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Declaration Form

This document is a declaration form for an employee to report their income from sources other than salaries for the financial year ending March 31. The form requires the employee to provide their name, address, employment number, permanent account number, and residential status. It then lists the sources of income that must be reported, including income from house property, business/profession, capital gains, and other sources like interest. The employee must provide the amount for each, the total income, tax deducted at source, and signature to verify the truth of the information provided.

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Dattatraya Parle
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69 views

Declaration Form

This document is a declaration form for an employee to report their income from sources other than salaries for the financial year ending March 31. The form requires the employee to provide their name, address, employment number, permanent account number, and residential status. It then lists the sources of income that must be reported, including income from house property, business/profession, capital gains, and other sources like interest. The employee must provide the amount for each, the total income, tax deducted at source, and signature to verify the truth of the information provided.

Uploaded by

Dattatraya Parle
Copyright
© Attribution Non-Commercial (BY-NC)
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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DECLARATION FORM

(see rule 26B)


Form for sending particulars of income under section 192(2B) for the year ending 31st March . 1. Name and address of the employee 2. Employment Number 3. Permanent Account Number 4. Residential Status : : : :

5. Particulars of income under any head of income other : Than salaries (not being a loss under any such head Other than the loss under the head Income from house Property) received in the financial year. Amount ( Rs.) . ...

(i) (ii) (iii) (iv)

Income from house property. ( In case of interest on Housing Loan) Profit and gains of business or profession. Capital gains. Income from other sources : (a) Interest (b) Other incomes (specify)

...

TOTAL ... 6. Tax deducted at source (enclose certificate(s) issued under section 203) Place : Date : Signature of the employee

Verification
I, .., do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified today, the day of .. Year

Place : Date :

. Signature of the employee

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