| FORM NO.12BB |
| (See rule 26C) |
| 1. Name of the employee: |
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| 2. Permanent Account Number of the employee: |
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| 3. Financial year |
2024-25 |
| Details of claims and evidence thereof |
| Sl No. |
Nature of claim |
Amount (Rs.) |
| 1 |
House Rent Allowance: (Not Applicable under NEW TAX Regime) |
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(i) Rent paid to the landlord per month |
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(ii) Name of the landlord |
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(iii) Address of the landlord |
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(iv) Permanent Account Number of the landlord |
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Note: Permanent Account Number shall be furnished if the aggregate rent paid during the previous year exceeds one lakh rupees |
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| 2 |
Leave travel concessions or assistance (Not Applicable under NEW TAX Regime) |
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| 3 |
Deduction of interest on Home Loan: (Not Applicable under NEW TAX Regime) |
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(i) Interest payable/paid to the lender |
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(ii) Name of the lender |
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(iii) Address of the lender |
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(iv) Permanent Account Number of the lender |
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| 4 |
Deduction under Chapter VI-A (Not Applicable under NEW TAX Regime) |
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Sec. 80C -LIC/PPF/Housing Loan/Tution Fee etc. up to Rs. 1,50,000/- |
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Sec.80CCD (1)b - NPS up to Rs. 50000/- |
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Sec. 80D - Medical Insurance & Expenses on Preventive Health Check-up |
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Sec. 80DD - Expenses of Rehabilitation of Handicapped dependent |
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Sec. 80DDB - Medical Expenses for Self or Dependent (For certain specified diseases only) |
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Sec. 80E - Repayment of Interest on Loan for Higher Education |
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Sec. 80EE - House Loan Interest Deduction over & above 2 Lacs(Low Cost Housing Loans) |
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Sec. 80U - Deduction for Disabled Individual |
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| B |
Telephone /Mobile/Internet Bills Amount |
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I, do hereby certify that the information given above is complete and correct.
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| Place: |
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| Date: |
23/11/2024 |
Full Name: |
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| Designation: |
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Father name: |
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72
