Declaration from Landlord Regarding Permanent Account Number

I, .. (Name of the landlord), s/o, r/o.. do hereby confirm that I am the owner of property situated at . (Address of the house given on rent) which has been given on rent to Mr . s/o, . r/o . for which I will receive an amount of Rs.. being rent for the year 2013-14. I, further confirm that I do not hold any Permanent account Number (PAN) issued by the tax authorities in India. The above information is true and correct to the best of my knowledge and I shall be personally responsible and liable if the same is found to be incorrect. Further I shall immediately furnish the PAN if obtained by me subsequent to the signing of this declaration.

Signatures ( Signature of the Landlord ) Name and Address : Nature of Landlord Id (Election Card / Driving Licence / Passport copy / Other _______________ Specify) ID no. Place: Date: