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HRA Self Declaration

This document is an HRA declaration form submitted by an employee for income tax exemption calculations in the 2022-2023 financial year. It requests the employee to provide the landlord's name and address, the landlord's PAN number, and monthly house rent payment details. The employee understands that this information will be uploaded to TRACES and must provide additional details if requested during any tax authority inquiries. Any tax shortfalls due to mismatched information could result in payroll deductions. The employee declares the information provided is true and correct.

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magi9999
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100 views1 page

HRA Self Declaration

This document is an HRA declaration form submitted by an employee for income tax exemption calculations in the 2022-2023 financial year. It requests the employee to provide the landlord's name and address, the landlord's PAN number, and monthly house rent payment details. The employee understands that this information will be uploaded to TRACES and must provide additional details if requested during any tax authority inquiries. Any tax shortfalls due to mismatched information could result in payroll deductions. The employee declares the information provided is true and correct.

Uploaded by

magi9999
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HRA Declaration

I the undersigned hereby submit the following documents and information for House Rent Allowance
(HRA) Exemption (Income Tax calculation) -Financial Year 2022-2023.
1. Landlord(s) Name and Address details -
_______________________________________________________________________________
2. Landlord PAN ID details (*Mandatory and supported with a PAN Card - Scanned / clear photocopy) -
_______________________________________________________________________________________
3. Monthly House Rent Details as per House Rent Receipt / Certificate / Bank Statement -
_______________________________________________________________________________

I understand that the House Rent paid for referred financial year along with Landlord’s PAN card
number are updated on TRACES(www.tdscpc.gov.in), as per Income Tax Regulatory requirement

In case of Information Mismatch / Notice / Enquiry as demanded by relevant Statutory / Tax Authority, I
hereby agree to submit / furnish all relevant details requested by Company.

In case of any Income Tax Shortfall (incl. any Interest as levied by Tax Authorities) arising on account of
information mismatch related to House Rent Allowance details would be recoverable as Payroll dues.

I understand and hereby declare that I have read and understood the guidelines provided in ‘Proofs
Option Document ( in the ADP portal)’ and that, all the information, documents provided above is true
and correct in all respect.

Signed : _________________________________
Employee Name : _________________________________
Personal ID : _________________________________

Note : Furnishing of Landlord’s PAN detail is mandatory if the Monthly Rent is INR 8300 and above or yearly INR
100000 and above.

Confidential

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