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RENT RECEIPT

Receipt No. ______


/ _______

Dated ____ / ____

House of
________________________________________________________________
Received with thanks from Mr.
________________________________________________
S/o Sh. _________________________________________________________________
The sum of Rs. __________ as Monthly Rent From
___________To_________________ __
House No _____ at ___________ Block __________________________
______________________________________________________________________

Rs. ____________/Per month_____

Affix
Revenue
Stamp

Signature of Property Owner


Name:
Address:

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