Professional Documents
Culture Documents
CIN: U74999MH2000PTC123458
Tel no: 022-61355000
Email: info@scsindia.co.in
___________________________________________________________________________________________
Rs.
] / Self
3
4
PAN no of Landlord
Amount of Rent paid/payable in the
financial year
Rs.
U/S 80 C
1 Housing Loan Repayment of Principal
Rs.
Rs.
,,
Rs.
Rs.
,,
Rs.
,,
Rs.
,,
Rs.
,,
Rs.
,,
Rs.
,,
Rs.
,,
Rs.
Note: Aggregate amount of investments u/s 80C, 80CCC Rs.1,50,000/-+ u/s 80CCD(1b)Additional
deduction of Rs. 50,000
Rs.
Rs.
Rs.
Rs.
U/S 10
1 Number of School going Children, if any
( No.)
2 Medical Allowance
Rs.
Rs.
Rs.100/-exempted per
child(Max.2 children)
Max. 15000/-
Note:
a) Please ensure that all proofs/evidence in support of deduction claimed including rent receipts (if
applicable) for HRA exemption to be submitted.
b) Copy of interest paid/payable certificate from lender to be enclosed for claiming benefit of repayment of
interest towards Housing Loan.
c) Employees taking up employment in Shangrila after April 2015 should provide the details of their
previous income along with the salary certificates from previous employer.
d) Employees claiming deduction U/S 80DD, 80DDB & 80U are required to provide the name of person &
relationship and certificate for the financial year 2015-16 from the doctor from Government Hospital (for
80DDB) and Medical Authority (For 80DD & 80 U).
e) Proof in support of reimbursement of actual medical expenditure upto Rs. 15,000/- u/s. 17(2) of the I.T.
Act.
f) Employees claiming deduction U/s. 80G are required to submit proof of eligible donation receipts
showing that the donations are eligible U/s. 80G.
I hereby declare that what is stated above is correct. I undertake to inform any change in the above facts.
I hereby confirm that I shall submit necessary proof of investment details & Rent receipts on immediate
basis failing which the tax relief computed may be withdrawn.
Employee No.:
Name:
Local
Residential
Address
PAN
Signature
Date