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Letter

The document is a tax deduction claim statement for the employee Lavanya Layyannan for the financial year 2024-2025. It includes details of claims for House Rent Allowance, Leave Travel Assistance, and deductions under Chapter VI-A, with specified amounts and required evidence. The employee certifies the accuracy of the information provided in the statement.

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Venkatesh P S
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25 views2 pages

Letter

The document is a tax deduction claim statement for the employee Lavanya Layyannan for the financial year 2024-2025. It includes details of claims for House Rent Allowance, Leave Travel Assistance, and deductions under Chapter VI-A, with specified amounts and required evidence. The employee certifies the accuracy of the information provided in the statement.

Uploaded by

Venkatesh P S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM NO.

12BB
(See rule 26C)
Statement showing particulars of claims by an employee for deduction of tax under section 192

1. Name and address of the employee : LAVANYA LAYYANNAN


2. Permanent Account Number of the employee : BJEPL3528C
3. Financial year : 2024-2025

Details of claims and evidence thereof


Sl. No. Nature of claim Amount(Rs.) Evidence / particulars
(1) (2) (3) (4)
House Rent Allowance:

Property No : 1
(i) Rent paid to the landlord Rs.96000
(ii) Name of the landlord Chandhrakala

1. (iii) Address of the landlord Door No: 1, No 19/B, Min Road, Rs.96000
Chellikere, Kalyan Nagar, Bangalore, Original House Rent Receipts
Karnataka 560043.
(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

Original Travel
2. Leave travel concessions or assistance Rs.0
Receipts/Tickets
Deduction of interest on borrowing:

(i) Interest payable/paid to the lender

Self Occupied Interest of :Rs.


Property 1
Self Occupied Interest of :Rs.
Property 2
Let-OutInterest :Rs.0.0
(ii) Name of the lender
Self Occupied of Property 1 :
Self Occupied of Property 2 :
Let-Out :
(iii) Address of the lender Provisional Certificate from
3. Rs.0.0 Bank/Financial
Self Occupied of : Institution/Lender
Property 1
Self Occupied of :
Property 2
Let-Out :
(iv) Permanent Account Number of the lender
Self Occupied of Property 1 :
Self Occupied of Property 2 :
Let-Out :

(a) Financial Institutions(if available)


(b) Employer(if available)
(c) Others
Deduction under Chapter VI-A

(A) Section 80C,80CCC and 80CCD


(i) Section 80C

(a) Fixed Deposit Scheme (Block Period of 5 yrs) : Rs.50000

Rs. 100000.0 Photocopy of the investment


4. (ii) Section 80CCC :
proofs
(iii) Section 80CCD :

(B) Other sections (e.g. 80E, 80G, 80TTA, etc.) under Chapter VI-A.

(a) Atal Pension Yojana - Employee Contribution (U/s : Rs.50000


80CCD1B)

Verification
I, LAVANYA LAYYANNAN, son/daughter of Ayyannan. do hereby certify that the information given above is complete and correct.
Place : Bangalore

Date: 18/04/2024

(Signature of the employee)


Designation : Senior Executive-Design & Engineering Full Name: LAVANYA LAYYANNAN

Note: The information/details above, as required for deduction of tax u/s 192 of the Income Tax Act, has been entered by the employee through an
authorized login on the portal. The information submitted above is deemed to be e-signed by the employee.

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