Income Tax Declaration Form for the Financial Year 2006-07

Name: Karthikeyan T Location: Chennai

Emp No: 1056 PAN No:

DOJ: 2/6/2003 Gender: Male

Exemptions under Section 10 & 17 Employee's Declaration Value of Proof / Bills Produced

House Rent Paid (Sec 10 (13A)) 12,000.00

Medical Bills Exemption (Sec 17(2)) 15,000.00

Children's Education Allowance Exemption (Sec 10 (14))

LTA Exemption (Sec 10(5))

Vehicle Maintenance (Petrol / Maint. Bills) (Sec 10 (14))

Total 27,000.00 -

Other Income

House / Property Income or Loss (Enter Loss as Negative)

Interest on Housing Loan (for Tax Exemption)

Other Income (Interest, etc.)

Deductions under Chapter VI-A - -

Medical Insurance Premium (Sec 80D)

Medical for Handicapped Dependents (Sec 80DD)

Medical for Specified Diseases (Sec 80DDB)

Higher Education Loan Interest Repayment (Sec 80E)

Donation to Approved Fund and Charities (Sec 80G)

Rent Deduction (Sec 80GG) only if HRA Not Received

Deduction for Permanent Disability (80U)

Any Other Deductions

Total - -

Deductions under Chapter VI (Sec 80C)

Deduction under Pension Scheme (Sec 80C)

NSC (Sec 80C)

Public Provident Fund (Sec 80C)

Employees Provident Fund & Voluntary PF (Sec 80C)

Children's Education (Sec 80C)

Housing Loan Principal Repayment (Sec 80C)

Insurance Premium (Sec 80C) 6,060.00

Infrastructure Bonds & others (MF, ULIP, etc.) (Sec 80C)

Total Investments 6,060.00 -

I _______________________________________________ do hereby declare that what is stated above is true to the best of my
knowledge and belief.
Date: Signature:
Employee's Income Tax Declaration Form for the Financial Year 2019-20
Name: PAN No:(Mandatory)
Designation Gender:
Department DOB
DOJ: Email

Employee ID Contact No.

S. No. DESCRIPTION Rs.

Particulars of Income from sources other than salary from the

A
Vectus Industries Ltd.
1 Dividends
2 Interest
3 Other Incomes (specify)
Total Earnings 0

B Income from House Property

Annual Value of House Property (As Per Income Tax Act)
Less:
(I) Standard Deduction (as per Section 24(1) 30.00% 0
(II) Interest on Housing Loan - as per Section 24(2) for Tax
0
Exemption
Total Income from House Property 0
HRA: RENT PAID PER MONTH ( Please mention the starting and ending
C Rent (p.m.) Rent (p.a.)
month)

Period: From April 2019 to March 2020* 0

City of Rented Accomodation (Metro/Non Metro)*

PAN of LandLord*(Mandatory if Rent Exceed 100,000 in a Year)

Name Of Landlord(Mandatory)

Total Rent Paid (per annum) 0

D INVESTMENTS U/S 80C, 80CCC, 80CCD capped at Rs 1.5 Lac

1 Public Provident Fund(PPF Bank Account Deposit)

2 Employees Contribution under New Pension Scheme

3 Contribution to Certain Pension Funds

4 Housing Loan Repayment Principal (Payable in F.Y. 2019-20)

5 Insurance Premium (including GIS contribtuion)

6 Unit Linked Insurance Scheme

7 ELSS/Mutual Fund

8 Term Deposit with Schedule Bank

9 Children Education Tuition Fees Only Elegible for 2 Child only

10 National Saving Scheme / Certificate

11 Sukanya Samridhi Scheme

12 Others, (Please specify if any)

13 Investment in NPS 80CCD(1B) Elegible Max 50,000

Aggregate amt of investments u/s 80C, 80CCC Rs.1,50,000/-+ u/s

0
80CCD(1B)Additional deduction of Rs. 50,000

Date: Page 3 of 12 Name with Signature of Employee

 E OTHER PERMITTED DEDUCTIONS

1 80D - Medical Insurance Premium

2 80DDB - Expenditure on Medical Treatment for specified disease

80E - Repayment of Interest against Educational Loan for Higher

3
Studies(after completing Senior Secondary Exam)
80G - Donations (only for Prime Minister’s National Relief Fund,
4 the Chief Minister’s Relief Fund or the Lieutenant Governor’s
Relief Fund)

5 80GG - Rent Paid but not in Receipt of HRA

80U-Permanent Physical Disability (Normal Rs. 50000/- and

6
Severe Rs.1,00,000/-)

7 Handicapped Dependant – 80DD Form 10-IA required

80EE-Additional deduction to first time home buyers.

