Professional Documents
Culture Documents
Employee ID *
Gender
Date of Joining
Employee Name *
PAN No (Attach
Photocopy)*
Address for claiming HRA:
Aadhaar Card
Number*
Company Name(Deputed At)
Section A - Rent paid details for claiming HRA exemption ( Only Original Rent Receipts will be considered & if the rent exceeds Rs.8333.33, Landlord
Pan no mandatory)
From Date
To Date
City
Metro
Yes/No
PAN of Landlord
As Per
Section B - Chapter VI A - Deductions from Total Income (Photo Copies to be
Last
attached)
Declaratio
n
Medical Insurance Premium (U/s 80D) - Individual, Spouse & Children
Medical Insurance Premium (U/s 80D) - Parents not being Senior Citizens
Date :
Place :
Signature of Employee *
* Indicates mandatory fields. Please verify the same and if blank, please fill in and submit the form. EPSF without signature will not be considered.
10 (13A)
House Rent
Allowance
PROOF TO BE SUBMITTED
TAX BENEFIT
Original Rent Receipts one for each (Month / Quarter / Year) pertaining to current financial year (Apr Least of the below is exempt for Income Tax:
16 to Mar 17)
(Declaration Form
attached)
Document
Employees, who have joined the company in between the year i.e. after 1st Apr 2016, should
submit Rent Receipt only for the period with the current employer (from Date of Joining till the
proof submission month)
Declaration form from the land lord is required incase PAN is unavailable - Format attached
HRA Declaration for future months to be submitted. Format attached at the end of the document
Original Train Ticket(s)
Exemption criteria:-
LTA
In case of travel by Train / Flight - Travel agents bill without tickets does not constitute valid proof
LEAVE
TRAVEL
Employee should be on paid leave during the period of travel (to be verified by the employer / HR)
ALLOWANCE
Note:
LTA Forms Attached ( To claim LTA)
No Proofs required. Number of school /hostel going children to be updated in EPSF to provide
necessary exemption
Additionally, Rs.300/- per month per child if the child / children are Exemption will not be provided, if number of school / hostel
in hostel.
going children is not updated in EPSF.
Exemption will be prorated from Date of Joining of current employer
80D
Medical
Insurance
Receipt / Certificate should specify that benefit eligible u/s 80D (Mediclaim Insurance)
Previous year receipts along with declaration to be submitted, if the policy is due after the proof submission
Preventive
cut-off
heath
date
check up is allowed for deduction upto Rs 5,000,
within the overall deduction limit.
Page 2 of 8
Late payment charges and service tax will not qualify for the
benefit.
80DD
Maintenance /
Medical
treatment of
Handicapped
dependents
80DDB
Deduction in
respect of
Medical
Treatment
80E
80U
PROOF TO BE SUBMITTED
Photocopy of certificate (Form - 10 IA)issued by the competent medical authority in a Government
Hospital specifying the % of disability
Self-declaration mentioning amount spent on treatment, training or rehabilitation of the
handicapped dependent or receipt of the amount paid to LIC/UTI for the policy
Where condition of disability requires reassessment, fresh certificate to be obtained after its expiry
to continue claiming the deduction
Submit a certificate in form 10-I,from a neurologist, Oncologist,Urologist, Haematologist,
Immunologist or other specialist as mentioned in Rule 11DD.
Applicable for the assesse or their dependant husband/wife,,children, parents, brothers and sisters
of the tax payer
Eligible if loan is availed by the employee for self, spouse or children for pursuing higher education
on or before 01-Apr-2006
Provisional certificate pertaining to current financial year only (Apr 16 Mar 17) from the Bank /
Education Loan Financial Institution specifying the following:
Interest
Said loan is an Educational Loan and qualify for benefit u/s 80E
Benefit
Break up of principle and interest paid on the loan in the current financial year (Apr16Mar17)
TAX BENEFIT
80CCD
National
Pension
Scheme
80TTA
Interest on
Savings Bank
account
80EE
Deduction in
respect of
interest on
loan taken for
residential
House property
Page 3 of 8
PROOF TO BE SUBMITTED
TAX BENEFIT
24
Provisional certificate pertaining to current financial year (Apr 16 Mar 17) with breakup of
interest and principle from the Housing Finance Company / Bank.
In case of Joint loan, declaration specifying the % of benefit claimed by the individual
Loss on SelfHousing loan interest deduction through payroll will be considered. No proof required
Occupied
house property
(Housing loan
interest)
Possession Letter from Builder or through self declaration from the employee is mandatory as per
IT circular no 8/2012, dated 5th October 2012
Provisional certificate pertaining to current financial year (Apr 16 Mar 17) with breakup of
interest and principle from the Housing Finance Company / Bank.
