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HOUSE RENT BILL

HOUSE RENT BILL: ________________________________________________


FOR HOUSE NO. ________________________________________________
________________________________________________
OCCUPIED BY WAPDA FOR: ________________________________________________
NAME OF OWNER: ________________________________________________
FULL ADDRESS OF OWNER: ________________________________________________
BANK ACCOUNT NO. ________________________________________________
SANCTION NO. ________________________________________________
AGREEMENT VALID UP TO ________________________________________________
RATE PER MONTH RS. __ ______ AMOUNT OF THIS BILL. ______________

I hereby authorized ________________________________to receive the Cheque of this Bill.

SIGNATURE OF OWNER

CERTIFICATE TO BE GIVEN BY THE OCCUPANT

Certified that the above house is in my occupation, I am residing there in and I have not sub-letted
to any body. The owner had not received the rent of the house for the period being claimed in this
bill.

SIGNATURE OF OCCUPANT
NAME AND DESIGNATION

RECEIPT
Received Cheque No. __________________ Date __________________for ____________________ owner
account of rent for the month of _________________________

SIGNATURE OF OWNER

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