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: __________________________