House rent receipt

1. RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act )


Received a sum of Rs. ____________________________ (Rupees________________
________________________________________________________________________
Towards the rent @____________________ per month from ___________________ to
__________________ in respect of House No.____________________________
_________________________________________________ situated at ____________
_______________________________________________________________________

(Affix Revenue Stamp of Rs.1/-)




Date: Signature of the House Owner


Name:

Address: _____________________
______________________________
______________________________
PAN No: _____________________