Declaration to be provided by the Landlord for Non availability of

Permanent Account Number (PAN)

To whomsoever it may concern

1. Name :

2. Address of the leased property :

3. Are you assessed to tax :

4. Reasons for not having PAN :

5. Details of document being

produced in support of address :
(Refer instructions below)

Verification

I, ______________________________ do hereby, declare that what is stated

above is true to the best of my knowledge and belief.

Verified today, the __________________ day of __________________

Date :
Place :
Signature of the Landlord

Instructions:

Documents which can be produced in support of the address are:

(a) Copy of the electricity bill for the leased property (or)
(b) Copy of property tax / water tax payment challan for the leased property