RENT RECEIPT

Received a sum of Rs. 31000 P.M (in words Rs. THIRTYONE THOUSAND ONLY)
from Mr. XXX towards rent
of the premises as mentioned in the below for the month of December, 2015.

Address of the House

for which Rent is paid
XXX

Land Lord Address

XXX

XXX

XXX

OUTER RING ROAD

XXX

BANGALORE 560102

Sarjapur Road, Bangalore 560035

PAN# XXX

____________________________
Signature of the Land Lord