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RENT RECEIPT

Date: ________(1)_________

TO: (Insert Name and Address of Tenant)

Received from ________(2)_________ the sum of $__________(3)____, which is rent


for the period of ________(4)__________ for the premises described above.

LANDLORD

____________(5)________________

NOTICE

The information in this document is designed to provide an outline that you can follow
when formulating business or personal plans. Due to the variances by many local, city, county
and state laws, we recommend that you seek professional legal counseling before entering into
any contract or agreement.

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