[HEADER — replace with your organisation’s letterhead, if used]
Rent Receipt
For claiming exemption of house rent allowance
A receipt must record a payment that was actually made, by the person claiming, for accommodation that person occupies. Receipts produced at the end of the year for rent that was never paid are a false claim by the employee and, where the employer knows or should know, a problem for the employer as well.
Monthly Rent Receipt
One receipt per month, or one per quarter where rent is paid quarterly. Print, complete and have the landlord sign each.
| Item | Detail |
|---|
| Receipt number | [NUMBER] |
| Date of receipt | [DATE] |
| Amount received | ₹ [AMOUNT] (Rupees [IN WORDS] only) |
| Received from | [TENANT NAME] |
| Towards rent for the month of | [MONTH] [YEAR] |
| Address of the property let | [FULL ADDRESS] |
| Mode of payment | [Bank transfer / Cheque no. ______ dated ______ / Cash] |
| Payment reference | [UTR OR REFERENCE] |
| Landlord name | [LANDLORD NAME] |
| Landlord address | [ADDRESS] |
| Landlord permanent account number | [PAN] |
| Revenue stamp affixed, where required | [Yes / Not required] |
I acknowledge receipt of the sum stated above from [TENANT NAME] towards rent for the property described, for the month stated.