Wa0011.

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Rent Receipt

Date:……………………………………………………

Rent amount Rs.....................................PER MONTH.

Received sum of Rs................................................only.

(in words.................................................................................................................................................)

Mode of Rent Payment - Tick the applicable


1. Cash Payment
2. e-Transfer/Internet Banking
3. Cheque / Demand Draft
4. Debit Card / Credit Card
5. Digital Payment - UPI / Wallet

From Mr. / Ms. / Mrs . …………………………………………………………………………………………………………………………….

towards rent of the premises mentioned below for the month/s of………………………………………………….……

( From ……………..…………………………… To.................................................)

Address of the House for which the Rent is paid Land Lord Name & Address

…………………………………………………………………… ……………………………………………………………

…………………………………………………………………… ……………………………………………………………

…………………………………………………………………… ……………………………………………………………

…………………………………………………………………… ……………………………………………………………

PAN of LandLord / House Owner is Mandatory Signature of LandLord


(if rent per month is Rs 8333 and above )

…......................................................

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