RECEIPT OF HOUSE RENT

(Under Section 1 (13-A) of Income Tax Act)

Received

with

thanks

sum

of

Rs.

________________

(Rupees________________
________________________________________________________________________
From

Mr./Ms./Smt.

rent

___________________________________________towards

for

the

Premises

at

_______________________________________________________
________________________________________________________________________
for

the

month

of

_________________________________________________________
(Affix Revenue Stamp of Rs.1/-)

Date :
House Owner

Signature of the