KUMARAGURU COLLEGE OF TECHNOLOGY, COIMBATORE 641 049

TAX SAVINGS DECLARATION FORM FOR THE FINANCIAL YEAR 2012 13 (ASSESSMENT YEAR 2013-14) Please Refer Annexure Employee Name Designation Branch PAN # If above 60 years, provide Date of Birth DD / MM / YYYY Sex Male Female Emp. ID# Residential Address:

I will make the following payments/investments during April 2012 to March 2013. The same may be considered in computing my tax liability for the financial year 2012-13. S.No 1 2 SEC DETAILS House Rent paid Ref S.No. 4 in Annexure Loss from House property Ref S.No. 5 in Annexure Property Type: Self occupied / Letout (please Tick whichever is applicable) Year of Completion of Construction. - Certificate from Financing Institutions (Ex. Bank/LIC/HDFC) showing the projected interest payable should be submitted as proof (i) Salary Received from previous Employer (Applicable only to those who joined in F.Y 2012-13) -Name of the previous Employer: . (ii) TDS on above salary AMOUNT (Rs.)

3 4

5 6

7 8 9

INVESTMENT UNDER SECTION 80C, 80CCC and 80CCD (subject to a max. of Rs. 1,00,000/- only) a. Life insurance premium Ref S.No. 6 in Annexure b. Contribution / Deposits in 15 years Public provident fund c. ULIP - Investment in certain unit-linked Insurance plan with UTI & LIC Ref S.No. 7 in Annexure d. Contribution to Mutual funds as notified u/s 10(23D) Ref S.No. 8 in Annexure e. Repayment of Housing loan (principal amount only) Ref S.No. 5 in Annexure f. Deposit in 5 year Time Deposit scheme in Post Office g. Tuition fee Only (For education of 2 children only) h. Subscription to any notified bonds of NABARD i. Deposits under Senior Citizen Saving Scheme Ref S.No. 9 in Annexure j. Fixed deposits for 5 years with a scheduled bank k. Others l. Investment & Interest accrued in N.S.C (purchased upto 31.03.2013) Attach Separate Sheet If Necessary. Ref S.No. 10 in Annexure TOTAL 80CCG 50% of Investment under Equity Savings Scheme Ref S.No. 11 in Annexure Premium paid for Medical insurance Ref S.No. 12 in Annexure For own family (Maximum Rs. 15,000 inclusive of Preventive Health check-up Policy) 80D For Parents - (Max of Rs. 15000 inclusive of Preventive Health check-up Policy and Rs. 5,000 additional benefit for senior citizens) Amount incurred towards maintenance (including medical treatment of Handicapped dependants 80DD (Necessary proofs of expenditure incurred to be submitted) Ref S.No. 12 in Annexure 80DDB Amount incurred for treatment of specified illnesses Ref S.No. 12 in Annexure Payment of Interest on Education loan. (Certificate from Bank / Financial Institution showing the 80E projected Payment of interest should be submitted as proof.) VERIFICATION

I ___________________________________________________ Emp.ID No (New No.) _________________ do hereby declare that what is stated above is true to the best of my knowledge and belief. I further confirm that there will be no shortfall in the above payments/investment and that the documentary proof in detail will be submitted as mentioned above. Verified today the _______________ Day of ________________________ 2012 at Coimbatore

Signature of the Employee

Page 1

KUMARAGURU COLLEGE OF TECHNOLOGY, COIMBATORE 641 049

Annexure

1. 2. 3. 4. 5.

Those who do not have PAN are requested to apply for it immediately and mention 'NOT FURNISHED' No need to mention EPF amount deducted through salary. All staff members those who are receiving a gross amount of 2 Lakhs and above per annum as salary should submit the Form. House Rent Allowance: a. A separate Excel sheet is attached for calculating HRA. Loss from House Property: a. Statement from the Bank or Institution should contain the name of the Employee as the borrower. b. In case of Joint loan, declaration on a stamp paper specifying the % of benefit claimed by each individual. c. Tax Exemption - Self Occupied Property acquired /constructed before 01-04-1999 - Rs.30,000 is eligible & Self Occupied Property acquired /constructed after 01-04-1999 - Rs.150,000 is eligible. d. Interest paid during construction period/pre-EMI period shall be claimed in 5 Equal installments in 5 years from next year of the construction completed. e. House rent needs to shown as income in case of Let out Property. For more details: http://taxguru.in/income-tax/faq-on-housing-loan-and-income-tax-benefit.html For New (Dated from 01.04.2012) Life Insurance policies the sum of premium paid should not exceed 10% of sum assured under the policy. Policies are should be in the name of self / Spouse / Dependent Child. ULIP should be taken in the name of self / Spouse / Dependent Child. Link for list of notified Mutual Funds: http://law.incometaxindia.gov.in/DitTaxmann/IncomeTaxActs/2006ITAct/cirsec10(23d).htm Link for details for Senior Citizen Saving Scheme (SCSS) : http://www.tnsmallsavings.com/scss.htm

6. 7. 8. 9.

10. Format for providing details for NSC investments:

S.No Post Office Name Amount Invested Reg. No. Cert No. Link for details on NSC: http://taxguru.in/income-tax/nsc-tax-benefit.html Year of Purchase Interest % Interest Accrued

11. Section 80CCG Rajiv Gandhi Equity Savings Scheme: Investment under Equity Savings Scheme http://taxguru.in/income-tax/deductioninvestment-equity-shares-rajiv-gandhi-equity-savings-scheme.html

12. Section 80D, 80DD and 80DDB: Link for details http://www.investmentyogi.com/taxes/tax-benefits-under-section-80d-80dd-and80ddb.aspx a. Amendment for section 80D in 2012 i. Senior citizen age limit reduced to 60 yrs ii. Preventive Health Checkup policy introduced : http://taxworry.com/deduction-80d-extended-health-check-up/

13. Income Tax Slabs for the Year 2012-13 (Assessment Year 2013-14)
S.No 1 2 3 4 Slab Rs. Nil upto Rs.200000 (For senior citizens (above 60 years & below 80 years) limit is Rs. 250000, For Super Senior Citizens (above 80 years) limit is Rs. 500000) Above 2.00 Lakhs to Rs.5.00 Lakhs Above 5.00 Lacs to Rs.10.00 Lacs Above 10.00 Lacs Rate of Tax Nil 10% + Cess 20% + Cess 30% + Cess

Page 2