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    Declaration For Future Payment

    Uploaded by

    srikanth
    This document is a declaration from an employee listing various insurance premiums, investments, and rent that are due for payment from November 2021 onwards. The employee confirms they will deposit the listed premium/investment/rent payments and obtain receipts by the due dates or by March 2022. The employee acknowledges they will be responsible for any consequences of not making the payments on time. The declaration includes a table listing the particulars, amounts, and payment schedules for various insurance premiums, investments like ELSS and ULIP funds, medical expenses, tuition fees, and monthly rent.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Declaration For Future Payment

    Uploaded by

    srikanth
    1K views4 pages
    This document is a declaration from an employee listing various insurance premiums, investments, and rent that are due for payment from November 2021 onwards. The employee confirms they will deposit the listed premium/investment/rent payments and obtain receipts by the due dates or by March 2022. The employee acknowledges they will be responsible for any consequences of not making the payments on time. The declaration includes a table listing the particulars, amounts, and payment schedules for various insurance premiums, investments like ELSS and ULIP funds, medical expenses, tuition fees, and monthly rent.

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    Declaration for Future Payment

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    This document is a declaration from an employee listing various insurance premiums, investments, and rent that are due for payment from November 2021 onwards. The employee confirms they will deposit the listed premium/investment/rent payments and obtain receipts by the due dates or by March 2022. The employee acknowledges they will be responsible for any consequences of not making the payments on time. The declaration includes a table listing the particulars, amounts, and payment schedules for various insurance premiums, investments like ELSS and ULIP funds, medical expenses, tuition fees, and monthly rent.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    1K views4 pages

    Declaration For Future Payment

    Uploaded by

    srikanth
    This document is a declaration from an employee listing various insurance premiums, investments, and rent that are due for payment from November 2021 onwards. The employee confirms they will deposit the listed premium/investment/rent payments and obtain receipts by the due dates or by March 2022. The employee acknowledges they will be responsible for any consequences of not making the payments on time. The declaration includes a table listing the particulars, amounts, and payment schedules for various insurance premiums, investments like ELSS and ULIP funds, medical expenses, tuition fees, and monthly rent.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    DECLARATION FOR INSURANCE PREMIUM, INVESTMENTS & RENT DUE FROM NOVEMBER 2021 ONW

    Employee Name ABC

    Employee SID A123456

    Employee PAN ABCDE1234F 10 Character – Alpha Numeric

    I hereby confirm that the following investments are due for payment after the cutoff dates laid out by you for proof submission
    therefore request you to consider the same for the tax computation purpose for the financial year 2021 - 2022.

    I undertake that I will be depositing these premium /investment/rent payments and obtain the receipts as per the due dates or by
    March 2022.
    I will be held responsible for any consequences of not remitting these payments and any liabilities arising out of this.

    Policy No. / Folio No. /


    Particulars Amount Remarks
    Account No.

    Insurance Premium:* 12345 ₹ 50,000

    Mutual Fund - ELSS (SIP) 4568 ₹ 60,000

    Unit Linked Insurance Plan (ULIP) 789 ₹ 90,000

    80CCC (Pension plan)* 1478 ₹ 6,000

    Tuition Fees ₹ 25,000

    80D (Medical Insurance)* 258 ₹ 20,000

    Nov’21 Dec’21 Jan’22 Feb’22 Mar’22

    Rent payable (Rs.) ₹ 20,000 ₹ 20,000 ₹ 20,000 ₹ 20,000 ₹ 20,000

    Declaration: I hereby declare that the above mentioned information is true and I am fully aware of the said provisions of the In
    Tax Act, 1961 to avail the exemption/ deduction benefit. I will be solely and wholly responsible to handle any queries from any
    competent officials and / or to submit all relevant documents to the Income Tax / Competent Authorities. I would be making th
    payments as mentioned in the above Declaration.
    Date: DD-MM-YYYY
    Place: MUMBAI

    *Encl: For all investments, please attach the relevant receipts of previous financial year (in case the payments are annua
    and no receipts for current Financial Year are already provided to employer during the current Financial Year).
    ROM NOVEMBER 2021 ONWARDS

    d out by you for proof submission and


    ear 2021 - 2022.

    receipts as per the due dates or by 31st

    lities arising out of this.

    Remarks

    are of the said provisions of the Income


    ble to handle any queries from any
    Authorities. I would be making the
    (in case the payments are annually due
    current Financial Year).

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