Scribd
Upload
6K views2 pages

HRA Declaration Form for Employees

This document contains two parts. Part A is an employee self-declaration form for house rent allowance. It requires the employee to provide details like rental payment amount and landlord information. The employee acknowledges responsibility for any incorrect information. Part B is a landlord declaration form to be filled if the annual rent exceeds one lakh and the landlord's PAN is not available. It requires the landlord to confirm rental property details and confirm they do not have a PAN number.

Uploaded by

Amal Prakash
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
6K views2 pages

HRA Declaration Form for Employees

This document contains two parts. Part A is an employee self-declaration form for house rent allowance. It requires the employee to provide details like rental payment amount and landlord information. The employee acknowledges responsibility for any incorrect information. Part B is a landlord declaration form to be filled if the annual rent exceeds one lakh and the landlord's PAN is not available. It requires the landlord to confirm rental property details and confirm they do not have a PAN number.

Uploaded by

Amal Prakash
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • PART-A: Employee Self-Declaration
  • PART-B: Landlord Declaration

PART-A

HRA (House Rent Allowance) DECLARATION Self Declaration b E!"lo ee (All t#e fiel$s below are !an$ator ) Employee Id : Employee Name : . Are you the owner of the rented property: (YES / NO): Annual Rent Pa d : .. !ode of Rent Payment : "a#h "he$ue Onl ne tran#fer Details of Rente$ Pro"ert % &&&&&&&&&&&&&&&&&&&&&&&&&'' &&&&&&&&&&&&&&&&&&&&&'' Name of %andlord : "onta&t No of %andlord : (!o' le) (Re# den&e) ((or)) (E* ma l) %andlord addre## for &ommun &at on (pre#ent addre##) : .. PAN (Permanent A&&ount Num'er) of %andlord: &&&&&&&&&&&&&&&'' (As "er Inco!e Ta( act) it is !an$ator to "ro*i$e Lan$lor$s PAN Nu!ber for rental a!ount !ore t#an Ru"ees One La+#' If PAN
(Per!anent Account Nu!ber) of Lan$lor$ is not a*ailable t#en it is !an$ator to ,et Part-- of t#is for! $ul fille$ an$ si,ne$ b our Lan$lor$' It is #i,#l encoura,e$ to sub!it t#e PAN of Lan$lor$ e*en if t#e rental is below t#e aforesai$ a!ount of Ru"ees One La+#')

+he a'o,e nformat on # &omplete- true and &orre&t to the 'e#t of my )nowled.e and I ha,e no rea#on to 'el e,e that th # nformat on &an 'e m #lead n. or na&&urate. I #hall 'e per#onally re#pon# 'le and l a'le f the #ame # found n&orre&t. I underta)e to pro, de any further nformat on wh &h I/! or t# author 0ed repre#entat ,e# may re$ue#t me to pro, de n &onte1t of my 2ou#e Rent Allowan&e. I here'y &on#ent to I/! or t# author 0ed repre#entat ,e# to &onta&t me or my %andlord or the r author 0ed repre#entat ,e# to &olle&t any nformat on [Link] n. my 2ou#e Rent Allowan&e payment#. If any part of the nformat on &onta ned here n ( n&lud n. the a&tual rent pa d) # found to 'e fully or partly n&orre&t then I w ll 'e per#onally l a'le n&lud n. f l n. of or . nal/re, #ed nd , dual ta1 return payment of any d fferent al ta1 to the In&ome*ta1 3epartment. I a&)nowled.e that any na&&urate/m #lead n. nformat on furn #hed 'y me w ll amount to , olat on of the I/! /u# ne## "ondu&t 4u del ne# (/"4) and I/! &an ta)e d #& pl nary a&t on a.a n#t me n&lud n. term nat on of my #er, &e#. (Si,nature of E!"lo ee)

Below are disallowed while considering HRA rent paid evidence Only advance or security not accompanied with monthly rental.

PART-B
DE !ARAT"O# $OR #O# A%A"!AB"!"T& O$ !A#D!ORD PA# 'To (e )illed (y !andlord* 'Applica(le only i) annual rent e+ceeds one la,h and PA# o) !andlord is not availa(le* 'All the )ields (elow are mandatory*

" -------------------. '#ame o) the !andlord*. s/o ------------------.presently residing at -----------------------------------------------------------------------------------------------------------------. Do here(y con)irm that " have given on rent property 'details o) the property on rent* ---------. ------------------------------------------------------------. To 0r. / 0s.------------------------------.. On annual rent o) Rs. ----------.. E))ective )rom -------------------------.. ". )urther con)irm that " do not hand any Permanent account #um(er 'PA#* issued (y the ta+ authorities in "ndia. The a(ove in)ormation is true and correct to the (est o) my ,nowledge and " shall (e personally responsi(le and lia(le i) the same is )ound incorrect. $urther " shall immediately )urnish the PA# i) o(tained (y me su(se1uent to signing this declaration.

Date2 Place2 '3ignature o) !andlord*

PART-A HRA (House Rent Allowance) DECLARATION Self Declaration by Employee (All the fields below are mandatory) Employee Id
Below are disallowed while considering HRA rent paid evidence • Only advance or security not accompanied with monthly rental.

You might also like