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This document is a tax deduction claim form (Form No. 12BB) submitted by Mr. Ayush Jaiswal for the financial year 2024-2025. It includes details of claims for house rent allowance, deductions under Chapter VI-A, and evidence of payments made. The form is verified by the employee, confirming the accuracy of the information provided.

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Ayush Kumar
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2 views

$Value

This document is a tax deduction claim form (Form No. 12BB) submitted by Mr. Ayush Jaiswal for the financial year 2024-2025. It includes details of claims for house rent allowance, deductions under Chapter VI-A, and evidence of payments made. The form is verified by the employee, confirming the accuracy of the information provided.

Uploaded by

Ayush Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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55063278/DFCPK6549L

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: Mr. Ayush Jaiswal

21/7 Bade shiv marg, mirzapur road Near Vaibhav marble Bhadohi-221003

2. PAN of the employee : DFCPK6549L

3. Financial year : 2024-2025

Details of claims and evidence thereof


Sl. Amount Evidence /
Nature of Claim
No. (INR) particulars
(1) (2) (3) (4)
1. House Rent Allowance:
A.

From : 01/04/2024 - To : 31/03/2025

(i) Rent paid to the landlord 660000.00

(ii) Name of the landlord K N SATHYAVATHI NARAYANAREDDY

(iii) Address of the landlord C/o. Sathyavathi Building, No. 82,

(iv) PAN of the landlord AZWPS8561M

Note: PAN 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:

4. Deduction under Chapter VI-A

(A) Section 80C,80CCC and 80CCD

(i) Section 80C


(a) Employee Provident Fund 154487.00 Deducted directly in the Payroll

(B) Public Provident Fund 150000.00

(C) Subscription to notified mutual fund 150000.00

(D) Repayment of Housing loan 150000.00

(ii) Section 80CCC

(iii) Section 80CCD

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter
VI-A.
i) section 80CCD(01) 50000.00
55063278/DFCPK6549L
Verification
I, Mr. Ayush Jaiswal, son/ daughter of Sunil jaiswal do hereby certify that the information given above is complete and correct.

Place: Bangalore

Date: 18/06/2024 (Signature of the employee)

Designation: Sr. Manager Full Name: Mr. Ayush Jaiswal

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