RENT RECEIPT (For accommodation in Paying Guest

facility/ hostel)

Received a sum of INR _________ per month (in words_______________________________

_______________________________________________________________________) from
Mr./Ms/Mrs. _____________________________________________ towards the below
mentioned services rendered for the period starting FROM_______________ (DD/MM/YYYY)
TO ________________ (DD/MM/YYYY).

Service Amount paid per month (INR)

Accommodation
Food and beverage
Electricity & Water
Other charges (if any)
Total amount paid

Address of the Paying Guest facility or Name and PAN details of the
Hostel for which amount is paid Owner/ Landlord
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________

Signature of the Land Lord