Rent Receipt
Received with thanks from Mr./Mrs. _____________________________ a sum of Rs. _____________________________(in
words___________________________________) by cash/cheque No. _______________________ dated _____________ towards rent
for the period from ______________ to ____________________ against premises at _________________________________________
_________________________________________________________________ (full address)
Place: Signature of landlord (Revenue Stamp)
Date: Name of Landlord
PAN of Landlord
Full Address of Landlord
Rent Receipt
Received with thanks from Mr./Mrs. _____________________________ a sum of Rs. _____________________________(in
words___________________________________) by cash/cheque No. _______________________ dated _____________ towards rent
for the period from ______________ to ____________________ against premises at _________________________________________
_________________________________________________________________ (full address)
Place: Signature of landlord (Revenue Stamp)
Date: Name of Landlord
PAN of Landlord
Full Address of Landlord