Statement and Verification as Required under Section 192 of the Income Tax Act read with Rule 26B of the Income Tax Rules

Rental Income in respect of House Property located at…………………….(give full address) received from……………………………………………(give details of the lessee) for the period from April 1,………………..To March 31,…………………of Rs…………………………………………………..

Less Municipal Taxes Rs…………………………

Annual Value Rs………………………….
Less: 30% of Annual Value as Standard Deduction Rs…………………………..

Less: Interest payable on loan taken to acquire/construct aforesaid house property Rs…………………………….

Total Deductions

Income (Loss) under the Head Income from House Property Rs…………………….

Tax deducted at source on the above rentals Rs………………………………

Form of Verification

I,……………………………………………………….., do declare that what is stated above is true to the best of my information and belief.

(Mr./Mrs………………………………………………………………………………)