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Date: _______________ ____________
Received from: ______________________
the Sum of: _________________________ ______ Dollars $ _______
as a deposit for the rental property located at: ________________________________________
______________________________________________________________________________
Upon move-in or on the 1
st
of the month, whichever is sooner, the following amounts are due
and payable:
$ __________________________ as the first month’s rent.
Landlord: _______________________________
Signature: ________________________________________
Deposit
Receipt
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