SAIL/BOKARO STEEL PLANT FINANCE AND ACCOUNTS DEPART DECL NO.

PAY ACCOUNTS SECTION (To be filled by Pay Acctts) INCOME-TAX DECLARATION FORM FOR HOUSE PROPERTY

FOR THE FINANCIAL YEAR 200 -2001. NAME- 2. DEPTT.

3. ADDRESS OF THE HOUSE PROP4. RESIDENTIAL ADDRESSFOR INCOME TAX REBATE

5. STAFF NO: 6. PAN:7. DATE OF WITHDRAWL OF LOA8. WHETHER LOAN FROM BSL/BANK

9. DATE OF ACQUISITION /COMP10. YEARLY RE-PAYMENT:OF HOUSE: Total:

a) PRINCIPAL : Rs.

a) INTEREST: Rs.

PLACE:DATE:

SIGNATURE OF THE EMPLOYEEVERIFICATION

I, DO HEREBY DECLARE THAT THE HOUSE INDICATD AT SL. NO.3 OF THE ABOVE FORMAT ISOCCUPIED BY ME FOR MY OWN PURPOSE AND THE INCOME FROM WHICH IS NIL. IN CASE THE PRESENTSTATUS IS CHANGED SUBSEQUENTLY, I SHALL DECLARE THE SAME IMMEDIATELY AND ALSO INTIMATETHE INCOME, IF ANY, FAILING WHICH I SHALL BE HELD PERSONNALY RESPONSIBLE AND LIABLE AS ANASSESSEE BEFORE INCOME TAX AUTHORITIES. FURTHER THE STATEMENT GIVEN ABOVE IS TRUE TO THEBEST OF MY KNOWLEDGE AND BELIEF.PLACE:DATE

SIGNATURE OF THE EMPLOYEE

NOTE:1. IF THE HOUSE HAS BEEN PURCHASED UNDER HOUSE LEASING SCHEME, A PHOTOCOPY OF THE OCCUPATION

2. IF THE HOUSE HAS BEEN CONSTRUCTED, THE PHOTOCOPY OF THE HOUSE COMPLETION CERTIFICATE ISSUEDBY THE COMPETENT AUTHORITY (MUNICIPALITY/CIRCLE OFFICER OR MUKHIYA AS THE CASE MAY BE) IS TO

3. IF THE READYMADE HOUSE HAS BEEN PURCHASED , PHOTOCOPY OF THE HANDING OVER AND TAKING

4. IN CASE, LOAN HAS BEEN TAKEN FROM THE BANK ETC.(OTHER THAN LOAN FROM SAIL/BSL), ORIGINALCERTIFICATE ISSUED BY THE CONCERNED BANK/AGENCY REGARDING REPAYMENT OF PRINCIPAL ANDINTEREST IS TO BE ATTACHED ALONGWITH THE DECLARATION FORM. IN CASE LOAN HAS BEEN TAKEN FROM SAIL/BSL, DECLARATION IS TO BE SUBMITTED ALONGWITH COMPLETION/OCCUPATION CERTIFICATE.

5. IN CASE AN EMPLOYEE IS HAVING MORE THAN ONE HOUSE IN HIS OWN NAME, HE SHOULD SUBMIT DECLARATION IN PAY ACCOUNTS SECTION IN RESPECT OF ONE HOUSE ONLY WHICH IS OCCUPIED BY HIM.THE MOMENT THE SAID HOUSE PROPERTY IS LET OUT, IT BECOMES THE ONUS OF THE EMPLOYEE TO DECLARETHE INCOME IMMEDIATELY.

6. THE LAST DATE FOR SUBMISSION OF THIS DECLARATION FORM IS 5TH OF EVERY MONTH. NO DECLARATION SHALL BE ACCEPTED AFTER 5TH OF JAN'09.

7. APPLICATION WITHOUT VALID SUPPORTING DOCUMENTS WILL NOT BE COSIDERED.8. THE ENTIRE RESPOSIBILITY REGARDING THE CORRECTNESS OF THIS DECLARATION FORM LIES WITH THE

EMPLOYEE CONCERNED.

REPORT UNDER HOUSE LEASING SCHEME SHOULD BE ATTACHED.

BE ATTACHED.

OVER OF THE POSSESSION OF THE HOUSE ISSUED BY THE COMPETENT AUTHORITY IS TO BE ATTACHED.