Date : ……/..…./……..

RENT RECEIPT

Received Rupees ………………/- towards the rent for the period from ………..
to ……..…….. Rupees …………….../- per month from Mr./Ms ………...……
… … ………………………………………………………. (Employee’s name)
S/o./D/o. ……………………………….for property address …………………..
……………………………………………………………………………………
……………………………………………………………………………………

(full address).

Landlord Name:………………………………………..

Landlord PAN:………………………………………....

Landlord Address:………………………………….…..

…………………………………………………………. Landlord Signature

……………………………………………………….... (on revenue stamp)

Note:

 PAN of Landlord is mandatory (in cast rent amount is exceed Rs. 8333/-
per month of Rs. 100000 PA)
 Revenue Stamp is mandatory (except Karnataka) in case rent is paid in
cash mode to the landlord.