Employee Name :

Sub:- Proposed Tax Planning for the F.Y 2016-2017 A.Y.2017-2018

This is to your kind information that the Company has to deduct TDS from your salary on monthly basis and to deposit the same in

Government Treasurery on monthly basis only. We therefore request all the employees to fill up the the following declaration form in duplicate

and submit the same to HR Departmnent at HO so as to avail the credit gainst your tax proposed saving invetments latest.

Please note that the benefit of tax credit will be given only on submission of information in writing to the HR Dept. at HO.

Company has no remedy other than to deduct TDS from your salary payments and to deposit in a Government Treasurery in the absence of

submission of correct information from the employees.

We hope that you will do the needful & oblige.

Thanking You,

Yours faithfully,

Head of HR Department

From

Employee Name :

To,

HR DEPT

RO

Sub:- Proposed Tax Planning for the F.Y 2016-17 A.Y2017 - 2018..

NATURE OF INVESTMENT AMOUNT (RS.) * DATE

ROOM RENT PAID

HOUSING LOAN INTEREST

DED U/S 80 C

PF & VPF

LIFE INSURANCE PREMIUM

PPF A/C CONTRIBUTION

NSC (INVT + ACCURED INT FIRST FIVE YR)

HOUSING LOAN PRINCIPAL REPAYMENT

TUITION FEES FOR 2 CHILDREN

E.L.S.S MUTUAL FUND

MUTUAL FUND-TAX SAVER (5 YRS & ABOVE)

STAMP DUTY & REGISTRATION FEES

80 CCC PENSION PLAN

ANY OTHER (SPECIFY)-

ANY OTHER (SPECIFY)-

ANY OTHER (SPECIFY)-

DED U/C VI A (Maxmimumb Rs.100000)
80 CCF INFRASTRUCTURE BOND

INT PAID ON CHILD EDUCATION LOAN

ANY OTHER (SPECIFY)-

ANY OTHER (SPECIFY)- DRESS/CLOTHS

ANY OTHER (SPECIFY)- MEDICAL

Total Rs..

The above information is true and correct to the best of my knowledge and information and I promise to invest the amounts as above in the

proposed investments till the end of .. I promise to produce the copy of the actual invetments before . along with the

original receipts of the same for verification to the Company.

I further declare that, in case the the information provided above is proved incorrect or wrong, I shall be held responsible for the same
and the Company is free to deduct and deposit TDS along with the interest on delayed payments as per the provisions of the Income Tax Act.

Regards

Signature of the Employee DATE :