Free rent receipt 32Free rent receipt 32
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RENT AND SECURITY DEPOSIT RECEIPT
TO: _____________________________________

RE:

_____________________________________

Lessee
____________________________________

Unit
_____________________________________

Address
_____________________________________

Address
_____________________________________

City

City

Zip

Zip

We hereby acknowledge receipt of your check #___________ in the amount of $__________ to be applied as
follows:
1. First Month’s Rent ____/____/____ through ____/____/____
$______________________
2. Last Month’s Rent
$______________________
3. Purchase or Installation cost for a key and lock

$______________________

4. Security Deposit (see attached condition form)

$______________________

SECURITY DEPOSIT
A. The Lessor acknowledges receipt from the Lessee of $_______________ (an amount not to exceed one
month’s rent) to be held by the Lessor during the term hereof, or any extension or renewal, as a security deposit
pursuant to the terms hereof; it being understoo