Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Declaration of Loss on Housing Property & Income from Other

Source.
(Please submit property wise forms)

FORM NO 12C
(See Rule 26B)
Form for sending particulars of Income Tax under section 192(2B) for the year ending 31st March 2011.

1.Name & address of the employee ________________________________


________________________________
________________________________
2.Permanent Account No. ________________________________
3. Residential status Resident or Non Resident
4. Particulars of income under any head of income other than “Salaries” (not being a loss under any such head other
than the loss under the head “Income from House Property”) received in the financial year.
(Rupees)
a. Income from House Property __________
(In case of loss, enclose computation thereof)

b. Profit & gains of business or profession __________


c. Capital gains __________
d. Income from other sources
-Net Taxable Interest __________
-Other incomes (specify) __________
__________
5. Aggregate of sub-items (a) to (d) of item 4 ==========
6.Tax deducted at source [enclose certificate(s) issued under section 203]
Place : __________
Date : __________ ______________________
(Signature of the employee)

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


knowledge and belief.

Verified today, the day of____________.

Place : __________
Date : __________ _____________________
(Signature of the employee) Employee No. :

Property-wise Computation sheet and Provisional Interest Certificate for Year Ended 31.03.11 should be attached with this
form.

1
COMPUTATION OF LOSS FROM HOUSE PROPERTY : 2010-11

Form 12C Annexure

Particular Property 1 Property 2 Property 3 Total


Self-occupied (Let-out) (Let-out) (Property 1, 2 & 3)
Address of the premises

House Property is complete

House Property is Self Occupied

House Property is Deemed to be self occupied

House Property is rented out & the annual rent


received
A. Fair market annual rent in case there is no
actual receipt of rent. NA
B. LESS: Property (Municipal) tax actually
paid during the financial year as per receipt NA
attached.
C. Balance rental income (A – B)
NA
D. LESS: Repairs & Maintenance (30% of
above)
NA
E. LESS: Interest on Housing Loan
i) Company Loan

ii) Outside institution/Agency

- Prior to 1/04/99 (max. 30000/-)


After 1/04/99 (max. 1.5 lakhs for self
occupied house only)
Total Interest on Housing Loan (i + ii)

INCOME / (LOSS) FROM HOUSE


PROPERTY (C – D - E)

*For all loans availed after 1/04/1999, please attach copy of loan sanction letter as proof to get higher
rebate. Without such proof, the exemption will be restricted to RS 30,000/-.
* Attach provisional interest certificate year ended 31/03/2011 to be attached for company loan /
Outside financial institution. Without such proof, no exemptions will be allowed.

DATE___________ SIGNATURE ___________________________


NAME ___________________________
EMP.NO ___________________________

You might also like