RENT RECEIPT

Choose from the appropriate:

[ ] Monthly Rent

[ ] Quarterly Rent

[ ] Half yearly Rent

[ ] Yearly Rent

Received a sum of Rs. ______________ per month (in words -

_______________________________Only)

from Mrs. ____________________ towards rent of the below mentioned rented premises for
_________ months.

Period: From ________________ To ________________

Rent per month: Rs. _______________

Total amount paid for 3 months: Rs. _______________

Rented House Address: Landlord Name & Address:

Mrs. Anupama DJ Mrs. Manjula Agarwal

Flat No: 103, Mithra Jeevan Sadan, H.No-16-11-17/2/2/a/a, Saleem Nagar,

Saleem Nagar, Malakpet Malakpet, Hyderabad

Hyderabad, PIN Code - 500036 PIN Code - 500036

Signature of the landlord

Landlord’s PAN Number: ADXPA4100F