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I of I
Life Insurance Corporation of India
PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054
PREMIUM PAID CERTIFICATE FOR THE YEAR 2011-2012
DATE OF ISSUE: 28/02/2012
This is to certify that the following premium have been received under the
following life insurance policy held by Shri.Deepak Krishna Latke.
Name Shri.Deepak Krishna Latke.
Policy Number 881116457
Plan 91(New Jana Raksha Plan)
Policy Term 14
Premium Paying Term 14
Commencement Date 28/04/2003
Instalment Premium 564.00
Mode Of Premium Payment QLY
Reference Code 88111547
Due
Due To
Number Of Premium Amount Received Collecting
Status
From Instalments Received Date Branch
04/2011 04/2011 1 564.00 26/04/2011 EPS1 Normal
07/2011 07/2011 1 564.00 26/07/2011 EPS1 Normal
10/2011 10/2011 1 564.00 03/10/2011 EPS1 Normal
01/2012 01/2012 1 564.00 24/01/2012 EPS1 Normal
Total amount received towards premium for the policy number 881116457
is Rs. 2,256.00 for the financial year 2011-2012
This certificate is electronically generated
28/02/20I2 10:37 A1'

LIFE INSURANCE
www.maxnewyorklife.com
Max New York Life Insurance Co. Ltd
Operation center, 90-A, Udyog Vihar, Sector 18, Gurgaon -- 122015
Customer Help Line -1800 200 5577 (Toll free from any network)
Regd Office: Max House, 3rd Floor, I Dr. Jha Marg, Okhla, New Delhi 110 020, India
Visit us at: www.maxnewyorklife.com E-mail: service.helpdesk@maxnewyorklife.com
Premium Paid Certificate for the Period 01/04/2011 to 23/01/2012
Policy Number:
Name:
Address:
Telephone
262340201
Mr. Deepak Krishna Latke
38/556 l st Floor
Transit Camp Sadhu Tl Cuffeparade
Waswani Road Cuffe Parade
Mumbai - 400005
9867758376,22-22160134-
Dear Mr. Deepak Krishna Latke,
As on Date
Base Life Insured:
Your Agent Advisor:
Agent Code
Your Agent Phone No
General Office
23-Jan-2012
Mr. Deepak Krishna Latke
Direct Customer Services
100587
Agency Channel GO - Mumbai 4
Thank you for being part of the Max New York Life family. This is to acknowledge receipt of your premium for the period 01104/2011 to 23/01/2012
as per details below.
We also take this opportunity to reiterate that we value your patronage and are committed to providing!yo\i tht{best in class service.
Yours Sincerely,
for Max New York Life Insurance Co. Ltd.
Authorized Signatory
Plan
Whole Life Participating to Age 100
Total
Note:
Sum Insured
(Rs.)
2,75,000.QO. \
Premium
#
,, (Rs.)
5,487.24
5,487.24
e The total premium amount is inclusive of Service Tax if paid.
This certificate is a consolidation of the individual premium receipts sent to you.
# Subject to realisation of monies.
PRM23 V1.3 12062011
E.&O.E.
Current Effective Date
Frequency of Coverage
Annual 07-Jun-2005
Benefit under
Income Tax
Act 1961,
if applicable
U/s SOC
23-Jan-2012
TaxCertificateHome https://customer.onlinelic.in!LICEPS/appmanager/Generic/TaxCerti ..
1 of 1
Life Insurance Corporation of India
PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054
PREMIUM PAID CERTIFICATE FOR THE YEAR 2011-2012
DATE OF ISSUE: 24/02/2012
This is to certify that the following premium have been received under the
following life insurance policy held by Sri.Deepak Krishna Latke.
Name Sri.Deepak Krishna Latke.
Policy Number 880419736
Plan 14(The Endowment Assurance Policy)
Policy Term 15
Premium Paying Term 15
Commencement Date 01/03/2000
Instalment Premium 862.00
Mode Of Premium Payment QLY
Reference Code 84819106
Due
Due To
Number Of Premium Amount Received Collecting
Status
From Instalments Received Date Branch
06/2011 06/2011 1 862.00 18/05/2011 EPS1 Normal
09/2011 09/2011 1 862.00 26/07/2011 EPS1 Normal
12/2011 12/2011 1 862.00 03/10/2011 EPS1 Normal
03/2012 03/2012 1 862.00 24/01/2012 EPS1 Normal
Total amount received towards premium for the policy number 880419736
is Rs. 3,448.00 for the financial year 2011-2012
This certificate is electronically generated
24/02/2012 11:34 M
TaxCertificateHome https://customer.onlinelic.in!LICEPS/appmanager/Generic/TaxCerti ..
