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Declaration

HRA Rent Declaration to Employer

A declaration submitted to the employer confirming rent paid to claim exemption on House Rent Allowance under section 10(13A).

DECLARATION OF RENT PAID FOR HRA EXEMPTION

Submitted to [Employer / Company Name] for claiming House Rent Allowance exemption under section 10(13A) of the Income-tax Act, 1961.

I, [Employee Name], Employee Code [Employee ID], working in the [Department] department, holding PAN [PAN Number], do hereby declare as under:

I hereby declare that I am residing in a rented accommodation at [Rented Property Address] and that I am paying a monthly rent of Rs. [Monthly Rent] to my landlord, [Landlord Name], holding PAN [Landlord PAN, if rent exceeds Rs. 1,00,000 per annum]. The total rent paid by me during the financial year [Financial Year] amounts to Rs. [Annual Rent].

I undertake to produce valid rent receipts and, where required, the rent agreement in support of this claim. The information furnished above is true and correct.

_____________________
[Signature of Employee]
[Name]
Place: [Place]    Date: [DD/MM/YYYY]

Before you use it — fill in / check

  • Employee Name
  • PAN Number
  • Rented Property Address
  • Monthly Rent
  • Landlord Name
  • Financial Year

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.