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RENT RECEIPT Employee ID

(For Tax Benefit u/s 10(13) of IT Act’1961) Employee Name


Name of the Landlord
PAN of the Landlord **

Address of the rented Property

Received with thanks from Mr./Ms. ………………………………………………………………….


sum as House rent as per below table for the above mentioned residential premises.

Month Rent paid in Paid Date Payment mode – Provide payment


INR per DD/MMM/YYYY Cash/NEFT/Cheque reference number if
(01-JAN-2022)
month NEFT or Cheque.
Apr’22
May’22
Jun’22
Jul’22
Aug’22
Sep’22
Oct’22
Nov’22
Dec’22
Jan’23
Feb’23
Mar’23

Address of the Landlord : Signature

Name of the Landlord

The above charges does not include electricity and water charges, and rent towards the
furniture etc.

**(PAN of Landlord is mandatory, if the monthly rent amount is Rs.8333/- or more.

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