E

N
T

Owners Name ___________________________________

_________________________________________________

Receipt No. ____________________

_________________________________________________

Dated __________________

Neelgagan

R
E
C
Received with thanks from ___________________________________________________________
E
_______________________________________________________________________________ (Tenant)
I
address
P
________________________________________________________________________________
The
T
sum of Rupees ______________________________________________________________________
Monthly

Rent

Rs.

______________________

from

____________________

____________________ Last Balance Rs. ___________________________

House Tax No.

___________________________ Water Charges Rs. _________________________

Charges

Rs.

____________________

Total

Rs.

to

__________________

Electricity

Balance

Rs.

Note: Please don not pay any amount without Receipt.

__________________ Advance Rs. __________________

Rs.

Reven
ue
Stamp

___________________

Signature
E of Property Owner

N
T

Owners Name ___________________________________

_________________________________________________

Receipt No. ____________________

_________________________________________________

Dated __________________

Neelgagan

R
E
C
Received with thanks from ___________________________________________________________
E
_______________________________________________________________________________ (Tenant)
I
address
P
________________________________________________________________________________
The
T
sum of Rupees ______________________________________________________________________
Monthly

Rent

Rs.

______________________

from

____________________

____________________ Last Balance Rs. ___________________________

House Tax No.

___________________________ Water Charges Rs. _________________________

Charges

Rs.

____________________

Total

Rs.

__________________

to

Electricity

Balance

Rs.

Note: Please don not pay any amount without Receipt.

__________________ Advance Rs. __________________

Rs.
___________________

Reven
ue
Stamp

Signature of Property Owner