HTC Declaration form for Tax Related Details

Details of Savings, Investments, Expenditure proposed by the employee for the financial year
April 2019 to March 2020 (to be considered for tax deduction purposes)
Name of the Employee: Thanikavel K
Department: Anchor general Designation: Technical Project Manager
Employee Code No.: 24455 P A N No.: * ACLPT9097M
Form 16 will not be issued without PAN number
Date of Joining: 02-Jan-2020 Mobile No.: 9003632793 Extn#. 0000
I hereby declare my proposal for tax-related Savings, Investments and Expenditure for the year as detailed below:
A. Details for consideration of HRA exemption
Sl. No Section - Description Amount Landlord PAN
1 Rent Paid for Apr 2019 8300 BPNPK7790A
2 Rent Paid for May 2019 8300 BPNPK7790A
3 Rent Paid for Jun 2019 8300 BPNPK7790A
4 Rent Paid for Jul 2019 8300 BPNPK7790A
5 Rent Paid for Aug 2019 8300 BPNPK7790A
6 Rent Paid for Sep 2019 8300 BPNPK7790A
7 Rent Paid for Oct 2019 8300 BPNPK7790A
8 Rent Paid for Nov 2019 8300 BPNPK7790A
9 Rent Paid for Dec 2019 8300 BPNPK7790A
10 Rent Paid for Jan 2020 8300 BPNPK7790A
11 Rent Paid for Feb 2020 8300 BPNPK7790A
12 Rent Paid for Mar 2020 8300 BPNPK7790A
B. Details for consideration of Housing Loan Interest
Expected payment of Housing Loan interest for the financial year
1st Apr 2019 to 31 Mar 2020 Rs. 120039
will be considered only after the following documents are submitted/conditions fulfilled.
1. Form 12-C 2.Projected Interest Certificate
3. Construction should have been completed 4. Is under self occupation
C. Details for consideration of deduction from income (Chapter VI-A)
Sl. No Section - Description Amount
1 80D - Medical Insurance Premia - Self 16200
2 80D - Medical Insurance Premia - Senior Citizen 0
3 80E - Higher Education Loan Interest Payment 0
D. Details for consideration of deduction from income under Section 80C
Sl. No Section - Description Amount
1 Life Insurance Premia 0
2 Contribution to Public Provident Fund 0
3 Stamp duty, registration fee etc of new house 0
4 Investment in National Savings Certificate 0
5 ULIP 0
6 Contribution to Pension Fund 0
7 Contribution to ELSS 0
8 Tuition fees to ednl insttn 0
9 Repayment of Housing Loan 186941
10 Investment in Mutual Fund 0
11 Bank FD for 5 years 0
12 80CCD - Contribution towards NPS 0
13 Sukanya Samriddhi Scheme 0
E. Details for consideration of deduction from income under Section 80CCG
Sl. No Section - Description Amount
1 Rajiv Gandhi Equity Savings Scheme 0
F. Details for consideration of deduction in respect of contribution to NPS -80CCD(1B)
Sl. No Section - Description Amount
Central Government(NPS)- Additional Rs. 50000 allowed as deduction over
1 0
and above 1.5 lac under Sec 80C
G. LOSS FROM RENTAL HOUSE PROPERTY - Rs. 0
H. Details for consideration of deduction from income under Section 80EEA
Sl. No Section - Description Amount
Section 80 EEA Deduction for interest paid on home loan for affordable
1 0
housing(refer Proof submission Process document)
I hereby undertake that I shall produce the evidential documents for the above Savings, Investments and
Expenditure before January 31, 2020 failing which, I agree, that tax be deducted from my salary ignoring such
proposals.

Date:17-01-2020 Signature:

Note:
1. An employee can submit only one tax declaration form during the year.
2. For updation and/or modification contact Pay Roll department.
3. TDS calculations are based only on the details contained in the declaration form.