Owner Name Date: (Date) Rent Receipt

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Owner Name

[Owner Room Address]

Date: [Date]
Rent Receipt
Received the sum of Rs. [Total Rent Amount]/- (Rupees [in Words] only)
from [Your Name] towards License fee for my flat [Flat Address] @ Rs.
[Monthly Rental Amount]/- per month for the months from [Rental Period].

[Owner Name & Signature]

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