RENT RECEIPT

Receipt #: ______________________
Date: __________________________

Month:

__________________

Rent Received From ______________________________________ of _____________________ for

________________ against the settlement of amount agreed by ________________________
_________________________________________. This amount is referring to the confirmation of
compliance of rental agreement.

Total Amount to be Received

Amount Received
Balance Due
_________________________

Signed By Tenant

_________________________

Signed By Owner