Free rent receipt 22
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Official Rent Receipt
To: Landlord
Re: Rent Receipts
PLEASE COMPLETE THE FOLLOWING INFORMATION FOR THE YEAR:

Name of Landlord:___________________________________
Address of Landlord:_________________________________
Phone #:__________________________

This is to confirm that (Name)______________________________
Was a tenant at (address)__________________________________
_______________________________________________________
For the period from(M/Y)_____________to(M/Y) __________________

The Rent paid was $_________per ________________
For a total of $_____________________for the year
The above tenant is related to me ____Yes_____No
If the above tenant is related to you, you must answer the following question:

I will be reporting the rent as rental income on my (Year)______tax return

Yes

NO

Signature of Landlord________________________________ Date_____________