Proof of Rent Payment

Receipt #: 00568 | Date: November 12, 2050

Tenant Information
Name: Elvie Block
Address: Minneapolis, MN 55401
Contact: 222 555 7777 | elvie@you.mail

Description of Service	Subtotal	Tax	Total Amount Due
Rent for November 2050	$1,200	$96	$1,296
Late Payment Fee (if applicable)	$25	$2	$27

Payment Information
Paid By: Bank Transfer
Amount Paid: $1,296
Payment Date: November 12, 2050

Terms and Conditions

• Payments are due on the 1st of each month.

• A late fee of $25 applies if payment is not received by the 5th of the month.

• All payments are final and non-refundable unless otherwise stated in the rental agreement.

For further inquiries, please contact [YOUR NAME] at [YOUR EMAIL].