Dated: 01/07/2014

From: HIMANI SHARMA

To
Kaybee Private Limited
301 A Solaris I
Saki Vihar Road
Andheri (East)
Mumbai 400 072
SUB: DECLARATION OF INVESTMENTS FOR THE FY 2014-2015
I shall make following investment entitling me to claim deduction
For the year 2014-2015.
1)House Rent Receipts:U/S 80GG : 12,000 /Month
Monthly rent paid to the Land Lord. If the Rent paid per month is
more than
Rs.15, 000/-, Pan Card Number of the land Lord should be
mentioned in the receipt obtained/ submitted.
Proof per annum:
2) Medical Bills U/s 10(5) : 15000/- per annum
to the extend of Rs. 1250/- per month. To the maximum limit of Rs.
15000/- per annum:
3)LTA ( Leave Travel Concession)U/s 10(5) : 20000/This is applicable for confirmed employees :can undertake a trip
within the country by claiming earned leave. The employee should
submit all the supporting bills / vouchers and documentary evidence
of their travel. This can be claimed by the employees two times in a
span of Four years.
4) Conveyance
Rs. 800/- per month to the maximum limit of Rs. 9600/- will be
exempted. No proof required
5) 80 G: Donation receipts
Donation paid to recognized institutions along with 80G clearance
certificate: 50% of such donation amount will be exempted

6) Mediclaim
policy for health of self, spouse and dependent Children :
Policy No.
Amount Paid
Policy covered for:
Period of the policy
Total cumulative amount (Rs. 15,000/- Rupees fifteen
Thousand only) :
For Parents senior citizen - maximum of 20,000 per annum.
Parents Non senior citizen Maximum of 15000 per annum
7) Investment under Section 80CC :
a) N.S.C., : 40,000
b) P.P.F :
c) P.F : 1500/d) V.P.F
e) L.I.C :
f) Children Education fees:
g) Principal amount of Home Loan repayment:
total cumulative amount (Rs. 100,000/- Rupees One Lakh
only) will be exempted :
8) Interest on home loan repayment Under Section 194/A
Self occupied property: Name:
Amount of Interest amount paid
Period of payment:
Total Maximum limit Rs. 150,000/- Rupees One Lakh Fifty
Thousand only)
If a person obtained home loan up to Rs.25 lakhs , first home will
get Rs.1 lakh additional exemption. i.e. instead of 1.5 laks, he/ she
will be eligible for 2.5 laks exemption.
V I further understand that I am supposed to produce proof of
interest paid on my housing loan (on a self occupied property) on or
before February 28, 2015. In this case a certificate from the
financer of housing loan is required by you i.e. the employer.
further understand that in the event of my failing to submit proof of
the same, you shall deduct appropriate tax from the salary for the
months of February and March 2015.
I understand that I am supposed to produce proof of
investment /subscription on or before December 31, 2014. I
further understand that in the event of my failing to submit
proof of the same, you, i.e. the employer shall deduct
appropriate tax from the salary for the months of January,
February and March 2015

I fully understand that I shall indemnify and keep indemnified the

employer against any loss which the employer may incur in the
event of any portion of this declaration being wrong.
I further understand that I shall modify the declaration by filing a
fresh declaration in the event of any change in investment /
subscription / any other matter concerning my income.
I also declare that I have not shown these savings statement to my
earlier employer (Must mention the name of the
employer with address)
I declare that the entire declaration above is out of my own free will
and consent without any pressure from any person and I take
responsibility if any queries arise from any department.
I, Himani Sharma do declare that what is stated above is true to the
best of my information and belief.
Date: 01/july/2014

Signature
Himani Sharma .