GUJARAT INDUSTRIES POWER COMPANY LIMITED
Emp.Code:______
Emp.Name:__________________________________Dept.:____________
Declaration of proposed income / deduction for the Financial Year
:2015 2016
To,Finance Department, Baroda.
Pl consider my following details for calculating Income tax
liability and appropriate deduction from my monthly salary for the
year 2015-16. The proof of the same is attached herewith/will be
submitted as and when required.
1. Details of Payment of Housing Loan ( Eligible only in case of
self occupied property) ( Proof is attached herewith)Name of the
Financial Institution : __________________________
Address of the property : __________________________on which
Loan is taken. __________________________
__________________________
Purpose of loan : Construction/ purchase/ extention/ improvement
( select with tick mark) Interest paid Rs. __________________.
Repayment of principal (not eligible in case of
extension/improvement) Rs. _____________
I state that the payment on housing loan on which exemption is
claimed as above is made by me on loan taken for the construction /
purchase/ extension/renovation of house which is declare as self
occupied for the financial year. 2. Rent Payment detail :
(Exemption will be given only from the month of Receipt of
declaration)
Address:
____________________________________________________________________
___________________________________________________________________________
Name of the owner:
PAN no. of the owner (mandatory if the house rent > Rs.
1,00,000/- p.a.) :
Monthly Rent Rs.
Tentative Period of stay: From to (Mention dates)
I state that the above mentioned house will be occupied by me
for my residential purpose for the above mentioned period.
Date :( Signature of Employee)1
