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Investment Declaration Form-2

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Deduction u/s 80C (Maximum Amount Upto Rs.

150000/-)
1 Life Insurance Premium(LIC) ₹ 23,126.00
2 Provident Fund(PF) ₹ 21,600.00
3 Public Provident Fund(PPF)
4 Voluntary Provident Fund(VPF)
5 National Savings Certificate(NSC)
6 Interest accrued on NSC(Re-invested)
7 Unit Linked Insurance Policy(ULIP)
8 Equity Linked Savings Scheme(ELSS)-Mutual Fund
9 Payment for Tuition Fees for Children(Max. 2 Children) ₹ 74,400.00
10 Principal Repayment Of Housing Loan
11 Stamp Duty, Registration charges incurred for Buying
House(1st Year Only)
12 Infrastructure Bonds
13 Bank Fixed Deposit For 5 Years & Above
14 Post Office Term Deposit For 5 Years & Above
15 Senior Citizen Savings Scheme
16 Sukanya Samriddhi Account Scheme ₹ 40,000.00
17 Others(Please Specify)
Deduction u/s 80CCC
Contribution To Certain Pension Funds Upto Rs.150000/-
Deduction u/s 80CCD(1)
Contribution To Pension Scheme of Central Government Upto Rs.150000/-
Deduction u/s 80CCD(1B)
Contribution To National Pension Scheme Upto Rs.50000/-
Deduction u/s 80
80 D Medical Insurance Premium-Individual, Spouse & Children (Max. Limit-Rs.25000/- Additional
Rs.25000,if any person insured is a Senior ₹ 16,019.00
Citizen)
80 D Medical Insurance Premium-Parents (Max. Limit-Rs.25000/- Additional
Rs.25000,if any person insured is a Senior
Citizen)
80 D Preventive Health Check-up Max. Rs.5000/- (Within overall limit of
Rs.25000/50000)
80 E Interest for Loan taken for Higher Education No Limit (Only Interest portion)
80 TTA Deduction in respect of interest on deposits in saving Upto Rs.10000/-
account
Others
(Please
Specify)
Income from Previous Employment:-
1. Income after exemptions
2. Provident Fund (PF)
3. Professional Tax (PT)
4. Tax Deducted At Source(TDS)
Income From Other Sources:-
19121 191210
382410 152964
11176 111760
50000
150000
16019
152966 764830
603070
437051

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