RENT RECEIPT

Received a sum of Rs. __________ P.M (in words _______________________________

_______________________________________________________________________ )

from Mr. /Ms. _____________________________________________ towards rent

of the premises as mentioned in the below for the month of ______________________

(From _________________ To _________________)

Address of the House Landlord Address

for which Rent is paid

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

__________________________ __________________________

PAN of the Landlord *

Signature of the Landlord