1. RENT RECEIPT
Received a sum of Rs. _________ P.M (in words_______________________________
_______________________________________________________________________)
from Mr./Ms/Mrs. _____________________________________________ towards rent
of the premises as mentioned in the below for the month of ______________________
(From _________________ To _________________ )
Address of the House Land Lord Address & PAN
for which Rent is paid
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________
Revenue
stamp
__________________________
Signature of the Land Lord
(Revenue stamp mandatory,except for Bangalore / Karnataka state locations)
Land lord's PAN is mandatory (in case rent is greater than Rs.8333.33/- per month)
or Declaration form from the land lord is required incase PAN is unavailable - Sample Format attached