Ledger of Past Due Rent

Tenant Name: Ellen Rosengard

Tenant Address: 559 S Burr St Apt 5, Lowell, IN 46356

To Be Completed by Landlord

Landlord Name: Amy Blair

Date Completed: 09/15/2022

Date of Past Due Rent Amount Past + Late Fee = Total Amount Due
Rent Due
12/03/2020 $800 $800
01/03/2021 $800 $800

02/03/2021 $800 $800

03/03/2021 $800 $800

04/03/2021 $800 $800

05/03/2021 $800 $800

06/03/2021 $800 $800

07/03/2021 $800 $800

08/03/2021 $800 $800

09/03/2021 $800 $800

10/03/2021 $800 $800

11/03/2021 $800 $800

12/03/2021 $800 $800
01/03/2022 $800 $800
02/03/2022 $800 $800

Total Number of Months Past Due: ___15_______

Total Amount Due: $__12,000_________________