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Form 12BB PDF

This document is Form 12BB which is used to report claims and provide evidence for deductions and exemptions under India's income tax laws. It contains details of the employee including name, address and PAN. It then lists various claims for deductions and exemptions such as house rent allowance, leave travel assistance, interest deductions, and deductions under Section 80C, 80CCC, 80CCD and other sections of Chapter VI-A. For each claim, it requires the amount and details of evidence or particulars to substantiate the claim. At the end, the employee verifies that the information provided is complete and correct by signing and providing their designation and full name.

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253 views1 page

Form 12BB PDF

This document is Form 12BB which is used to report claims and provide evidence for deductions and exemptions under India's income tax laws. It contains details of the employee including name, address and PAN. It then lists various claims for deductions and exemptions such as house rent allowance, leave travel assistance, interest deductions, and deductions under Section 80C, 80CCC, 80CCD and other sections of Chapter VI-A. For each claim, it requires the amount and details of evidence or particulars to substantiate the claim. At the end, the employee verifies that the information provided is complete and correct by signing and providing their designation and full name.

Uploaded by

bala_thegame
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FORMNO.

12BB
(Seerule26C)

1. Name and address of the employee:


2. Permanent Account Number of the employee:
3. Financial year:

Details of claims and evidence thereof


Sl No. Nature of claim Amount (Rs.) Evidence / particulars
(1) (2) (3) (4)
1 House Rent Allowance:
(i) Rent paid to the landlord
(ii) Name of the landlord
Address off th
(iii) Add the llandlord
dl d
(iv) Permanent Account Number of the landlord

Note: Permanent Account Number shall be


furnished if the aggregate rent paid during the
previous year exceeds one lakh rupees
2 Leave travel concessions or assistance
3 Deduction of interest on borrowing:
(i) Interest payable/paid to the lender
(ii) Name of the lender
(iii) Address of the lender
(iv) Permanent Account Number of the lender
(a) Financial Institutions(if available)
(b) Employer(if available)
(c) Others
4 Deduction under Chapter VI-A
(A) Section 80C,80CCC and 80CCD
(i) Section 80C
(a) ..
(b) ..
(c) ..
(d) ..
(e) ..
(f) ..
(g) ..
(ii) Section 80CCC
(iii) Section 80CCD
(B) Other sections (e.g. 80E, 80G, 80TTA, etc.)
under Chapter VI-A.
(i) section.
(ii) section.
(iii) section.
(iv) section.
(v) section.
Verification
I,..,son/daughter of.. do hereby certify that the information given above is
complete and correct.
Place...
Date.... (Signature of the employee)
Designation .. Full Name

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