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RECEIPT OF HOUSE RENT

(Under Section 10 (13-A) of Income Tax Act)

Received a sum of _______ (Rupees ____________________Only) from Mr/Mrs

______________ towards the rent @ Rs___________per month from

April 2018 to June 2018 in respect of Flat No:____________________

Rent for the month of Date of Amount cash/ Bank/ NEFT


Payment
April 2018 05/04/2018 Cash
May 2018 05/05/2018 Cash
June 2018 05/06/2018 Cash

(Affix one Rupee revenue stamp)

Signature of the House Owner

Date:
Name of House Owner: ____________
Address of Owner:

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PAN NO. ______________________________

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