FORMAT TO BE USED FOR MONTHLY RENT PAYMENT

MONTHLY RENT RECEIPT

Land Lord PAN:
Note:-This is to bring to your notice that the CBDT vide Circular No 8/2013 dated 10/10/2013 has made it mandatory for the
employees, claiming exemption in respect of House Rent Allowance, to report PAN of the landlord to employer in case rent
payment to the landlord exceeds Rs.8332/- pm

Received Rs._________pm (In Words____________________________________________)

from Mr. / Ms. ________________________________________________________residing at

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

towards rent for the month of ____________

Date:
Place:
Land Lord Name:
Land Lord Address:

Landlord Signature