Rent Receipt
Received ₹ ____________ Per month Amount in words (______________________________________________)
from Mr. / Ms. / Mrs. Name of employee ___________________________________ towards rent of the premises
as mentioned in the below for the Period From _________________ To _________________ (Date, Month & Year)
Address of the Rental Property* for which rent is paid :
________________________________________________________________________________________
________________________________________________________________________________________
_____________________Highlight the City: Chennai / Mumbai/ Kolkata/ Delhi / Non- metro (other cities)
Name of the Landlord* : ____________________________________________________
Address of the Landlord* : ____________________________________________________
__________________________________________________________________________________
PAN of the Landlord* :
_____________________________
Signature of the Landlord*
* If the Rent amount is more than Rs. 8333/- P.M, then landlord PAN is mandatory. Refer Income Circular
No. 08/2013 F.No.275/192/2013-IT (B). From the Website www.incometaxindia.gov.in Affix
Future Declaration
Below mentioned is the rent that are due for payment after the cutoff date (January 2024 – March 2024) but
are payable before the financial year-end March 31, 2024. Please consider rent payable for the tax benefit in
the current financial 2023 - 2024.
Amount: ____________________________ (Per month)
Period: From: ________________________ To: ________________________
Employee Declaration
I hereby declare that the information provided above is true and correct and I will be solely responsible for
any situation arising out of non-payment of the above payments before 31st Mar 2024.
Date: Signature of the employee
