This receipt acknowledges payment of a sum of money towards rent for a property. It specifies the receipt number, amount received in rupees, the monthly rental rate, rental period from and to dates, property address and house number, date, signature, name and address of the recipient.

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. _______________________________