PrimeHomz
Fill in the details and print or save a PDF for HRA or your records.
Updates appear live in the preview on the right.
Annual rent is above ₹1,00,000 — landlord PAN is usually required for HRA claims.
Preview
For the month of October 2026
Received a sum of ₹ 15,000 from ________ towards rent of the property located at:
_____________________________
Payment mode: Cash
Date: 16 Oct 2026
Financial year: 2025-26
Landlord PAN: ________
Tenant PAN: ________
Landlord
________
Signature
Authorised signatory