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Form 12BB in Excel Format

This document is a Form 12BB which is used to report employee tax deductions and claims in India. It contains sections for providing the name and PAN of the employee, the financial year, and a table to list out the nature, amount, and evidence for various tax deduction claims including house rent allowance, leave travel assistance, interest deductions on loans, and deductions under Chapter VI-A of the Income Tax Act for items like insurance premiums, contributions, tuition fees, etc. The form requires supporting evidence such as names and PAN numbers of landlords or lenders and concludes with an employee verification signed with their name, designation, and date.

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0% found this document useful (0 votes)
1K views4 pages

Form 12BB in Excel Format

This document is a Form 12BB which is used to report employee tax deductions and claims in India. It contains sections for providing the name and PAN of the employee, the financial year, and a table to list out the nature, amount, and evidence for various tax deduction claims including house rent allowance, leave travel assistance, interest deductions on loans, and deductions under Chapter VI-A of the Income Tax Act for items like insurance premiums, contributions, tuition fees, etc. The form requires supporting evidence such as names and PAN numbers of landlords or lenders and concludes with an employee verification signed with their name, designation, and date.

Uploaded by

kumar45ca
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM NO.

12BB
(See rule 26C)

1. Name and address of the employee:


2. Permanent Account Number of the employee:
3. Financial year:

Details of claims and evidence thereof


Sl No. Nature of claim Amount (Rs.)

(1) (2) (3)


1 House Rent Allowance:
(i) Rent paid to the landlord
(ii) Name of the landlord
(iii) Address of the landlord
(iv) Permanent Account Number of the landlord

Note: Permanent Account Number 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:
(i) Interest payable/paid to the lender
(ii) Name of the lender
(iii) Address of the lender
(iv) Permanent Account Number of the lender
(a) Financial Institutions(if available)
(b) Employer(if available)
(c) Others
4 Deduction under Chapter VI-A
(A) Section 80C,80CCC and 80CCD
(i) Section 80C
(a) ………………..
(b) ………………..
(c) ………………..
(d) ………………..
(e) ………………..
(f) ………………..
(g) ………………..
(ii) Section 80CCC
(iii) Section 80CCD
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under
Chapter VI-A.
(i) section……………….
(ii) section……………….
(iii) section……………….
(iv) section……………….
(v) section……………….
Verification
I,…………………..,son/daughter of……………………….. do hereby certify that the information given above i
and correct.
Place……………………………………………...
Date…………………………………………….... (Signature of the employee)
Designation ……………………………….…. Full Name
FORM NO.12BB
(See rule 26C)

Details of claims and evidence thereof


Evidence / particulars

(4)
Verification
……………………….. do hereby certify that the information given above is complete

(Signature of the employee)


Full Name

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