Free rent receipt 01
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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

Please note that this document is for reference purposes. You may wish to check with your local landlord
association or obtain legal advice to make sure information is appropriate for your state.