R E C E I P T
 
 

I, Shri/Shrimati/Kumari __________ __________ son/daughter of __________ resident of __________ __________ have received a sum of Rs. ____________/- (Rupees: ________________________) from _____________________as per the following break up :
 

I, the above named deponent do hereby solemnly affirm and declare as under:
 
1.
Rs.____________/- (Rupees: _______ _______ ________) vide Cheque/ Draft/ Pay order/ No: ___________ dt ___________drawn on _________________________________.
   
2.
Rs.____________/- (Rupees: _______ _______ ________) vide Cheque/ Draft/ Pay order/ No: ___________ dt ___________drawn on _________________________________.
   
3.
Rs.____________/- (Rupees: _______ _______ ________) vide Cheque/ Draft/ Pay order/ No: ___________ dt ___________drawn on _________________________________.
 

Towards full and final sale consideration of my Flat No. __________ comprising of two bedrooms, one drawing cum dining room, one study room, kitchen, two toilet cum bath room, and balcony shown in the layout plan of __________ __________, built on plot No. __________, know as __________ __________ against membership No. __________.

 

IN WITNESS WHEREOF THE EXECUTANT has signed to this receipt at Delhi on ________ day of _________, 20__

 
Witnesses :
 
1.  
   
   
  ( __________________ )
              EXECUTANT
   
2.  
 
 

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