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Income Tax Declarations Form (SMCI) FY 2022 2023

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Income Tax Declaration Form for the Financial Year 01st April 2022 to 31st March 2023

EMPLOYEE DETAILS
EMPLOYEE NAME : NITESH KUMAR Name of the Co. SMCC
DATE OF JOINING : 19 SEPTEMEBR 2022 Employee PAN No. DLSPK8814C
EMPLOYEE CODE : N22729
Max Limit Annual Amount
Sl No Particulars
(Rs) (Rs)
House Rent Paid Section 10 (13A)
1 House Rent Paid 8000 X 6 56,000
Tenant Details
a Name of Landlord - MONU SINGLA
b Rental Address - HOUSE NO 20, STREET NO 20
Rental Address - WEST SANT NAGAR, BURARI , DELHI -110084
c PAN of Landlord - (If Rent Exceeds Rs 8,333/- Per Month)

Deduction Under Section 24


2 Interest on Housing Loan (along with form 12C) 200,000
Deduction Under Section 80C
3 Sukanya Samriddhi Account (SSA)
4 Life Insurance Premium (LIC)
5 Public Provident Fund (PPF)
6 Deposit in National Saving Certificate (NSC) (Upto 5th Completed Year Only)
7 ULIP of UTI 150,000
8 Principal Loan Repayment (Housing Loan)
9 Tax Saving Mutual Funds (ELSS)
Children Education (Limited to 2 Children for Tution Fee only) (Photocopy of
10
Receipts)
Deduction Under Section 80CCD
11 National Pension Scheme (NPS) Section 80CCD (1) 50,000
Deduction Under Chapter VI A
80D - Medical Insurance Premium 
12 25,000
(It excludes Rs 5000 amount paid for preventive health check up )
13 80DD - Medical Treatment / Insurance of Handicapped Dependencies
14 80DDB - Medical Treatment (Specified Disease only)
Previous Employment Salary
15 Form 16 or Provisional Income Tax Calculation (form 12B)
DECLARATION BY THE EMPLOYEE : I hereby declare that the information furnished above is true and to the best of my knowledge and that
I am claiming various tax exemptions accordingly. If the above information is found to be inaccurate, as a result of which my claim for exemption
is not admissible by any authority, I under take to keep Co. fully indemnified in respect of all costs, charges and consequences thereof. I also
understand that will be free to take further action as it may deem appropriate according to its Code of Conduct and Ethics Policy, including upto
termination from services of the Company.

Date __25-03-2023_________________ Signature


NOTES :

Attach serially all proofs declared above.


1

2 Possesion certificate must be attached if you are claiming Housing loan interest / Principal amount for the first year.

3 If Rent paid exceeds Rs.8,333/-P.M.and PAN No of Owners is not given than no deduction will be allowed.

4 Form 12B is Mandatory for New Employees.

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