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Instructions and Guidelines for Filling the EPS form

BASIC DETAILS
Please do not change the name of the company. It is Mafoi Management Consultants Ltd only. Please fill in your Employee code allotted by MCSL . You can get your employee code either in your pay slip or ask your Mafoi Contact person. Please enter your name as per what is given and appears in your pay slip. Please provide your PAN. This is a mandatory field and your proofs will not be accepted if the PAN is not mentioned or if PAN is Invalid (Pl.send your Xerox Copy of PAN Card alongwith Proofs) Kindly provide your place of residence in the Location column Incase you have children, please mention the number of children. This is for providing the exemption u/s 10 incase you are entitled for the Children education allowance

RENT RECEIPTS
Please submit the rent receipts for every quarter. (Apr - Jun, Jul - Sept, Oct - Dec & Jan 2011) Please specify only the Rent per month you are paying Kindly mention the number of receipts you are submitting. This will help us to avoid any issues arising out missing receipts Rent Receipt Format is provided in the second sheet. Please affix the Revenue Stamp(if available) and get the signature from the owner in each receipt. Rent Receipt must be

original

LOSS/INCOME FROM HOUSE PROPERTY If your house is Self Occupied Incase the property is a self occupied property, then you can claim unto a maximum of 150,000 on the Interest amount paid as Loss on Income from House Property

The Income / Loss from Self Occupied Property sheet must be duly filled and must accompany the EPS form while submitting the proofs. A statement showing the interest and principal paid towards the Housing Loan from the bank must accompany the EPS form. Incase you are claiming the Loss of Income from House Property, the above 2 documents much accompany your EPS form. Without which it will not be valid. If your house is a Let Out Property
Incase the property is a let out (Rented) property, then there is no cap on the exemption.

The Income / Loss from Let Out Property sheet must be duly filled and must accompany the EPS form while submitting the proofs. A statement showing the interest and principal paid towards the Housing Loan from the bank must accompany the EPS form. Incase you are claiming the Loss of Income from House Property, the above 2 documents much accompany your EPS form. Without which it will not be valid. INCOME FROM OTHER SOURCES Declaration is required on other source of income (Signature is a must) PREVIOUS EMPLOYER INCOME Please fill in the Form 12B.The highlighted columns needs to be filled with out fail (Column 6, 7, 9, 10) Column 6 - Salary after deduction U/S 10 exemption; from the previous employer from April 2010 till the last working day with the Previous employer (s). Column 7 - Tax on employment i.e.., PT deducted from April 2010 till the last working day with the Previous employer(s). Column 9 - Provident Fund contribution deducted from the salary from April 2010 till the last working day with the Previous employer(s). Column 10 - Income Tax deducted from the salary from April 2010 till the last working day with the Previous employer (s). The Form 16 / Tax Computation Sheet (for the earning from April 10 till LWD) from the previous employer (s) for the current FY needs to be provided along with Form 12B

