RECEIPT OF HOUSE RENT PAYMENT
(See Section 10 (13A) and Rule 2A)
Received a sum of Rs. _________________ (Rupees___________________
______________________________________________________________)
from Mr./Mrs.______________________________________towards
the rent for the month of ___________ Year____________ in respect of House
situated at______________________________________________________
______________________________________________________________
Date: Signature of the Landlord
Name:___________________________
________________________________
Address:_________________________
________________________________
________________________________
________________________________
PAN of Landlord.__________________