Professional Documents
Culture Documents
Dated:-08.11.2014
NOTICE
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Name:- ........................................
Emp No:- ....................................
Designation:- ..............................
Shop/Office:- ..............................
DMW/Patiala
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Page 2 of 2
Rs:- ...........................
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Rs:- ...........Nil...........
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Tax Liability
Rs:- ...........................
b) Rebate U/S 87-A to those having total income not
exceeding Rs 5 lacs (max. Rs 2000)
Rs:- ...........................
c) Tax liability after rebate (if admissible)
Rs:- ...........................
d) Education Cess @ 3% of Tax (i.e. C above)
Rs:- ...........................
e) Total Tax Payable (c + d)
Rs:- ...........................
Income Tax already Paid (From March14 to Nov14)
Rs:- ...........................
Balance Income Tax Payable
Rs:- ...........................
Balance Income Tax of Rs...........................may be recovered @ Rs.......................P.M.
I hereby declare as under:i) Declaration once submitted will be treated as final and no subsequent changes will be
allowed.
ii) The Registry of my house is in my own name/spouse/or both.
iii) I am living in my own house.
iv) I am living in Govt. Accommodation and get income of Rs..........................from my own
house OR my own house is locked and not occupied by the undersigned.
Please strike out whichever is not applicable.
Date:- ......................