Rent Receipt

Date:____________________ Receipt:_______________________

Tenant's Name:
Property Address:

For Rental Period
From (date)	To (date)

Total Amount to be received	$
Amount received	$
Balance due	$

Method of Payment:__________________________________

Paid by :_______________________________________

Landlord/Agent:
Address:
Contact:

This receipt acknowledges that a payment of rent has been made for the period & premises described above.

Landlord's Signature:_________________________________

Tenant's Signature:___________________________________