RENT RECEIPT

Received a sum of Rs. __________ P.M (in words_______________________________

_______________________________________________________________________)
from Mr./Ms/Mrs. _____________________________________________ towards rent
of the premises as mentioned in the below for the month of ______________________
(From _________________ To _________________ )
Address of the House
for which Rent is paid

Landlord Address

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

PAN of the Landlord *

* If the Rent amount is more than Rs. 15000/- P.M, then landlord PAN is mandatory.
Refer Circular No. 05/2011, New Delhi, dated 16.08.2011 from the website
http://law.incometaxindia.gov.in/DIT/Circulars.aspx

Affix
Rs. 1/Revenue
Stamp
Signature of the Landlord