i-tax declaration

Income-Tax declaration form for the Financial Year 2022-2023 and
Assessment Year 2023-2024.
Name____________________________PAN._______________PF.No ________________
Ref: Rly Bords letter No.E(X)I-88/23/3, Dt.05.09.88. Estt.Srl.No.246/88 dated 10.10.1988
1. Any other amount received during the financial year other than
salary and have paid Income-tax thereon during the financial year.
2. investment made under section 80C other than salary saving.

(Photocopy enclosed)
3. investments made under section 80CCC(Photocopy of UTI,

ULIP,PPF, NSC, NSS, Tax oriented MF, CTD & other Insurances
enclosed)
4. HB loan, Principal paid to bank .

(a) (Photocopy of Bank certificate to be enclosed)
4. HB loan interest paid to bank.
(b)(Loss of House property who has already taken housing loan from
any sources prior permission of Rly-Administration and paying
interest against such loan.
5. Investment made under section 80D under Medical insurance
premium. (Photocopy enclosed)
6. Investment made under section 80DD for dependent

handicapped. (Photocopy of the certificate issued by medical
authority enclosed)
7. Investment made under Section 80U for self handicapped.

(Photocopy of the certificate issued by medical authority enclosed)
8. Any other investment made during the financial 2020-21

qualifying for rebate under Income Tax Act,(Photocopy Enclosed)
9. I am residing in my own house/rented house/dependants house in

a rented house paying rent Rs________ per month.
I do hereby declare that what is stated above is to the best of my knowledge and belief. I
also declare that I shall file annual return with the concerned ITO well in time.
Date:
Signature of the Applicant

ANNEXURE-V
FORM NO.10BA
(See rule. 11B)
DECLARATION TO BE FILED BY THE ASSESSEE
CLAIMING DEDUCTION U/S 80 GG
I/We………………………………………………………………………………………
(Name and degn. of the assesses with permanent account number)
do hereby certify that during the pervious year ………. I/We had occupied the premise
……………………………………………………………….(full address of the premise) for the
purpose of my/our own residence for the period of …………………… Months and have paid
Rs………………………………………………….. in cash/through crossed cheque, bank draft
towards payment of rent to Shri/Smt…………………………………………...............................
(name and complete address of the land lord).
It is further certified that no other residential accommodation is owned by
(a) me/my spouse/my minor child/our family(in case the assesses is HUF), at or
employment or carry on business or profession or
(b) me/us at other place, being accommodation in my occupation, the value of which is to
be determined 23(2)(a)(i) of u/g 23(2)(b).
Signature of the applicant

Complete Address of the Land Lord
Income-Tax declaration form for the Financial Year 2020-2021 and Assessment
Year 2021-2022.
Name____________________________PAN._______________PF.No ________________
(1) OTHER INCOMES REPORTED BY EMPLOYEE

(b) GAIN FROM HOUSE PROPERTY
(c) LOSS FROM HOUSE PROPERTY
(d) HBA Interest Rebate under Section 24(1).(MAX 200000)
(2) SAVINGS UNDER SEC. 80C(MAX. 150000/-)
a) NPS
b) GIS
c) LIC & INSURANCE
d) NSC/NSS/FD (5+ YEARS)
e) INT. ON NSC
f) HBA
g) MUTUAL FUND
h) PPF
i) TUTION FEES (FOR TWO CHILDREN)
j) ULIP.
k) PLI
l) CTD
m) SUKANYA YOJANA
n) STAMP DUTY & REGISTRATION
(3) OTHER SAVINGS
a) 80CCD(2): GOVT CONTRIBUTION REBATE..
b) 80CCD(1B): NPS SAVING SCHEME (MAX. RS. 50000/-)
c) 80D : GIC MEDICAL INSURANCE PREMIA (MEDICLAIM)/CGHS
d) 80E : INTEREST ON EDUCATION LOAN
e) 80DD : TREATMENT OF HANDICAPPED DEPENDENT
f) 80GGA: DONATION FOR SCIENTIFIC R & D DEVELOPMENT
g) 80RRA: FOREIGN SERVICE (SPONSERED)
h) 80G : DONATIONS
i) 80U : PHYSICALLY HANDICAPPED PERSON
j) 80DDA: MAINTENANCE OF HANDICAP DEPENDANT
k) 80DDB: MEDICAL TREATMENT
l) 80TTA: REBATE ON SAVINGS INTEREST (MAX 10000)
m) 80EEB: REBATE ON ELECTRIC VEHICLE (MAX 150000)
I do hereby declare that what is stated above is to the best of my knowledge

and belief. I also declare that I shall file annual return with the concerned ITO well
in time.
Date:
Signature of the Applicant

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Income-Tax declaration form for the Financial Year 2022-2023 and

Assessment Year 2023-2024.

Ref: Rly Bords letter No.E(X)I-88/23/3, Dt.05.09.88. Estt.Srl.No.246/88 dated 10.10.1988

2. investment made under section 80C other than salary saving.

3. investments made under section 80CCC(Photocopy of UTI,

4. HB loan, Principal paid to bank .

6. Investment made under section 80DD for dependent

7. Investment made under Section 80U for self handicapped.

8. Any other investment made during the financial 2020-21

9. I am residing in my own house/rented house/dependants house in

Signature of the Applicant

It is further certified that no other residential accommodation is owned by

Signature of the applicant

(1) OTHER INCOMES REPORTED BY EMPLOYEE

I do hereby declare that what is stated above is to the best of my knowledge

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