SELF-DECLARATION FOR CLAIMING HOUSING LOAN PRINCIPAL & INTEREST BENEFIT
(Availing benefit under Section 24(b) or 80C of Income Tax Act, 1961)
Employee Name
Employee ID
Employee PAN
10 Character – Alpha Numeric)
As per sections 24(b) provisions of Income Tax Act, 1961, I have availed housing loan as per details below:
Name of the Finance Institution (Loan availed from)
Loan amount Rs.
Loan obtained for the purpose of (Tick the loan purpose) Construction / Acquisition / Renovation / Repair
Date of Final disbursement (DD-MMM-YYYY)
Amount repaid towards Principal Rs.
Annual Interest (paid + payable) – FY 2022-2023 Rs.
Date of completion of construction / possession
(DD-MMM-YYYY)
Property address including district and state for which loan
availed
Sl No. Co-borrower Name Relationship
Co-borrower details 1
(for claiming interest and principal) 2
3
Property status Self-occupied / Let-out (Rented)
Principal Amount Interest Amount
Employee’s claim for Principal repayment and Interest,
deduction
I hereby declare that the above mentioned information is true and also understood the provisions of Income Tax Act,
1961 to avail benefit under Section 24(b) and 80C. I further confirm that my house is purchased / constructed and
completed within 3 years from the end of the Financial Year in which the final home loan was availed. I will be solely and
wholly responsible to handle any queries from any competent officials and / or to submit all relevant documents
including property possession proof (e.g. possession certificate from builder, utility bill etc.) to Income Tax / Competent
Authorities.
I am enclosing interest – principal break-up certificate issued by the Financial Institution from where I / we have availed
the loan.
Signature of co-borrower(s) Signature of employee
(1)
(2)
(3)
Location:
Date:
(Note: All columns should be compulsorily filled in for consideration & processing)
“This document is uploaded as an attachment for investment proof submission in electronic form in the payroll portal. Hence
deemed to be digitally signed and accepted and physical signature is not required on this document”.