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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_____________