RECEIPT OF HOUSE RENT

(Under Section 1 (13-A) of Income Tax Act )
Received

a

sum

of

Rs.

____________________________

(Rupees________________
_______________________________________________________________________
_
Towards

the

rent

______________

to

@____________________
March______________

per
in

month
respect

from
of

April
House

No.____________________________
_________________________________________________

situated

at

____________
_______________________________________________________________________,
Hyderabad, A.P.
(Affix Revenue Stamp of Rs.1/-)

Date :

Name :
Address: _____________________
______________________________
______________________________
PAN No : _____________________

Signature of the House
Owner

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