ITS Form

PROVISIONAL INCOME TAX DECLARATION FORM

(ASSESSMENT YEAR 2021-2022)

Financial Year : 2020-2021 (ACCOUNTS & FINANCE)

Employee ID*	Full Name	Designation		Department
Address	Contact	Region	Region selected will be considered for your rent declared	Age
PANNumber

Section 80C(The maximum amount deductible under 80C and 80CCC is Rs.1,50,000)

Section 80D 80D(2B),80DD,80E,80G,80GG,80U,80CCG

Details

Estimated

Section-80D Medi Claim Policy For Self,Spouse and Children it is Rs.25000,and it would be Rs.50,000 if there is any Sr.Citizen
For parents it is Rs.25000,and it would be Rs.50,000 if there is any Sr.Citizen

Section 80DD Medical Expenses for Handicapped Dependents Severity

Section-80U Deduction for Permanent Disability Severity

Section-80E Interest on Higher Education LoanNo limit on Interest amount paid
(Vaild for a period of 8 Years)

Section-80CCG Rajiv Gandhi Equity Savings Scheme u/s Lower of 50% of amount invested in equity shares or Rs.25,000

Section-80G Donations to Specified Institutions and Organizations

House Rent Exemption and Loan Details & 80EE

Rented House

Own House with Housing loan

Rented House with Housing loan

Name and address of the Landlord	LandLord Pancard Number	Rent payable per Month

Other Income

Details	Estimated
Have you claimed LTA more than 2 times from 2018-2022 ?

Section 10 Education Allowance Exemption

I here by declare that the particulars furnished by me are true and investments will be out of my income chargeable to tax & I am entitled to claim deduction of the amount stated as per conditions laid down in the aforesaid section.I will invest the above mentioned amount before 01/12/2020 & company will not be responsible if I fail to invest so,I agree to submit proof of complete investments made and rent receipts for verification and record before 01/12/2020

*PLEASE 'PRINT' THIS FORM BEFORE SUBMIT AND PROVIDE DULY SIGNED COPY TO HR-DEPARTMENT.

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Name of the Bank	Loan Amount	Actual Construction Cost	Date of Loan	Principal Amount	Interest Amount (Annual)
					Maximum Limit is Rs.2,00,000
Is 1st Loan	Is Under Construction

	Income from the Let-Out Property (Per Month) Income will be considered after deducting municipal taxes.
	Municipal Taxes Paid (Per Annum)
	Section-80EEA Additional 1,50,000 Home Loan Interest Deduction u/s Deduction for additional interest of Rs.1,50,000 per annum is available ONLY for loans up to Rs.45 Lakhs sactioned in 2019-2020 for first time home buyers where the house cost does not exceed Rs.45 Lakhs	Section-80EE Additional 50,000 Home Loan Interest Deduction u/s Deduction for additional interest of Rs.50,000 per annum is available ONLY for loans up to Rs.35 Lakhs sactioned in 2016-2017 for first time home buyers where the house cost does not exceed Rs.50 Lakhs

Date of Journey		Location		Name of the Person Travelled	Relationship with Employee	Mode Of Travel	Amount
From	To	From	To	Name of the Person Travelled	Relationship with Employee	Mode Of Travel	Amount