This rent receipt document acknowledges receipt of payment for rent from a tenant. It specifies the tenant's contact information, the rental property address, the time period covered by the payment, the payment amount and method, and includes signatures from the landlord or their agent receiving the funds. The receipt is intended to document that rent was paid for a certain rental property for a given period.

1. Rent Receipt
Date____ / _____ / ________
Received from:_____________________________________
Sum of $__________ . ___
For rent at:
Street ____________________ Suite/Apt._________
City_____________________________
State____________ Zip______________
Period of time paid for ____ / ____ / _______ to ____ /_____ / _______
Paid by:
Cash_____
Check _____ Check #____________
Money order ______
Credit/Debit Card_____
Paid to landlord:
Name____________________________________________
Street____________________________________________
City_____________________________________________
State__________________ Zip___________
Landlord's agent:
Rent money received by _______________________________
Signature of recipient _________________________________
This free printable form courtesy of www.RC123.com/rent_receipt_form_printable_free.html