Rent Receipt for Income Tax Purposes
This is to certify that I/We received from _________________________________________ (tenant) the
sum* of $__________________, which is the total rent paid during the tax year ___________ for the
residence located at the following address:
Number and Street Name, City, Province & Postal Code
This rent was paid for the period of _______________________ to ______________________, 20_____.
Month/Day Month/Day
*The sum paid for the year does not
include the unused last month’s rent deposit!
Signature and Date
Information about the person or company issuing this receipt (
required by the Canada Revenue Agency):
Name: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
Telephone Number: ( ) _______________________________________