INVESTMENT DECLARATION FOR THE FINANCIAL YEAR
Submitted to [Employer / Company Name] for the purpose of computing tax to be deducted at source from salary for the financial year [Financial Year].
I, [Employee Name], Employee Code [Employee ID], holding PAN [PAN Number], do hereby declare as under:
I hereby declare that I propose to make the following tax-saving investments and claim the following deductions during the financial year [Financial Year]: under Section 80C - Rs. [Amount] ([LIC / PPF / ELSS / Tuition Fees / Others]); under Section 80D (Medical Insurance) - Rs. [Amount]; House Rent - Rs. [Amount]; Home Loan Interest - Rs. [Amount]; and other eligible deductions - Rs. [Amount].
I undertake to furnish valid proofs of the above investments before the end of the financial year and to indemnify the employer for any shortfall. The particulars declared above are true and correct.
[Signature of Employee]
[Name]
Place: [Place] Date: [DD/MM/YYYY]