RENT RECEIPT  

Date  
  No.
Received from The Sum of  
    Dollars
 
For Rent at Paid by ☐ Check No.  
  ☐ Cash
For the Period to ☐ Money Order
Received by
Address
Phone Landlord’s Signature

RENT RECEIPT  
Date  
  No.
Received from The Sum of  
    Dollars
 
For Rent at Paid by ☐ Check No.  
  ☐ Cash
For the Period to ☐ Money Order
Received by
Address
Phone Landlord’s Signature

RENT RECEIPT  
Date  
  No.
Received from The Sum of  
    Dollars
 
For Rent at Paid by ☐ Check No.  
  ☐ Cash
For the Period to ☐ Money Order
Received by
Address
Phone Landlord’s Signature