24
80C
In case of Joint loan, declaration specifying the % of benefit claimed by the individual
Loss / Income
on Let out
House Property Form 12 C or Computation of Loss / Income as per rule is mandatory. Template attached
(Housing loan If the premises is left vacant / occupied by family, as per Section23 (1) (c), Notional Rental Income
interest)
has to be arrived and then, the net loss has to be arrived.
Notional rent to be taken as municipal valuation or the rent which similar property in the same
locality would fetch, whichever is higher. However, if standard rent is fixed for the property, then
notional rent cannot exceed the standard rent
Section 80C Deductions ( Maximum Deduction Capped to Rs. 1.5 Lakh Inclusive of PF/
VPF
PF / VPF / LIC
Deduction
Deduction through payroll will be considered. No proof required for the same.
through salary
Life Insurance
Premium
80C
NSC Interest
National
Savings
Certificate
(NSC)
(Declaration Form
attached)
Photocopy of previous year receipts are required for future months, as proof
80C
Photocopy of receipts issued by the Insurance Company, pertaining to current financial year (Apr
16 Mar 17)
Policy can be from any approved company by IRDA(Insurance Regulatory & Development Authority)
80C
Maximum deduction is allowed under Sec-80C (including 80CCC) is Current year certificates do not qualify for interest benefit.
Rs.1,50,000/Should be submitted under NSC
NSC Interest declared will also be accounted as Other Income
and taxed
Page 4 of 8
Document
80C
PROOF TO BE SUBMITTED
Photocopy of the certificate / bond issued by the scheduled bank should be of the current financial
year only (Apr 16 Mar 17)
Term deposits (Tax Saving Bond Only) for a minimum period of 5 years with a scheduled bank are
Fixed Deposit
in a Scheduled eligible for deduction
Bank
Policy should specify that benefit eligible u/s 80C. If not specified, letter from the bank specifying
the eligibility u/s 80C is required
TAX BENEFIT
Maximum deduction is allowed under Sec-80C (including 80CCC) is Future period benefits will not be provided, if declaration is
Rs.1,50,000/not submitted
80C
Photocopy of Receipts / Statements pertaining to current financial year only (Apr16 Mar17)Specified funds only
Mutual Fund / Receipt should be in the name of individual (Self only)
ELSS
Policy should specify that benefit eligible u/s 80C
Declaration for future months to be submitted
80C
Children
Tuition Fees
Photocopy of Receipts for tuition fees paid, pertaining to current financial year only (Apr16
Mar17)
80C
Deposit under Certificate should be of the current financial year only (Apr16 Mar17)
Senior Citizens Certificate should specify that benefit eligible u/s senior citizen saving scheme
Saving Scheme
80C
80C
80C
Housing
Principal
including
Registration/
Stamp Duty
Sukanya
Samrudhi
Scheme
Provisional certificate pertaining to current financial year (Apr16 Mar17) with breakup of interest
and principle from the Housing Finance Company / Bank.
In case of Joint loan, declaration specifying the % of benefit claimed by the individual
Maximum deduction is allowed under Sec-80C (including 80CCC) is Bank statement showing only EMI deduction will be
Rs.1,50,000/disallowed
Housing loan principle deduction through payroll will be considered. No proof required
Photocopy of Sale Deed and Stamp Duty Paid Receipt pertaining to current financial year (Apr16
Mar17)
Photocopy of receipts issued by the post office / authorised banks, pertaining to current financial
year (Apr 16 Mar 17)
Page 5 of 8
Tax Treatment:
Previous employment income, as per supporting, will be accounted for computing the tax liability for the year. While generating the Form16, the previous employment details will be removed. This treatment is supported by the below circular from the IT
department. You are expected to consolidate multiple employment details, while filing your individual returns
As per circular F.No.SW/09/03/2002-DIT(S)-798 dated 13/4/04 issued by the Directorate of Income Tax (Systems)
Section 192(2) of Income Tax Act, 1961 allows an employee who had more than one employer in financial year to furnish details of his salaries and TDS from the first employer in Form 12B(supported by relevant proofs) to the second employer for
the purpose of deduction of correct tax at source by the second employer. The relevant provisions required that in such a case, the second employer may deduct tax at source at a lower rate and enclose Form 12B with his TDS returns. At present,
in the TDS return for salary i.e. Form No.24, there is no column for furnishing of particulars of salary received/tax deducted by the previous employer. Previously, the deductors used to furnish these details as a footnote in the TDS return. However,
this cannot be done in electronic TDS return, as data structure does not support provision of any footnote.The matter was referred to the CBDT. The CBDT has clarified that such problems can be resolved as under;
In cases of employees with more than one employer in a financial year, the deductor need to disclose only the salary paid and TDS made by him in the Form 24 being filed by him. In case this amounts to deduction at a lower rate, then he can
mention the words "12B' in the Remarks column of Form 24; and
Enclose Form 12B along with Form 27A, which the deductor is required to file along with his e-TDS return.
