RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act )
Received a sum of Rs. _______________ (Rupees ____________ only) from
_______________, towards the rent in respect of House No._______________
situated
at
____________________________________________________________________
_________
@____________________
per
month
from
_________
to
__________________ period.
(Affix Revenue Stamp of Rs.1/-)
Date:
Name:
Address:
PAN No:
Signature of the House Owner