RECEIPT OF HOUSE RENT

Received a sum of ______________ (Rupees________________________________

________________________________________________________________________

Towards the rent @____________________ per month from ___________________ to

__________________ in respect of House No.____________________________

_________________________________________________ situated at _____________

________________________________________________________________________

(Affix one Rupee revenue stamp)

Date: Signature of the House Owner

Landloard Details

Name:

Address: ______________________________
______________________________________
______________________________________
PAN NO. ______________________________

(Sign of Employee)

Name: _______________________
Emp. Code:___________________
(In token of confirmation that the above information is complete, true & correct to the
best of my knowledge& I have no reason to believe that this can be misleading or untrue)