Employee Investment Declaration Form For the Financial Year 2018-2019

Employee ID
Employee Name
PAN Number
Date of Joining
Address
From Date To Date City Metro (Yes/No) PAN of Landlord Rent Per Month

Section B - Chapter VI A - Deductions from Total Income AMOUNT

Medical Insurance Premium (U/s 80D) - Individual, Spouse & Children (Max Limit INR 25,000 P.A)
Medical Insurance Premium (U/s 80D) - Parents not being Senior Citizens (Max Limit INR 25,000 P.A)
Medical Insurance Premium (U/s 80D) - Parents being Senior Citizens (Max Limit INR 50,000 P.A)
Medical Treatment/Handicapped Dependent (U/s 80DD) <80%
Medical Treatment/Handicapped Dependent (U/s 80DD) >80%
Medical Treatment for Disease/Ailment-Self/Dependent (U/s 80DDB) (Senior citizens >60 yrs and <80 yrs)
Medical Treatment for Disease/ Ailment-Self/Dependent (U/s 80DDB) Super Senior citizens (> 80 yrs )
Interest on Educational Loan (U/s 80E)
Permanent Physical Disability (80U) < 80%
Permanent Physical Disability Severe Disability (80U) > 80%
National Pension Scheme(80CCD)
Total 0
Section C - Chapter VIA Sec 80C
Life Insurance Premium
Public Provident Fund (PPF)
National Savings Certificate (NSC)
Children Education (Tuition Fees Only)
Tax Saving Mutual Funds / Equity Linked Saving Scheme (ELSS)
Sukanya Samriddhi Scheme
ULIP
Tax Saving 5 Year Term Fixed Deposit
Housing Loan - Principal Amount paid, Registration Fees, Stamp duty
Others (Please mention if any)
Others (Please mention if any)
Others (Please mention if any)
Others (Please mention if any)
Others (Please mention if any)
Total (Maximum Limit INR 150,000) 0
Grand Total 0
Section D - Loss from House Property - SELF OCCUPIED
Total interest paid during the financial year (April 18 to March 19) - Self Occupied
Address of the Property against which Loan taken
City
Date of Occupation (DD/MM/YYYY)
Total (Maximum Limit INR 200,000-Refer Annexure 1) 0
Section E - Previous Employment
(Please attach Income Tax Computation Sheet from Previous Employer for FY 2018-19 )

Income after Section 10 exemption (Joined after 01/04/2018)

Provident Fund (PF)
Professional Tax (PT)
Tax deducted at source (TDS)
Total 0
Declaration:
I hereby declare that the information given above is correct and true in all respects and I intend to make the investments declared above.
And I also undertake to indemnify the company for any loss/liability that may arise in the event of the above information being incorrect /
declared investments not made.

Date:
Place:
Signature of the employee
Annexure-1
Interest on Housing Loan for the FY 2018-19.

Note:

1.Interest on Housing loan allowed up to Rs.2,00,000.

3. Additional exemption of INR 50,000 provided the following conditions are satisfied:
a. The home loan should have been sanctioned in FY 2016-17.
b. Loan amount should be less than Rs 35 Lakh.
c. The value of the house should not be more than Rs 50 Lakh
d. The home buyer should not have any other existing residential house in his name.

3. Sanction Letter/Provision Certificate is mandatory for claiming interest on housing loan.

Important Information:
For Individuals the Tax Rates as below for the FY 2018-19

Income in Rs. Rate of Income Tax Applicable

Upto Rs. 2,50,000 NIL
Rs. 2,50,001 to Rs. 5,00,000 5%
Rs. 5,00,001 to Rs. 10,00,000 20 % (Rs.12,500+20% above Rs. 5,00,000)
Rs. 10,00,001 and above 30 % (Rs.112,500+30% above Rs. 10,00,000)

Note:
1. Education Cess @4% as applicable
2. Tax Rebate of Rs.2,500 for total Taxable income up to Rs. 3.5 Lakh (As per Section 87A)
3. To Claim HRA following supportings should be provided in January 2019.
a. Rent Receipts
b. PAN of the Owner with address is mandatory in case the rent exceeds Rs.8,333/-Per Month
c. Copy of Rental agreent is mandatory if rent payable is more than Rs.8,333/-Per Month
4. Medical Insurance is disallowed if it is paid by cash. Should be paid by cheque/NEFT/Online.