EMP NAME ………………
EMP ID
………………
Date:
RENT RECEIPT
RECEIVED A SUM OF RS. -------------- (IN WORDS) ------------------------TOWARDS THE RENT FOR THE MONTH OF _____________ (Eg. April 2020) FROM
MR/MS. (EMPLOYEE NAME) WHO IS RESIDING AT (HOUSE ADDRESS) *
NAME AND ADDRESS OF THE OWNER *
SIGNATURE OF THE OWNER
Name of Owner
PAN Copy of landlord ( Mandatory if rent amount is Rs 100,000 per annum)
*Mandatory
EMP NAME ………………
EMP ID
………………
Date:
DECLARATION FOR INSURANCE (PENSION) PREMIUM PAYMENT
I am having Pension policy bearing no. _________. I am required to pay
Premium of Rs. _______ by March 2021. I hereby confirm that this policy is
in force and undertake to make payment for premium on due date & request
you to grant related tax benefit while computing my tax liability for financial
year 2020-21
I have attached a copy of my last years’ premium receipt indicating the validity of my policy.
Signature of the employee
EMP NAME ………………
EMP ID
………………
Date:
DECLARATION FOR MEDICAL INSURANCE PREMIUM PAYMENT
I am having medical insurance policy No. _______ I am required to pay premium of Rs. _____
by March 2021. I hereby confirm that this policy is in force and undertake to make payment for
premium on due date & request you to grant related tax benefit while computing my tax liability
for financial year 2020-21
I have attached a copy of my last years’ premium receipt indicating the validity of my policy.
Signature of the employee