1 of 1
Life Insurance Corporation of India
PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054
PREMIUM PAID CERTIFICATE FOR THE YEAR 2011-2012
DATE OF ISSUE: 24/02/2012
This is to certify that the following premium have been received under the
following life insurance policy held by Karuna Deepak Latke
Name Karuna Deepak Latke
Policy Number 925074927
Plan 165(Jeevan Saral)
PolicyTenn 15
Premium Paying Tenn 15
Commencement Date 28/03/2010
Instalment Premium 4,900.00
Mode Of Premium Payment QLY
Reference Code 99181787
Due
Due To
Number Of Premium Amount Received Collecting
Status
From Instalments Received Date Branch
03/2011 03/2011 1 4,900.00 06/04/2011 EPS1 Normal
06/2011 06/2011 1 4,900.00 26/07/2011 EPS1 Normal
09/2011 09/2011 1 4,900.00 03/10/2011 EPS1 Normal
12/2011 12/2011 1 4,900.00 24/01/2012 EPS1 Normal
Total amount received towards premium for the policy number 925074927
Is Rs. 19,600.00 for the financial year 2011-2012
This certificate is electronically generated
24/02/2012 11:32 .M
acc_'intcert
BANK OF INDIA
============
Bntm;h ; iviUivioAI Suuli-i KETAIL i-iU6
Provisional Intrest Certificate for the
period 01-04-2011 to 31-03-2012
~ v ~
~ c t l ~ ~ 41
BANK OF INDIA
~ ~
Account Name
Account Number
Purpose of Laon
DEEPAK KRISHNA LATKE
013375210000241
For Purchase I Construction Of House I Flat.
Total Amount of EMI expected to be received
Total Amount Likely to be adjusted towards Principal
Total Amount Likely to be adiusted towards Interest
Total Int amount calculated for the Perquisite rate( 0.00)
Perquisite value
87,969.00
64,174.00
23,795.00
0.00
- 23,795.00
The above certificate is provisional and indicative. Final certificate
will be issued bv the first week of Aoril Every Year.
The amount of Tax Concessions/ retail subsidy claimed by the assessee
on the basis of this certificate is at his/her risk and the Bank ~ ~ 1 1
not be responsible for the same
This is a computer qenerated certificate and hence does not reauire
Authentication
customer ID ; 102559156
DEEPAK KRISHNA LATKE
P-6 COLONY, BLDG NO 36, FLAT NO. 9, 2ND FLOOR
SAID KRIPA APT SECTOR 15 NEW PANVEL EAST
NAVl MUMBAl - 410206
MAHARASHTRA
0
Paae 1
8152
Dear Mr Deepak Latke
Date: 07aFebruarya2012
Ref: Revised Premium paying certificate for Policy No. 000040340
Please find below the details of your policy:
Policy Issue Date : 07 -Oct-2002 Payment Mode : Quarterly
Coverage
Amount Modal
Coverage Status
(Rs.) Premium(Rs.)
Flexi Cash Flow ( Money-Back ) 100000.00 1818.00 Premium paying (regular)
Accidental Death & Dismemberment Rider 100000.00 45.00 Premium paying (regular)
This is to certify that the following amounts have been received towards premium for the above policy for the period
01-APR-2011 to 01-JAN-2012.
Total Premium Amount Received (Rs.) 5,589.00
Note
Income Tax Benefits under the Income Tax Act, 1961 for premiums paid towards Birla Sun Life Insurance products for
the current financial year:
1. For Flexi Secure life Retirement (Pension) Plan: Under Section SO CCC (1), Contribution made to pension fund upto
a maximum of Rs. 1 ,00,000/-.
2. For Critical illness rider under Section SOD for individual and HUF upto a maximum of Rs. 15,000/- and for senior
citizens aged 65 years above Rs. 20,000/-.
3. For all other products: Under Section SOC, annual premium only to the extent of 20% of the face amount of the policy
subject to maximum of Rs. 1 ,00,000/-.
4. The overall limit prescribed for Section SOC, Section SOCCC and Section SOCCD is Rs. 1 ,00,000/-.
5. For Health related policies and/or health related riders - The premium paid by you up to Rs.15,000 (Rs.20,000 for
senior citizens) per annum to insure yourself and/or spouse and dependent children , is eligible for tax benefit under
Section SOD of the Income Tax Act, 1961. Additionally, the premium paid by you, upto Rs.15000 (Rs.20,000 for
senior citizens), to insure your parent(s) , is eligible for tax benefit under Section SOD of the Income Tax Act, 1961.
The above benefits may change as per the extant tax laws.
This letter is based on our understanding of current tax laws prevailing in India. These laws are subject to change and
any such change could have a retrospective effect. This letter should not be construed as tax, legal or investment
opinion from us. For specific suitability, you are requested to consult your tax advisor.
THIS IS A COMPUTER GENERATED STATEMENT AND DOES NOT REQUIRE A SIGNATURE