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Tax Certificate for Health Insurance Deduction

This document is a tax certificate issued to Vishnu Vardhan for health insurance premium paid by Lalitha, certifying eligibility for tax deduction under section 80D of the Income Tax Act, 1961. It includes details such as policyholder's name, policy number, coverage dates, and total premium paid. The certificate must be surrendered upon policy cancellation and incorrect representations may lead to liability for the policyholder.

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Vivan Vish
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32 views1 page

Tax Certificate for Health Insurance Deduction

This document is a tax certificate issued to Vishnu Vardhan for health insurance premium paid by Lalitha, certifying eligibility for tax deduction under section 80D of the Income Tax Act, 1961. It includes details such as policyholder's name, policy number, coverage dates, and total premium paid. The certificate must be surrendered upon policy cancellation and incorrect representations may lead to liability for the policyholder.

Uploaded by

Vivan Vish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Tax Certificate

To,
VISHNU VARDHAN
ADDRESS: 5-9-955, GUNFOUNDARY, HYDERABAD, TELANGANA - 500029.

Subject: Premium certificate for the purpose of deduction under section 80D of Income Tax Act, 1961 and
any amendments made thereafter.

DEAR LALITHA

This is to certify that the Company has received the premium dated Aug 10, 2024 for Health insurance coverage

Under"Health Insurance Policy" with the following details.

Policyholder's Name LALITHA Policy Number 5239i/HPR/4884100785/02/35789


Policy Start Date 10-Aug-24 Policy End Date 09-Aug-25
Plan Name HP_Individual_Adult_1Year Total Premium Paid () 55,224

The product is eligible for deduction u/s 80D of the Income Tax, 1961 and any amendments made there to.

Registration number: GST/MUDBAI-I/1428/2022

Note: This certificate must be surrendered to the Insurance Companyin case of Cancellation of the Policy. In the
event of incorrect representation of this declaration, the liability shall be upon the policyholder.

ICICI Lombard General Insurance Company Limited


IRDA Reg. No. 115 CIN: U67200MH2000PLC129408ICICI Lombard Complete Health Insurance UIN - IRDAI/HLT/ICICI/P-H/[Link]/63/15-16
Mailing Address: Registered Office: Toll free no.: 1800 2661
301 & 302, 4th Floor, Interface 10 ICICI Lombard House, 414 Veer SavarkarMarg, Alternate No.: +919223622661 (chargeable)
New Linking Road, Malad (East) Near SiddhiVinayak Temple, Prabhadevi,Email: 2
Mumbai - 400 [Link] - 400 025. Website: [Link]

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