Fillable Rent Receipt

Receipt Number: 001234 | Date of Payment: June 15, 2050

Tenant Information
Name: Adelia Harber | Contact: adelia@you.mail, 222 555 7777

Description of Services

Services	Amount
Monthly Rent Payment	$1,200.00
Late Fee	$50.00
Subtotal	$1,250.00
Tax (8%)	$100.00
Total Amount Due	$1,350.00

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Payment Information
Method of Payment: Bank Transfer | Transaction ID: TRX2050-6789

Terms and Conditions

• Payments are due on the first of each month.

• Late payments are subject to a fee of $50.00.

• Please retain this receipt for your records.

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