Investment Declaration Sample Paper

INVESTMENT DECLARATION FORM FOR FY 2012-13
Exemption and Deduction u/s 10, 24 & 80
Of Income Tax Act, 1961

| |Employee ID |AD2C014 |
|Employee Name |Avinash Kumar Pandey |No of School going|No of Hostel |
| | |Children |staying Children |
|D.O.J. |24th of September 2012 | | |
|PAN Number | |0 |0 |
| | | |
|Item |Particulars |Max Limits |Actual Investment |
|Deduction Under Section 10 |
|House Rent |Monthly Rent Paid : 12000.00 | | |
| |Monthly rent paid/payable for the period | | |
| |From___________to_____________Rs.__________p.m. From___________to_____________ | | |
| |Rs.__________p.m. (Please specify the months for which the rent is paid/payable during | | |
| |the Financial Year 2012-2013) | |