RECEIPT OF HOUSE RENT

(Under Section 1 (13-A) of Income Tax Act)
Received a sum of Rs. _________ (Rupees______________________________________________________)
Towards the rent @___________ per month from ___________________ to __________________ in respect
of House No.________________________ situated at ______________________________________________
_____________________________________________________________________ .
Rs. _____________ /-

Date:

(Affix Revenue Stamp of Rs.1/-)

Name:
Address:______________________
_____________________________
_____________________________
PAN No: _____________________

Signature of the House Owner

RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act)
Received a sum of Rs. _________ (Rupees______________________________________________________)
Towards the rent @___________ per month from ___________________ to __________________ in respect
of House No.________________________ situated at ______________________________________________
_____________________________________________________________________ .
Rs. _____________ /-

Date:
Name:
Address:______________________
_____________________________
_____________________________
PAN No: _____________________

(Affix Revenue Stamp of Rs.1/-)

Signature of the House Owner

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