Rent Receipt
Date____ / _____ / ________
Received from:_____________________________________
Sum of $__________ . ___
For rent at:
Street ____________________ Suite/Apt._________
City_____________________________
State____________ Zip______________
Period of time paid for ____ / ____ / _______ to ____ /_____ / _______
Paid by:
Cash_____
Check _____ Check #____________
Money order ______
Credit/Debit Card_____
Paid to landlord:
Name____________________________________________
Street____________________________________________
City_____________________________________________
State__________________ Zip___________
Landlord's agent:
Rent money received by _______________________________
Signature of recipient _________________________________
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