Rent Receipt
Date: __________________________
Tenant’s Name: __________________________
Address of the Rented Property: ________________________________________________
Rent Received: $__________________________
This amount Was Paid By: ( )Cash
( )Money Order
( )Check number ____
( )Other________________
Rent Required: __________________________
Rent Outstanding: _______________________
The Rent Covers the Period: from ________________ to ________________
Rent Payment Received by: ________________
Address: ___________________________________________________________________
Phone Number: ________________
_______________________
LANDLORD’S SIGNATURE
_______________________
LANDLORD’S PRINTED NAME
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