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Rent Receipts

Received with thanks from Mr./Mrs. _____________________________________________a sum of Rs. ________________(in words

_______________________________________________________________) by cash/cheque No. __________________ dated _______

towards rent for the period from ________________ to _________________ against premises at ______________________________

_____________________________________________________________________________________________________ (Full address)

Rent amount per month :

Place : Signature of landlord (Revenue stamp)

Date : Name of landlord

Full address of landlord

PAN of landlord (If annual rent paid is Rs.1 lakh and above)

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