Received a total sum of Rs. __________________________________________
(Rupees _______________________________________________________ at Rs. _____________ per month for the period from _____________________to ___________________ from Mr/Mrs. _______________________________for The residential accommodation provided to him at ______________________ ________________________________________________________________.
Signature of Tenant Signature of Owner
Name:
PAN:
RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income tax Act)
Received a total sum of Rs. __________________________________________
(Rupees _______________________________________________________ at Rs. _____________ per month for the period from _____________________to ___________________ from Mr/Mrs. _______________________________for The residential accommodation provided to him at ______________________ ________________________________________________________________.