IMAGE INFOTAINMENT LIMITED

# 61/32 T.T.K.Road, Alwarpet, Chennai 600 018.

1 Name : Dept :
( As per PAN Card) Designation :

2 Present Address :

Contact No:
e-mail id:

3 PAN No:
(Attach PAN Card photo Copy)
4 Tax Savings / Investment Particulars for the Financial Year 2018 - 19 [ April '2018 - March '2019 ]

5 Exemption Under Section 10. Rent / Mth Attached Proof

Amount
(i) HRA Yes No
(Rent Receipt & Agreement Copy mandatory)
PAN No. of landlord
Pan No. of landlord is must if rent paid exceeds Rs. 1,00,000/- per year [ (i.e.) Rs.8,333/- per month ]
If PAN not available, then declaration letter from landlord ( NO PAN Declaration
format attached )
( ii) Interest on Housing Loan (Maximum deduction available - Rs.2,00,000/-) Total Amount
(Interest & Principal repayment Certificate mandatory) Yes No

6 Deduction Under Section 80C (Maximum deduction available - Rs.1,50,000/-)

Policy No Term Total Amount Attached Proof
(i) Insurance Premium Yes No
L I C (Self, spouse, children) Yes No
Insurance Premium Yes No
Insurance Premium Yes No
Insurance Premium Yes No
( ii) Mutual Funds (Tax Free ) Yes No
(iii) Tuition Fees paid in Schools/Colleges Yes No
( iv) PPF / NSC Yes No
( v) Tax Saving Term Deposit in Bank Yes No
(vi) Housing Loan Principal Repayment Yes No
(vii) Others any ( Pl specify ) Yes No

7 Deduction Under Section 80D

Medical Insurance premium (Max Rs.25000/75000) Total Amount Attached Proof
(i) Yes No

8 Deduction Under Section 80CCC

Insurance premium - Pension plan Total Amount Attached Proof
(i) LIC Yes No
( ii) Any other Insurer under IRDA Yes No

9 Deduction Under Section 80E Total Amount Attached Proof

(i) Interest on Loan - Higher Education of the Employee (or) Yes No
his / her spouse (or) children
( Interest repayment certificate to be attached)

I hereby declare that the above said informations and proof documents enclosed alongwith this
statement, is true / correct to my knowledge.

Date : Signature of the Employee

Name:
Note:
1) All the employees must submit the duly signed hard copy of the filled in Tax Declaration Form to the Accounts Dept.,
on (or) before 31.08.2018. (Soft copy of the Tax declaration Form will not be accepted.)
Tax workings will be prepared on the basis of information / details submitted.

2) All the employees must submit the supportings documents for Investments particulars for the F.Y:2018 -19 on or before
28.02.2019 - ( No reminders will be sent for submission of supportings.)

3) Total Tax Liability will be computed and it will be deducted in equal installments from your Sep-18 Salary onwards.

4) All investment proofs are to be submitted on or before 28 Feb 2019. Beyond due date any documents from the
employee will not be accepted for tax computation purpose.

5) For New joinees - Please declare / submit your previous employers Salary certificate / form 16 for Tax computation
for the F.Y.: 2018 -19.

INCOME TAX SLAB RATES FOR THE FINANCIAL YEAR 2018-19:

For Individuals below 60 years age (including Woman Assessees):

Taxable Total Income Tax Rate

Upto 250,000 Nil
250,001 to 500,000 5%
500,001 to 1,000,000 20%
1,000,001 & above 30%
Less: Rebate u/s. 87A
Plus: Health & Education Cess @ 4%
Rebate u/s. 87A - The rebate is available to a resident individual if his total income does not exceed Rs. 3,50,000. The amount of rebate shall be
100% of income-tax or Rs. 2,500, whichever is less.