Date: ______________

RENT RECEIPT

I, ____________________________ (Name of the owner of the accommodation) hereby

acknowledge the receipt of Rs.___________(Rupees _____________________________)

from Mr. / Ms. __________________________________________(Name of the employee),

residing at ______________________________________________________________

________________________________________________________________________,

towards house rent for the month of ___________________________.

AFFIX
ONE RUPEE
REVENUE
STAMP

Signature of the Owner

Name and Address of the Owner of accommodation:

Owner’s PAN No. ____________________(Mandatory for rent above Rs. 8333/- per
month)