FORMAT TO BE USED FOR CONSOLIDATED RENT PAID FOR A SPECIFIED PERIOD
CONSOLIDATED RENT RECEIPT
Land Lord PAN: Employee Code:
Note:-This is to bring to your notice that the CBDT vide Circular No 8/2013 dated 10/10/2013 has made it mandatory for the
employees, claiming exemption in respect of House Rent Allowance, to report PAN of the landlord to employer in case rent
payment to the landlord exceeds Rs.8332/- pm
Received Rs. (Rupees )
from Mr. _______________________________________________residing at
_______________________________
____________________________________________________________________________
____________________________________________________________________________
towards RENT for the period FROM ___________ TO ________________where rent per
month is Rs. _________
Date:
Place:
Land Lord Name:
Land Lord Address:
Landlord Signature