™
Rent Receipt
Date: _________________
To: Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $____________________
Paid By: Cash Check Money Order
Circle one
™
Rent Receipt
Date: _________________
To: Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $____________________
Paid By: Cash Check Money Order
Circle one
™
Rent Receipt
Date: _________________
To: Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $_____________
Paid By: Cash Check Money Order
Circle one