Declaration

Declaration for 80C & 80D Deductions

A declaration itemising investments and premiums eligible for deduction under Section 80C and Section 80D of the Income-tax Act.

DECLARATION FOR DEDUCTIONS UNDER SECTIONS 80C & 80D

Submitted to [Employer / Assessing Officer] in support of deductions claimed under Chapter VI-A of the Income-tax Act, 1961 for the financial year [Financial Year].

I, [Full Name], Employee Code [Employee ID], holding PAN [PAN Number], do hereby declare as under:

I hereby declare that during the financial year [Financial Year] I have made the following eligible investments and payments: under Section 80C - Life Insurance Premium Rs. [Amount], PPF Rs. [Amount], ELSS/Mutual Fund Rs. [Amount], Tuition Fees Rs. [Amount], Principal on Home Loan Rs. [Amount], totalling Rs. [80C Total] (subject to the limit of Rs. 1,50,000); and under Section 80D - Medical Insurance Premium of Rs. [Amount] for self and family and Rs. [Amount] for parents.

I undertake to furnish valid receipts and proofs on demand. The particulars declared above are true and correct.

_____________________
[Signature of Declarant]
[Name]
Place: [Place]    Date: [DD/MM/YYYY]

Before you use it — fill in / check

  • Full Name
  • PAN Number
  • Financial Year
  • 80C Total
  • 80D Self Premium
  • 80D Parents Premium

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.