RENT RECEIPT
Received a sum of Rs._________________25,000___________________ P.M (in words
Twenty Five Thousand Rupees Only
_______________________________________________________________________)
from Mr/Ms/Mrs.___Bharathi Priya.T______ towards rent of the premises as mentioned
in the below for the month of ______________________.
Address of the House for which Rent is paid Landlord Name & Address
1/192C3, 3rd street, 1/192C3, 3rd street,
__________________________ __________________________
Pathi Gounder Thottam, Pathi Gounder Thottam,
__________________________ __________________________
Ganapathy, Ganapathy,
__________________________ __________________________
Coimbatore - 641006. Coimbatore - 641006.
__________________________ __________________________
PAN of the Landlord *
C T P P S 9 3 1 4 F
* 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
Signature of the Landlord