RECEIPT OF HOUSE RENT

Received a sum of Rs. ____________________________ (Rupees________________

_______________________________________________________________________
_
Towards the rent @____________________ per month from ___________________ to
__________________ in respect of House No.____________________________
_________________________________________________ situated at ____________
_______________________________________________________________________

(Affix Revenue Stamp of Rs.1/-)

Date: Signature of the House Owner

Name:

Address: _____________________
______________________________
______________________________