RENT RECEIPT

Received a sum of Rs. _________ P.M (in

words____________________________

__________________________________________________________________)

from Mr./Ms/Mrs. _____________________________ toward rent of the premises

as mentioned in the below for the period starting

From _________________ (dd/mm/yyyy) To _________________ (dd/mm/yyyy)

Address of the House Land Lord Address

for which Rent is paid
__________________________
__________________________
__________________________
__________________________
__________________________
and PAN
__________________________
__________________________
__________________________
__________________________
__________________________

Signature of the Land Lord