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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: __________________________