RECEIPT FOR RENT

(Under Section 10(13A) of Income Tax Act)

Received from Mr.___________________________________________________________________________
a sum of Rs.__________________ Rs.(amt. in words)______________________________________________
towards House Rent @ Rs.________________ Per month, for the month of_____________________________
in respect of House No./ situated at ____________________________________________________________
__________________________________________________________________________________________
in Cash / by Cheque No.__________________________ Dt. ________________________________________
for Rs. ______________________ drawn on _____________________________________________________

Name of Landlord ________________________________

Fathers/Husbands name __________________________
Address ________________________________________
________________________________________________

(Signature of landlord)

PAN No. ________________________________________

RECEIPT FOR RENT

(Under Section 10(13A) of Income Tax Act)
Received from Mr.___________________________________________________________________________
a sum of Rs.__________________ Rs.(amt. in words)______________________________________________
towards House Rent @ Rs.________________ Per month, for the month of_____________________________
in respect of House No./ situated at ____________________________________________________________
_________________________________________________________________________________________
in Cash / by Cheque No.__________________________ Dt. ________________________________________
for Rs. ______________________ drawn on _____________________________________________________

Name of Landlord ________________________________

Fathers/Husbands name __________________________
Address ________________________________________
_______________________________________________
PAN No. _______________________________________

(Signature of landlord)