DEDUCTION UNDER CHAPTER 6 A 80D (Mediclaim) - The premium amount paid towards the mediclaim for Self, Spouse, and children can be provided to avail the exemption up to Rs 15000. Further exemption to the extent of Rs 15000 can be availed under this section if the premium is paid towards mediclaim for your parents (subject to proof submitted). If your parents are senior citizens; further exemption to the extent of Rs 5000 can be availed (subject to proof Submitted). Kindly fill in the declaration stating the relationship with self, only then the full benefit on the tax exemption can be availed. Else the exemption will restrict to Rs 15000 (subject to proof submitted) 80DD ( For dependent disability) - To avail the exemption under this section; the doctor's certificate stating the percentage of disability is required. With out which the exemption can not be given 80 U ( For self disability) - To avail the exemption under this section; the doctor's certificate stating the percentage of disability is required. With out which the exemption can not be given 80E ( Educational Loan taken for Self, Spouse, Children) - To avail the exemption under this section; a bank statement stating the interest repayment on the educational loan taken is required. There should be evidences that the interest deducted is only towards educational loan. Please fill in the Declaration form provided to declare the relationship with self DEDUCTION UNDER SECTION 80C Life Insurance Premium ( LIC ) - Receipts for the current financial year needs to be provided, if the premium is yet to be paid with in the FY a declaration is required that this will be paid by the end of FY - The investment in the name of self, spouse and children can be provided for exemption. Kindly fill in the declaration stating the relationship with self. Pension Plans u/s 80CCC - Receipts for the current financial year needs to be provided, only if the receipts that is being provided has a statement stating that the exemption can be availed U/S 80ccc, the exemption will be provided. Public Provident Fund ( PPF ) - A copy of the Pass-Book is required. The investment in the name of self, spouse and children can be provided for exemption. Kindly fill in the declaration stating the relationship with self. Equity Linked Saving Scheme (ELSS) - A copy of it is required. This can be given only for self. Housing Loan Principal Repayment/(Stamp Duty & Reg. Charges) can be given only if it pertains to current FY A statement showing the interest and principal paid towards the Housing Loan from the bank must accompany the EPS form. Deposit in NSC - The copy of the NSC certificates needs to be provided. This should be for the current FY Only. Interest on NSC - Accrued - The copy of the NSC certificates needs to be provided (with in 5 years) Deposit in ULIP of UTI/LIC - Receipts of (investment/premium paid ) Unit Linked Insurance Plans for the current FY needs to be provided. The investment in the name of self, spouse and children can be provided for exemption. Kindly fill in the declaration stating the relationship with self. Tax Saving Mutual Funds eligible for deduction u/s 80 C - Only if there is a statement stating that the exemption can be availed U/S 80C, the exemption will be provided Infrastructure Bonds / Tax saving bonds - Only if there is a statement stating that the exemption can be availed U/S 80C, the exemption will be provided. Fixed Deposit in Banks eligible for Tax Saving u/s 80C - Only if there is a statement stating that the exemption can be availed U/S 80C, the exemption will be provided. Children Education expenditure - A copy of the fee receipts from the school, college, and educational institution can be provided. Only the Tuition Fee will be give exemption under this section Tax Saving Systematic Investment Plan (SIP) - Separate statement will be provided by bank with regard to this investment (There will be a lock in period of 3 year for each deposit). Post Office Time Deposit Account - the copy of the pass book should to provided to avail the exemption ( Only 5 year tax saving deposit will be accepted). Long Term Infrastructure Bonds -Only if there is a statement stating that the exemption can be availed U /S 80CCF

Employees Proofs Submission Form 2010 - 11


NAME OF COMPANY EMPLOYEE CODE * NAME * PAN NUMBER * WORK LOCATION GENDER (MALE OR FEMALE) * Ma Foi Manangement Consultants Ltd.

Mandatory
Proofs Submitted Amount (to be No of Receipts/Bills filled by employee) attached ( Rs. ) Checklist for HRD

S. No. A 1 2 3 4 B From Date To Date

Particulars Rent Receipts ( Pls mention the no. of months to be claimed) Rent P.M.

HRD/CRD TO CH WHETHER THE N BILLS ENTERED ACTUAL BILLS S AND SIGN IN TH

Loss / Income from House Property (attach Form 12C / Computation Satement - Mandatory) Housing Loan Interest Amount (upto 30k or 150k) Pl. mention whether loan was taken

before 01/04/99 or after 01/04/99


C D 1 2 3 4 E 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 F G Income from Other Sources, if any ( FILL IN THE Form 12C GIVEN) Deduction under Chapter VI A 80D (Mediclaim- upto Rs. 15000 for Self, Spouse and Children)
(upto Rs.15000 for Parents & Addt Rs.5000 for Senior Citizen Parents)