8 Home Value<50Lacs, Loan taken<35Lacs,
Loan sanctioned in FY 2016-17 only
9 Others - (Please specify if any)
Total Deductions 0
E EXEMPTION U/S 10

1 Number of School going Children, if any ( No.) If Yes, Provide Name, DOB

Leave Travel Allowance, (Maximum upto Basic Salary p.a)

2 Claim - 2years in block of 4years

3 Professional Development Allowance 0

4 Mobile Allowance 0
5 Uniform Allowance 0

6 Fuel Reimbursement 0

7 Vehicle Miantenance 0
8 Driver Reimbursement 0
Total 0
I, do hereby declare that the proof of fresh investments will be submitted by 15th February, 2020. Further, incase of any change in above declaration, I would
revise it and inform the insitute immediately. I shall indemnify the institute for all cost and consequences if any information is found to be incorrect.

Notes:
1. The date of Investments must be between 01-04-2019-31.03.2020.
2. Deduction u/s 10(13A) for HRA is available only where employees have actually paid the rent. Original rent receipts with Revenue Stamp & PAN of
Landlord.

3. Declaration should have PAN Number. Those who do not have PAN are requested to apply for it immediately and mention 'NOT FURNISHED'

4. Eligible limit for deduction "Other Allowances" refer your Salary Slip and allowable components.
4. Income Tax Slabs for the Year 2019-20 (Assessment Year 2020-21)
Slab
Less than 60yrs Age 60yrs - <80yrs
I. Upto 250000 Upto 300000 NIL
II. Above 2.50 Lacs to Rs. 5.00 Lacs Above 2.50 Lacs to Rs. 5.00 Lacs 5%
III. Above 5.00 Lacs to 10.00 Lacs Above 5.00 Lacs to 10.00 Lacs 20%
IV. Above 10.00 Lacs Above 10.00 Lacs 30%

FOR OFFICE USE ONLY

DATE Checked By

Date: Page 4 of 12 Name with Signature of Employee

 Other Allowances and Fuel, Vehicle Maintenance & Driver Reimbursement Claim FY 2019-20
NAME : 0
EMP. ID: 0
DEPT: 0
DESIGNATION: 0
COMPANY: VECTUS INDUSTRIES LIMITED
Professinal
Months Uniform Allowance Mobile Allowance Fuel Reimbursement Vehicle Maintenance Driver Reimbursement
Development

Apr
May
June
July
August
September
October
November
December
January
February
March
- - - - - -

DATE : SIGNATURE OF EMPLOYEE

FOR OFFICE USE ONLY (HR DEPT)
Total Eligible Amount (Rs) (As per eligible limit)

DATE HR DEPT
 Employee's Income Tax Declaration Form for the Financial Year 2016-17
Name: PAN No:(Mandatory)
Designation Gender:
Department DOB
DOJ: Email

Employee Code Contact No.

S. No. DESCRIPTION Rs.

Particulars of Income from sources other than salary from the Vectus
A
Industries Ltd.
1 Dividends
2 Interest
3 Other Incomes (specify)
Total Earnings 0

B Income from House Property

Annual Value of House Property (As Per Income Tax Act)
Less:
(I) Standard Deduction (as per Section 24(1)
(II) Interest on Housing Loan - as per Section 24(2) (for Tax Exemption - Self
Occupied Property acquired /constructed before 01-04-1999 - Rs.30,000 elgible & Self
Occupied Property acquired /constructed after 01-04-1999 - Rs.2,00,000 eligble)

a. Amount of Interest for the F.Y. 2016-17

b. Amount of Interest for Pre-Contruction Period (as per Income Tax Rule)
Total Income from House Property 0
C HRA: RENT PAID PER MONTH ( Please mention the starting and ending month) Rent (p.m.)
Period: From April 2016 to March 2017

City of Rented Accomodation (Metro/Non Metro) Noida

Total Rent Paid (per annum) 0

D INVESTMENTS U/S 80C, 80CCC, 80CCD capped at Rs 1.5 Lac

1 Public Provident Fund

2 Employees Contribution under New Pension Scheme

3 Contribution to Certain Pension Funds

4 Housing Loan Repayment Principal (payable in F.Y. 2016-17)

5 Insurance Premium (including GIS contribtuion)

6 Unit Linked Insurance Scheme

7 ELSS/Mutual Fund

8 Term Deposit with Schedule Bank

9 Children Education Expenses / Tuition Fees

10 National Saving Scheme / Certificate

11 Others, (Please specify if any)

12 Investment in NPS 80CCD(1B)

Aggregate amt of investments u/s 80C, 80CCC Rs.1,50,000/-+ u/s

0
80CCD(1b)Additional deduction of Rs. 50,000

E OTHER PERMITTED DEDUCTIONS

1 80D - Medical Insurance Premium

2 80DDB - Expenditure on Medical Treatment for specified disease

3 80E - Repayment of Interest against Educational Loan

80G - Donations (only for Prime Minister’s National Relief Fund, the Chief
4
Minister’s Relief Fund or the Lieutenant Governor’s Relief Fund)

