Rent Receipt
Received ₹ Per month ( Amount in words )
from Mr. / Ms / Mrs. Name of the employee towards rent of the premises
as mentioned in the below for the Period From Month, Year To Month, Year
Address of the Rental Property* : Address of the house
for which the rent is paid
Pin Code : Highlight the City: Chennai / Mumbai/ Kolkata/ Delhi / Non- metro (other cities)
Work Location : __________________________________________(Office location).
Name of the Landlord* : Name of the Landlord
Address of the Landlord* : Address of the Landlord
PAN of the Landlord* :
Rs. 1/-
Revenue
Stamp
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.
# The House Rent Payment along with Landlord PAN ID will be reported as per Income Tax Regulations.
Future Declaration
Below mentioned is the rent that are due for payment after the cutoff date but are payable before the financial
year-end March 31, 2025. Please consider rent payable for the tax benefit in the current financial 2024 -2025.
Amount: (Per month)
Period: From: To:
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Associate 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 2025.
Date: Signature of the employee