Rent Receipt

Date: _________________________

Tenant’s Name: __________________________

Address of the Rented Property: ________________________________________________

Rent Received: $__________________________

This amount Was Paid By: ( )Cash

( )Money Order

( )Check number ____

( )Other________________

Rent Required: __________________________

Rent Outstanding: _______________________

The Rent Covers the Period: from ________________ to ________________

Rent Payment Received by: ________________

Address: ___________________________________________________________________

Phone Number: ________________

_______________________

LANDLORD’S SIGNATURE

_______________________

LANDLORD’S PRINTED NAME