RECEIPT OF HOUSE RENT

Received a sum of Rs. ____________________________(Rupees________________

________________________________________________________________________
Towards the rent @____________________ per month from __________________ to
__________________ in respect of House No.____________________________
_________________________________________________ situated at
________________________________________________________________________
________

(Affix Revenue Stamp of Rs.1/-)

Date: Signature of the House Owner

Name:

Address: _____________________

______________________________

______________________________