12 Month Lease Rent Receipt
Date of Payment Received: ___________________
Tenant’s Name: ____________________________
Property Address: __________________________
Tenant Paid the Sum of $_________ as rent for the period of __________ for the
premises described above.
Paid By: Cash Check Money Order Credit Card Other
Balance Due: $_________
Received By: _____________________________
Signature: __________________________
Company Name: __________________________
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