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Income Tax Declaration Form FY 22 23 AY 23 24
Income Tax Declaration Form FY 22 23 AY 23 24
Particulars Amount in Rs
1. 10(13A) Rent Paid (For HRA exemption, employees should provide self-attested copy of rent
agreement and rent receipts/Bank statement for all months i.e. from April 2022 to March 2023).
Enclose photocopy of PAN of Landlord where Rent per month is above Rs. 8333/-
2. 24(1)(b) Interest on Housing Loan up to Rs.2,00,000/- (Rs.3,00,000 for senior citizen)
3. 80C Particular Investment Amount in Rs.
PPF/GPF
LIC (Certify that the policy/policies is/are
paid by self only)
Sukanya deposit
GIS/NSC
Tuition Fee (other than reimbursed by office)
6. 80E Interest on a loan taken for higher education max. 8 years.(no limit).
7. 80EEA Additional Deduction for Interest on Home Loan sanctioned first time during 01.04.2019 to 31.03.2022 (Max
Rs. 150,000/-)
8. 80EEB Deduction for Interest on Loan taken to Buy Electrical Vehicle during 01.04.2019 to 31.03.2023
(Max Rs. 150,000/-)
9. 80G Donation should be made only to specified Fund (Prime Minister’s Relief Fund, Chief Minister’s
Relief Fund or Lt. Governor’s Relief Fund). Rebate for any other donation should be claimed directly.
10. 80GG Rent paid in excess of 10% of total income for furnished/unfurnished residential accommodation (subject to
maximum of Rs. 5,000 p.m. or 25% of total income, whichever is less)
11. 80U Physical Disability (max. Rs.75,000/- for disability and Rs.1,25,000/- for severe disability 80%
or more) please attach certificate.
DECLARATION
1.I hereby declare that the particulars given on pre-page/above are correct and complete in all
respect of Financial Year 2022-23 (Assessment Year 2023-24).
2.The self-attested documentary proof for claiming the benefits of various savings / investments already made or likely to be made, will be
submitted by 20th January 2023, failing which the tax may be recovered from me by nullifying the savings / investments stated in declaration
form.
3.I hereby state that the claim of deduction shown above is in my name and if it is in joint account then it is declared herewith that the other claimant
will not claim it in his/her ITR.
4.In case of payment/ contribution/ investments, I will produce the original document for verification,whenever it will be asked for.