RENT RECEIPT

Received a sum of INR _________ per month (in words ______________________

_________________________________________________________________________
______) from Mr./Ms/Mrs. _____________________________________________
towards rent of the premises as mentioned in the below for the period starting
From _________________ (DD/MM/YYYY) To _________________ (DD/MM/YYYY)

Address of the House Land Lord Address

for which Rent is paid and PAN

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

Signature of the Land Lord