1. RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act)
Received a sum of ______________ (Rupees________________________________
______________ ) from ___________________________________________________
Towards the rent @____________________ per month from ___________________ to
__________________ in respect of House No.____________________________
_________________________________________________ situated at _____________
_______________________________________________________________________
_
(Affix one Rupee revenue stamp)
Date: Signature of the House Owner
Owner Name:
Owner Address: _________________________
______________________________________
______________________________________
