Receipt For Partial Payment Of Rent And Agreement To Pay Balance
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1RECEIPT FOR PARTIAL PAYMENT OF RENT
AND AGREEMENT TO PAY BALANCE
Landlord and Tenant agree that the amount of $___________________ has been paid to
the Landlord by the Tenant on the ______ day of __________________, 20_____.
Both Tenant and Landlord agree that there is a balance due in rent for the month of
_____________________20_____ in the amount of $__________________ for the
premises located at and known as ________________________________________.
The parties agree that the balance shall be paid as follows:
The amount of $_____________ shall be paid on the ___________________ day
1.
of 20_____, in the form of a cashier’s check or money order.
The amount of $_____________ shall be paid on the ___________________ day
2.
of 20_____ in the form of a cashier’s check or money order.
_____________________________
________________________________
Authorized Agent for Landlord
Resident
Address:_________________________
City/State/Zip:____________________
________________________________
Resident
Address:_________________________
City/State/Zip:____________________
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