place:
Date
Note:
on housing loan.
FORM NO. 12 B
[See rule 26A]
ANNEXURE 2a
Form for furnishing details of income under section 192(2) for the year ending 31st March, ____________________
Residential Status
Address of the employee
Verification
I _________________________________, do hereby declare that what is stated above is true to the best of my knowledge and belief, verified today _______________
Whether Estimated
Value of rent-free accommodation or value of any concession in rent for
any Value of value of
the accommodation provided by the employer (give basis of computation)
conveyance free or any other
[See rules 3(a) and 3 (b)
has been concessi benefit or
provided by onal amenity
Interest
Where accommodation is furnished the Remune passage provided by
credited
employer ration s on the
Employer to the
free or at a paid by home employer,
's assessee'
Cost of Value of concessiona employe leave free of cost
contribut s account
furniture perquisi l rate or r for and or at Total of
ion to in
(including te where the domesti other concessiona columns
recognise recognise
television (column employee is c and/or travelin l rate not
d PF In d
9 to 15
TAN/PAN Where Perquisit
Name of the sets, radio Rent, if 3 minus allowed the personal g to the included in
excess of provident
carried
of the e Value
employee accom sets, any, column use of one services extent the
10% of fund in
to
employer modati of or more provide chargea preceding column
refrigerators, paid by 8 or the excess of
furniture
on is Value as if other the column motor cars d to the ble to columns
employee the rate
8 of
(10% of Total of
unfurni accommodati household employ 7 minus owned or employe tax (give
's salary fixed by
Form
column Columns hired by e (give (give details), No.12B
shed on is appliances ee column [See the
5) OR 4 and 6 the details) details) e.g. 'supply
unfurnished and air- 8 as Schedule Central
actual
conditioning may be employer, [See [See of gas,
IV-Part A] Govt [See
hire
plant or applicab estimated rule rule 2B electricity
Schedule
charges value of 3(g)] read or water for
equipment) le) IV-Part A]
payable perquisite with household
OR hire
charges, if (give section consumptio
hired from a details) 10(5) n, free
third party [See rule (ii)] educational
3 faci
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Signature of the Employee________________________
________
Important Information:
For Individuals the Tax Rates as below for the FY 2016-17
Note:
1.Education Cess @3% as applicable
2.Tax Rebate of Rs.5,000 for total annual income up to Rs. 5lakh (As per Section 87A)
NOTE:
1.Rent Receipt
2.PAN of the Owner with address is mandatory in case the rent exceeds Rs.8,300/-Per Month
3.Copy of Rental agreent is mandatory if rent payable is more than Rs.8,300/-Per Month
s. 5,00,000
Rs. 10,00,000
Section 87A)
Rs.8,300/-Per Month
300/-Per Month