Lpa Rent Receipt

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Rent Receipt
Date: _________________
To:
Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $____________________
Paid By: Cash Check Money Order
(Circle one)
Rent Receipt
Date: _________________
To:
Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $____________________
Paid By: Cash Check Money Order
(Circle one)
Rent Receipt
Date: _________________
To:
Address:
Received from _________________ the sum of $_______, as rent for the period of
__________________ for the premises described above.
Landlord / Agent: __________________________________
Balance Due: $_____________
Paid By: Cash Check Money Order
(Circle one)

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