Ref : Circular 173/2018/BC/CAD-11/27-04-2018

Annexure-II

Declaration in respect of provisional Investments, Income/Loss from House property and othe Income for the FY-2018-19.

I propose to make the following investments eligible u/s 80C to 80 U (Chapter VI A), income/loss from house property which may be considered for calculation/deduction of TDS on Salaries/pension during the FY 2018-19. I undertake to furnish necessary proof of my investments by 20th February 2019.

Sl.No / Section / Element / Declared Amount
1 / 80C.2.1 / Payment towards Life Insurance Policy-Both Outside salary and LIC deducted in salary
2 / 80C.2.x / Contribution to ULIP
3 / 80C.2.xix / Subscription to approved equity Shares or debentures (Infrastructure)
4 / 80C.2.xiii / Subscription to approved mutual fund (Infrastructure)
5 / 80C.2.v / Contribution to provident fund
6 / 80C.2.vi / Contribution to recognised Provident fund
7 / 80C.2.ix / Deposits under Post office Savings Bank (Cumulative Time deposits) rule 1959
8 / 80C2.xi / Subscription to notified central Govt. Savings Certificate (NSC VII issue
9 / 80C.2.xi / Contribution to notified Unit Linked Insurance Plan of LIC Mutual fund
10 / 80C.2.iv / Contribution to provident fund as per PF act 1925
11 / 80C.2.xviii / Repayment of Housing loan (Principal repayment)
12 / 80C.2.xii / Contribution to notified annuity plan of LIC
13 / 80C.2.xiii / Subscription to notified mutual fund / 150000
14 / 80C.2.xv / Subscription to notified pension fund
15 / 80C.2.xv / Subscription to notified deposit scheme of the National Housing Bank.
16 / 80C.2.xvi / Subscription to deposit scheme of a public sector company or any constituted athry in house construction
17 / 80C.2.ii / Contract for a deferred annuity on life of specified persons
18 / 80C.2.iii / Deduction from salary for a deferred annuity
19 / 80C.2.xvii / Tuition fee-Child 1
20 / 80C.2.xviii / Tution fee-Child 2
21 / 80C.2.xxi / Term Deposits Under Section 80C (Synd Tax Shield.etc)
22 / 80C.2.xxiv / Section 80C-5 year time deposit under the Post Office Time Deposit Rules 1981
23 / 80C.2.xxiii / Section 80C-Senior Citizens Savings Scheme Rules-2004
24 / 80C.2.viii / Section 80C-Sukanya Samriddi Scheme
25 / 80CCC / Contribution to certain pension funds
26 / 80D.2.a / Medical Insurance premium ( Non-Senior Citizen)
27 / 80D.4 / Medical Insurance premium (Senior citizen)
28 / 80D.2.1 / Medical Insurance Premium (Payment on behalf of parents non senior citizen)
29 / 80D.4.1 / Medical Insurance Premium (Payment on behalf of parents senior citizen)
30 / 80D.2.A / Preventive Health Check up (Self)
31 / 80D / Preventive Health Check up (Parents)
32 / 80D / Medical Expenditure for very Senior Citizen (Self)
33 / 80D.5 / Medical Expenditure for very Senior Citizen (Parents)
34 / 80DD / Deduction for dependent with disability
35 / 80DD / Deduction for dependent with severe disability
36 / 80DDB.1 / Medical Treatment
37 / 80DDB.2 / Medical Treatment for Senior Citizen
38 / 80DDB.3 / Medical Treatment for Very Senior Citizen
39 / 80E / Repayment of interest on loan for higher education
40 / 80G / Donation to PM’s relief Fund
41 / 80U / Deduction for self disability
42 / 80U / Deduction for self severe disability
43 / 80CCD.1.B / Contribution to pension scheme of central Govt.(NPS payment outside salary)
44 / 80CCG / Rajiv Gandhi Equity Savings Scheme
45 / 80EE / House loan Interest deduction u/s 80EE (only for loan sanctioned in FY-2016-17)
46 / 24 (B) / Total deduction u/s 24 (B) Loss on house property ( Interest on housing loan)
47 / Other Income
48 / Standing Instruction for tax deduction instead of system calculated amount

Name : N T HEGDE.

Employee No. .152750......

Branch :...... JPNagar,Bangalore......

BIC :...... 0484......

Place :...... Bangalore......

Date :...... 09/05/2018...... Signature of Pensioner