FORM ‘B’

Form of Rent Receipt and Counterfoil

Counterfoil Serial No…………

Name of the landlord:-

Address of the landlord:-

Received with thanks from……………………………a sun of Rs. (in figures)…(in words)………………only as payment of rent at Rs…………per……….for the period……..for the premises…………..this day the………day of the month of……..in the year.

………………..

Signature or thump impression of the landlord or authorised agent

_________________________________________________________________The rent charged includes:-

(1) Rates, cesses and taxes of the local authority

**(2) Electric charges.

**(3) Water charges.

**(4) ……………….

**(5)………………..

*It does not include:

_________________________________________________________________

(1) Rates, cesses and taxes of the local authority.

(2) Electric charges.

(3) Water charges

(4) ……………………

(5) ………………….. Serial No…………….

Rent Receipt.

Name of the landlord:-

Address of the Landlord:-

Received with thinks from……………a sun of Rs. (in figures)………………..(in words)……………..for the premises………………..this day the ………………..day of the month of………….in the year.

…………………………….

Signature of thump impression of the landlord or authorised agent

_________________________________________________________________

The rent charge includes:-

(1) Rates, cesses and taxes of the local authority.

(2) Electric charges.

(3) Water charges.

(4) ………………..

(5) …………………

It does not include:-

(1) Rates, cesses and taxes of the local authority.

(2) Electric charges.

(3) Water charges.

(4) ……………………

(5) ……………………..

_________________________________________________________________

*Strike out whatever is inapplicable.

**State the exact charges if possible.