The circular clearly states that only current employers income and tax details should be shown in Form 24. Since Form 24 is an aggregation of Form 16s issued, Form 16 will display only the current employers income and tax. However, while computing the tax
liability for the full year, the previous employment income and tax will be accounted for. The same practice was followed Since FY 2005-06.
Previous
Employment
Income / Tax
Proofs to be submitted
Guidelines
Photo Copy of Form 16 or a signed / sealed tax computation sheet, from the previous employer
along with a declaration in Form 12B.
The income after Sec.10 exemption Professional tax/ PF/ VPF and
income tax deducted, will be factored along with the current
employemnt income, to arrive at net tax liability for the year 20162017
Where the previous employer has granted Deductions for
Investments made including Housing Loan Interest Deduction
-proofs of such investments will have to be re-submitted now with
EPF.
Treatment of Previous Employment Income
Employee has to submit Form 16, or a signed / sealed tax computation sheet, from the previous employer along with a declaration in Form 12B. Form 16 or the signed tax sheet from the
previous employer is mandatory. Only Form 12B submitted will not be considered
Previous employment income, as per supporting, will be accounted for computing the tax liability for the year. While generating the Form16, the previous employment details will be
removed. This treatment is supported by the below circular from the IT department.
As per circular F.No.SW/09/03/2002-DIT(S)-798 dated 13/4/04 issued by the Directorate of Income Tax (Systems
1. Section 192(2) of Income Tax Act, 1961 allows an employee who had more than one employer in financial year to furnish details of his salaries and TDS from the first employer in
Form 12B(supported by relevant proofs) to the second employer for the purpose of deduction of correct tax at source by the second employer. The relevant provisions required that in
such a case, the second employer may deduct tax at source at a lower rate and enclose Form 12B with his TDS returns.
2. At present, in the TDS return for salary i.e. Form No.24, there is no column for furnishing of particulars of salary received/tax deducted by the previous employer. Previously, the
deductors used to furnish these details as a footnote in the TDS return. However, this cannot be done in electronic TDS return, as data structure does not support provision of any
footnote
3. The matter was referred to the CBDT. The CBDT has clarified that such problems can be resolved as under
Page 6 of 8
a. In cases of employees with more than one employer in a financial year, the deductor need to disclose only the salary paid and TDS made by him in the Form 24 being filed by him.
In case this amounts to deduction at a lower rate, then he can mention the words "12B' in the Remarks column of Form 24; and
b. Enclose Form 12B along with Form 27A, which the deductor is required to file along with his e-TDS return.
The circular clearly states that only current employers income and tax details should be shown in Form 24. Since Form 24 is an aggregation of Form 16s issued, Form 16 will display only
the current employers income and tax. However, while computing the tax liability for the full year, the previous employment income and tax will be accounted for. The same practice
was followed in FY 2005-06.
Circumstances
is used partly in the performance of duties and partly for private or personal purposes of his own or
any member of his household and(i) the expenses on maintenance and running are met or reimbursed by the employer;
Rs. 1,800 (plus Rs. 900, if chauffeur is also provided to run the
motor car)
2
Where the employee owns any other automotive conveyance but the actual running and
maintenance charges are met or reimbursed to him by the employer and
such reimbursement is for the use of vehicle partly for official purposes and partly for personal or
private purposes of the employee.
Page 7 of 8
Section B
Chapter VI A
SECTION
1 Medical Insurance
80D
80DD
80DDB
80E
80GG
Individual
80U
Individual
80TTA
Individual
80CCD
Individual
80EE
Individual
Section C
Section 80C/80CCE
SECTION
10 Provident Fund - PF
80C
Individual
80C
Individual
80C
80C
Individual
80C
Individual
15 Tuition Fees - TF
80C
Individual
16 Mutual Fund - MF
80C
Individual
80C
Individual
80C
80C
Individual
80C
Individual
80C
Individual
80C
Individual
23 Interest on NSC
80C
Individual
80C
Individual
80C
Individual
80C
Children
Section D
SECTION
24
Individual
24
Individual