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ADVANCE PAYMENT RECEIPT

Received with thanks a sum of ____________ /- (_________________________________________

only) in the following mode: –

Cash _________/-

Draft/Cheque _________/-

From _______________________Son/Daughter/Wife of Shri ___________________ Resident of

__________________________________________________________________________on account of
Advance/Earnest Money against the Sale of my Flat No. ____________________, measuring _________
Sq. Yards/Mtrs./Ft., situated in ________________, District ___________, State ___________ which has
been acquired by me/us vide Allotment Letter/Sale Deed No._____________________
dated_________.

The balance amount of ______________/- (________________________ Only) in full and final shall be
payable by the proposed Purchaser(s) on or before _________, _________.

Dated: _________

EXECUTANT(S)

WITNESSES:

1. _________

2. _________