FORMAT TO BE USED FOR CONSOLIDARED RENT PAID FOR A SPECIFED PERIOD CONSOLIDATED RENT RECEIPT Land Lord PAN:

Note: This to bring your notice that the CBDT vide Circular No 8/2013 dated 10/10/2013 has made it mandatory for the employees, claiming exemption in respect of House Rent Allowance to report PAN of the landlord to employer in the case rent payment to the landlord exceeds Rs. 8332/- pm or declaration signed by landlord if PAN is not available

Received Rs ( Rupees only ) From Towards Rent for the period FROM April,2013 TO December 2013. Date: Place: Land Lord Name: Land Lord Address:

BANGALORE

__________________ Land Lord Signature