TRLP Landlord Declaration Form

Declaration by Landlord in case of PAN not available

I,__________________________________ Son / Daughter of Sh. ____________________________________

(Landlord's Name)

residing at ___________________________________________ declare that I am receiving a monthly rent of

(Address of Landlord)

Rs. ______________ for the period ________________ to _______________ from _____________________

(Employee Name)

in respect of occupying my residential accommodation at __________________________________________

(Address of employee, same which would reflect in rent receipts)

I hereby confirm , that I do not have PAN / have not been allotted any PAN by the Income Tax Authorities.

I __________________________________, do hereby declare that what is stated above is true to the best of
(Landlord's Name)

my knowledge and belief.

Signature (Signature of Landlord) :

Date :

Place :

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