5 80GG - Rent Paid but not in Receipt of HRA

80U-Permanent Physical Disability (Normal Rs. 50000/- and Severe

6
Rs.1,00,000/-)

7 Handicapped Dependant – 80DD (Pls. submit Form 10-IA)

8 80EE-Additional deduction to first time home buyers

9 Others - (Please specify if any)

Total Deductions 0
E EXEMPTION U/S 10

1 Number of School going Children, if any ( No.)

2 Medical Ependiture (Rs.)

Leave Travel Allowance,

3

4 Uniform Allowance

5 Fuel

6 Vehicle Miantenance

7 Driver

F PREVIOUS EMPLOYMENT SALARY Salary Paid

If Yes, Form 16 from previous employer or Form 12 B attached

I, do hereby declare that the proof of fresh investments will be submitted by 31st December, 2016. Further, incase of any change in above declaration, I would revise it and inform the insitute

immediately. I shall indemnify the institute for all cost and consequences if any information is found to be incorrect.

Date: Page 6 of 12 Name with Signature of Employee

 FORM NO. 12B
[See rule 26A]
Form for furnishing details of income under section 192(2) for the year ending 31st March,_______
Name and address of the employee
Permanent Account No.
Residential status
Particulars of salary as defined in section 17, paid or due to be paid to the
employee during the year

TAN of the Value of perquisites Total of

Name and address of Permanent Account Number Period of
S.No employer(s) as Total amount of house rent and amount of columns 6,
employer(s) of the employer(s) employment
allotted by the ITO Total amount of allowance, conveyance accretion to 7, and 8
salary excluding allowance and other allowances employee's provident
amounts required to the extent chargeable to fund account (give
to be shown in tax[See section 10(13A) read details in the details in
columns 7 and 8 with rule 2A and section 10(14)] the
1 2 3 4 5 6 7 8 9

† With effect from 1-4-1991, section 80C has been replaced by section 88.

Verification
I,______________________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief.
Verified today, the_____________________day of______________________
Place
 ANNEXURE
[See column 8 of Form No. 12B]
Particulars of value of perquisites and amount of accretion to employee's provident fund account
Name and address of the employee
Permanent Account No.
Period : Year ending 31st March,_______________
Value of rent-free accommodation or value of any concession in rent for the accommodation provided by the employer (give basis of computation)[See rules 3(a) an
Where accommodation is furnished
Name of the TAN/PAN of the
employee employer Where Cost of furniture (including television sets, radio sets, refrigerators, Perquisite value of furniture (10%
Value as if accommodation is
accommodation is other household appliances and air-conditioning of column 5) OR actual hire
unfurnished
unfurnished plant or equipment) OR hire charges, if hired from a third party charges payable
1 2 3 4 5 6
 ANNEXURE
(Contd.)

Remuneration paid Estimated value of any other

by employer for Value of free or concessional benefit or amenity provided by the
domestic and/or passages on home leave and employer, free of cost or at
Whether any conveyance has been provided by the employer free or at a concessional rate or
Name of the personal services other travelling to the extent concessional rate not included in
where the employee is allowed the use of one or more motor cars owned or hired by the
employee provided to the chargeable to tax (give details) the preceding columns (give
employer, estimated value of perquisite (give details) [See rule 3(c)]
employee (give [See rule 2B read with section details), e.g., supply of gas,
details) [See rule 10(5)(ii)] electricity or water for household
3(g)] consumption, free educational faci

1 10 11 12 13

Name of Employee
Place
Signature
 Total amount
Amount deducted in
of tax
respect of life
deducted
insurance premium,
during the
provident fund Remarks
year (enclose
contribution, etc., to
certificate
which sec. 80C †
issued under
applies (Give details)
section 203)

10 11 12

Signature of the employee

Signature of the employee

ount

mployer (give basis of computation)[See rules 3(a) and 3(b)]

Rent, if any, Value of perquisite (column 3 minus

Total of columns 4
paid by the column 8 or column 7 minus column
and 6
employee 8 as may be applicable)
7 8 9
 Interest
credited to the
assessee's
Employer's
account in
contribution to
recognised
recognised provident
provident fund Total of columns 9 to 15 carried to
fund in excess of 10%
in excess of column 8 of Form No. 12B
of the employee's
the rate fixed
salary [See Schedule
by the Central
IV - Part A]
Government
[See Schedule
IV - Part A]

14 15 16

Signature of the employee