Date __________________________
Landlord |
Tenant |
Address | Address |
Name | Name |
Phone | Phone |
Description of Property |
The Landlord acknowledges receipt of the sum of $_____________________ paid by the Tenant to be credited to the rent due on the property described above for the period of _____________________, 20_________.
__________________________________
Signature of Landlord |
By:__________________________________ Name of Landlor |
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