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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 ______________________
________________________________________________________________.

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 ______________________
________________________________________________________________.

Signature of Tenant Signature of Owner


Name:
PAN:

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