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Form12B

Form12B

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jdarry6
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8 views

Form12B

Form12B

Uploaded by

jdarry6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INCOME-TAX RULES, 1962

FORM NO. 12BB


(See rule 26c)
Statement showing particulars of claims by an employee for deduction of tax under section 192
1. Name and address of the employee: JAGDEEP KUMAR (KL005)
2. Permanent Account Number of the employee: BKRPK7718K
3. Financial year : 2023 - 2024
Details of claims and evidence thereof
SI No Nature of claim Amount (Rs.) Evidence/ Particulars
(1) (2) (3) (4)
1. House Rent Allowance:
(i) Rent Paid to the landlord 638,000
(ii) Name of the landlord Aarti
(iii) Address of the landlord House no 8 Ground Floor Street No 1 Mahalaxmi Vihar Karawal Nagar Delhi -110094
(iv) Permanent Account number of the landlord HLYPS8087P
Note: Permanent Account Number shall be furnished if the aggregate rent paid during the previous year exceeds one lakh rupees
2. Leave travel concessions or assistance
3. Deduction of interest on borrowing:
(i) Interest payable/paid to the lender
(ii) Name of the lender
(iii) Address of the lender
(iv) Permanent Account Number of the lender
(a) Financial Institutions(if available)
(b) Employer(if available)
(c) others
4. Deduction under Chapter VI-A
(A) Section 80C,80CCC and 80CCD
(i) Section 80C
(a) Any Sum Paid as Tution Fee for Full 68,616
Time Course Only
(b) Employee Provident Fund 21,600
(c) Unit Linked Insurance Plan (ULIP) 56,870
(ii) Section 80CCC
(iii) Section 80CCD 0
(B) Other sections (e.g 80E, 80G, 80TTA etc.)
under Chapter VI-A
(a) 80D - Medical Insurance Premium for 25,090
Self/Spouse/Children
Verification
I, JAGDEEP KUMAR, son of ASHOK KUMAR do hereby certify that the information given above is complete and correct.
Place: DELHI-NARAINA
Date: 23/07/2024 (Signature of the employee)
Designation: SENIOR ENGINEER Full Name: JAGDEEP KUMAR

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