Rent Receipt
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Rent Receipt

Rent Receipt

Street Address: 
City:  State:  ZIP Code: 

This receipt acknowledges that I have received $ from . This constitutes partialfull payment of rent for the period of to for the premises described above.  This leaves an outstanding balance of $, which you must pay no later than .

Received by: __________________________________________



Paid by: CashPersonal Check # Cashier's CheckMoney Order

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