Declaration for claiming 100% benefit on Housing Loan Principal/Interest for the financial year 2017 - 18

PA N

Name of the Employee with Employee Id Name:

Employee Code: S/o, D/o, W/o, H/o Names of the Co – borrowers 1. 2. 3. Housing Loan availed from (Name of the Institution)

Loan amount Rs.

Loan Sanction Date Amount repaid towards Principal Rs. Amount accrued towards Interest. Rs. Date of completion of construction of the Property/handing over. Property situated at with full address including district and state. Percentage of Co borrowers’ share in the property 1. 2. 3. Whether the property is Self occupied or let out.

Whether the co borrower is claiming deduction for 1. Principal repayment and Interest, if so provide the 2. percentage of each co borrower’s claim 3.

I hereby confirm the above information’s are true and correct.

Signature of the Co-Borrowers Signature of the Employee x x

Place: Date: