Landlord Receipt of Payment by ReadyBuiltForms

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									                               RECEIPT OF PAYMENT

       The undersigned hereby acknowledges receipt of the sum of $______________
paid by _______________________, which payment constitutes ______________
(indicate full or partial) payment of the following obligation:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

       If this constitutes partial payment, the remaining unpaid balance on this date is
$_____________.


Dated:______________________




_______________________________               _______________________________
Witness                                       (Signature)

								
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