80DD - Medical treatment for handicapped dependent (with < 80% disability or > 80% disability, pl. specify) 80U - Medical treatment for handicapped -Self (with < 80% disability or > 80% disability, pl. specify) 80 E - Repayment of Interest on Education loan taken for Higher Education for SELF, SPOUSE AND CHILDREN DEDUCTION UNDER SECTION 80C Life Insurance Premium ( LIC ) Pension Plans u/s 80CCC (Jeevan Suraksha / Pension schemes of any other insurer) Public Provident Fund ( PPF ) Equity Linked Saving Scheme (ELSS) Housing Loan Principal Repayment/Stamp Duty & Reg. Charges Deposit in NSC Interest on NSC - Accrued Deposit in ULIP of UTI/LIC Tax Saving Mutual Funds eligible for deduction u/s 80 C Infrastructure Bonds / Tax saving bonds Fixed Deposit in Banks eligible for Tax Saving u/s 80C Children Education expenditure Tax Saving Systematic Investment Plan (SIP) Post Office Time Deposit Account Long Term Infrastructure Bond u/s 80CCF PREVIOUS EMPLOYER INCOME ( FILL IN THE FORM 12BA GIVEN) & Copy of FORM 16 BILLS SUBMITTED FOR EXEMPTION U/S 10 1) Medical Bills 2) LTA Bills TOTAL

DECLARATION 1) I hereby declare that what is stated above is true to the best of my knowledge and belief. 2) I also undertake to indemnify the company for any loss/liability that may arise in the event of the above information being incorrect. 3) I also have read the above mentioned note and is ready to adhear to the rules as per the circular which is likely to come. Date : Place: Signature of the Employee

FORMAT OF RENT RECEIPT

RENT RECEIPT
Received from Mr./Ms. of .[Name of the company] a sum of Rs. ....( Rupess ) towards rent for the period From .. To .. for the property situated at ..(Address of the property)

Name of the owner Address of the owner

: :

( SIGNATURE OF THE OWNER )

Declaration on the relationship with self to avail the tax exemption under various heads Name Age Spouse Father Mother Dependent Children 1 2 DECLARATION 1) I hereby declare that what is stated above is true to the best of my knowledge and belief. 2) I also undertake to indemnify the company for any loss/liability that may arise in the event of the above information being incorrect. Date : Place: Signature of the Employee

Computation of Loss from Self Occupied Property: Name of the employee Employee Code Address of the Self Occupied House Property 0 0

Date of Loan Borrowed Date of Acquisition/Completion of Construction Date of Occupation (Taken Possession) Interest paid during the period Apr1 0 to Mar 11 (Should match with the amount appearing in the certificate given by the Bank / Financial Institution)

I hereby declare that what is stated above is true to the best of my knowledge and belief. Please considered the above Loss from Self Occupied House Property while computing the tax on salary.

Employee Signature

Computation of Income / (Loss) from Let Out Property - Rented property (Do not disturb the formulas) Name of the employee Employee Code Address of the Let Out House Property

Date of Loan Borrowed Date of Acquisition/Completion of Construction Date of Occupation (Taken Possession)

COMPUTATION OF INCOME / LOSS FROM HOUSE PROPERTY ( RENTED OUT) Annual Rental Income Less: Municipal Tax paid during the financial year Net Annual Rental Income Less: 30% for Repairs & Maintenance on Net Annual Income Less: Interest paid on borrowed Loan (From Apr 10 To Mar 11) (Should match with the amount appearing in the certificate given by the Bank / Financial Institution) 1/5 th of Pre-Contruction Interest (if any) (Should mention the year of instalment) Net Income / (Loss) from House Property 0

0 0 0

I hereby declare that what is stated above is true to the best of my knowledge and belief. Please considered the above Income / (Loss) from Let Out House Property while computing the tax on salary.

Employee Signature

FORM NO. 12B [See rule 26A] Form for furnishing detail of income under section 192(2) for the year ending 31st March, 2011

The bolded columns are mandatory


Name and address of the employee

Permanent Account No. Residential status Particulars of salary as defined inn section 17, paid or due to be paid to the employee during the year Sl. No Nameand addressof the employer(s) TAN of the employer(s) as allotted by theITO Permanent Period of Salary after Account employment deduction Number of U/S 10 the employer(s) * Tax On Employment (the PT deducted by the previous emplyer) * Amount deductedin respect of Provident Fund contribu-tion (Give details) * Total Remarks amount of tax deducted during the year (enclose certificate issued under section 203)

10

......................................... Signature of the employee Verification I, ................................................................................., do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified, today, the .............. day of ............ 20..... Place . ......................................... Signature of the employee

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