RENT RECEIPT Employee ID

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

Date
Pan of the Landlord *

………………………………………………………
………………………………………………………
………………………………………………………
Address of the rented Property

CITY: …………………………………………………….

STATE: ……………………...... PIN CODE: ………………………

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

sum of Rs. ----------------------------

(Rupees…………………..………………………………………………………………………….only)

towards the rent of the above mentioned residential premises for the month of ……………….

……………………...................................................2015 / 2016 by cash/ Cheque No................

Dated................. Drawn on............................. Bank.

Address of the Landlord : Signature

Name of the Landlord

a) PAN of landlord in case rent

is more than Rs.100000/- pa

b) Declaration by the landlord in case PAN not

available and rent is more than Rs.100,000/- pa