This receipt acknowledges the payment of rent for a property. It states that a sum of money was received towards rent at a monthly rate, for a specific period of time, for a particular house number. The receipt is signed and includes fields for the date, payer's name, and payer's address.

1. RECEIPT OF HOUSE RENT
Receipt No.:
Received a sum of Rs. _________________ (Rupees________________
_______________________________________________________________________
_
Towards the rent @____________________ per month from ___________________ to
__________________ in respect of House No.____________________________
_________________________________________________.
(Affix Revenue Stamp of Rs.1/-)
Date: _____________ Signature
Name:
Address: _____________________
______________________________
______________________________
RECEIPT OF HOUSE RENT
Receipt No.:
Received a sum of Rs. _________________ (Rupees________________
_______________________________________________________________________
_
Towards the rent @____________________ per month from ___________________ to
__________________ in respect of House No.____________________________
_________________________________________________.
(Affix Revenue Stamp of Rs.1/-)
Date: _____________ Signature
Name:
Address: _____________________
______________________________

2. _______________________________