RECEIPT OF HOUSE RENT

(Under Section 10 (13A) of Income Tax Act)

Received with thanks from Mr. / Ms. / Mrs. ___________________________________________,

who is an employee of Aricent Technologies (Holdings) Limited.

He/She is currently residing on Rent at the below mentioned address

_____________________________________________________________________________
_____________________________________________________________________________.

Received Monthly Rent of Rs.________.00

(Rupees_______________________________________________________________________)

Received Rent for the Month of _____________________

(Affix One Rupee Revenue Stamp)

Revenue
Stamp

Date: _____ / _____ / _____ Signature of the Landlord

Landlord Name _______________________________

Landlord PAN # _______________________________
Landlord Address: _______________________________
_________________________________________________
_________________________________________________
_________________________________________________
Note :
1. Print only Page 1 while submitting the proofs. The below information is for your
reference only.

Employees need to submit/upload the below documents to claim tax exemption on HRA

Employees paying house rent of less than INR 100,000/- per annum (INR 8,333/- per month or
below) and claiming HRA benefit are required to furnish the following documents to claim HRA
exemption:

a. Rent receipts
b. Photocopy of the rental agreement (Not mandatory)

Employees paying house rent of more than INR 100,000/- per annum (above INR 8,333/- per
month) and claiming HRA benefit are required to furnish the following documents to claim HRA
exemption:

a. Rent receipts
b. Photocopy of the rental agreement (to substantiate the relation between the PAN
cardholder (landlord) and the tenant in a rental agreement).
c. Photocopy of the landlord’s Permanent Account Number (PAN)

i. In case the landlord does not have a PAN, a declaration to this effect from the
landlord, along with his name and address, is required. (Refer declaration Form 60).
This can be downloaded from Function > Finance > Download Center > Form 60.pdf

ii. Landlord identity proof copy to be attached along with the Form No. 60