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Tax Deduction Claims for Employee

This document provides details of tax deductions claimed by an employee, Ashish Sethia, for the financial year 2021-2022, including deductions for health insurance premiums paid for parents and himself under Section 80D and 80CCE of the Income Tax Act, investments in a Public Provident Fund, and details of rent paid and leave travel assistance used. Ashish Sethia confirms that he has complied with all relevant provisions to claim these reliefs and will be solely responsible for any additional tax liability that may arise.

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9 views1 page

Tax Deduction Claims for Employee

This document provides details of tax deductions claimed by an employee, Ashish Sethia, for the financial year 2021-2022, including deductions for health insurance premiums paid for parents and himself under Section 80D and 80CCE of the Income Tax Act, investments in a Public Provident Fund, and details of rent paid and leave travel assistance used. Ashish Sethia confirms that he has complied with all relevant provisions to claim these reliefs and will be solely responsible for any additional tax liability that may arise.

Uploaded by

AshishSethia
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

FORM NO.

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

GOPRODUCTS ENGINEERING INDIA LIMITED LIABILITY PARTNERSHIP


Employee G0011357 - Ashish Sethia

Employee Address

F.Y. 2021 - 22 PAN No. EGUPS9264L Declaration Dt. 14-Jan-2022

Chapter VI-A
Deducted Actual
Description Section Option Limit
From Salary Investments
Section 80 D Parents 80D.2 50000 0 47641
Rct No RctDate Name Relation IssuedBy Paid Amount
1301812821000291 25-May-2021 Bidyut Sethia Father RELIANCE GENERAL Yes 47641
INSURANCE CO. LTD

Chapter VI-A (80CCE)


Deducted Actual
Description Section
From Salary Investments
Life Insurance Premium 0 20296
Rct No RctDate Name Relation IssuedBy Paid Amount
C267311066 27-Aug-2021 Ashish Sethia Self Yes 20296

Public Provident Fund 0 20000


Rct No RctDate Name Relation IssuedBy Paid Amount
000918013035 28-Dec-2021 Ashish Sethia Self Yes 20000

Total ( 40296 ) 0 40296


House Rent
Land Lord Land Lord PAN From Date To Date Rent Per Month Metro City
P Vittal Nath Reddy ABLPR5980J 01-Apr-2021 31-Mar-2022 36000 No
Address : Sriram Nilaya Apartment , House 1, Flat 103, 12th A Cross Road , 16th Main Road , Mahadeshwara Nagar,
Bangalore, KARNATAKA 560076, India

Leave Travel Assistance Details

Route Hyderabad-Port Leave Period 06-Dec-2021 - 17-Dec-2021


Blair
Accompanied By Shruti Bora Trip Period 08-Dec-2021 - 16-Dec-2021
Travel Date From City To City Mode Particulars Amount
08-Dec-2021 Hyderabad Port Blair Air ticket 46076
16-Dec-2021 Port Blair Hyderabad Air ticket 30690
Total 76766

I confirm that my employer has explained to me the relevant provisions of Income Tax Act for being eligible to
claim the above reliefs and I have complied with all of them. If any additional tax liability arises due to
deficiency in the above, I will be solely liable for the same.
I, Ashish Sethia ,son/daughter of...................................................... do hereby certify that the information
given above is complete and correct.
Signature

Name Ashish Sethia

Date 14/01/2022 10:47:37:PM

Printed On 14/01/2022 10:47:37:PM

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