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RECEIPT OF HOUSE RENT
(Under Section 1 (13-A) of Income Tax Act)
Received a sum of Rs. _________________ (Rupees___________________
______________________________________________________________
from ___________________________________________________towards
the rent @ ____________________ per month from____________________
________to________________________ in respect of House No._________
situated at _____________________________________________________
______________________________________________________________
Date: Signature of the House Owner
Name:___________________________
________________________________
Address:_________________________
________________________________
________________________________
________________________________
PAN NO._________________________
Affix One
Rupee
Revenue
Stamp