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 Landlord Address

for which Rent is paid

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

PAN of the Landlord *

* If the Rent amount is more than Rs. 100000/- Per Annum, then landlord PAN is mandatory.
Refer Circular No. 08/2013, New Delhi, dated 10.10.2013 from the website
http://law.incometaxindia.gov.in/DIT/Circulars.aspx

Affix
Rs. 1/-
Revenue
Stamp

Signature of the Landlord