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Rent Receipt RENT RECEIPT Date To

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Rent Receipt RENT RECEIPT Date To Powered By Docstoc
					                                         RENT RECEIPT
Date: _____________________

To: _______________________

Street Address: _______________________________________________________________

City: __________________________ State: ________ Zip Code: _______________________


This is to acknowledge that the undersigned has received the sum of $ ___________________ from
____________________. This amount constitutes [partial][full] payment for the period of __________ to
_____________ for the above-described premises. [This leaves an outstanding balance of $_____________,
which must be paid to the undersigned by the tenant no later than _______________________, ___________.]



Received by: _________________________________________

Printed Name: ________________________________________

Title: ___________________________________________________


Paid by:

   Cash
   Personal Check (if selected, # ________________________)
   Cashier’s Check
   Money Order (if selected, # ___________________________)

				
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