Rent Receipt Template
A rent receipt that records who paid, how much, for which period, by what method and the balance left, with a landlord copy and a tenant copy on one page.
Use this template
Free, no sign up. Fill it in by hand or edit the Word file.
General template, not legal advice. Have an attorney in your state review before use.
General information, not legal advice. This template is a starting point. Laws differ by state and city, so have a licensed attorney review your final document before you use it.
Last reviewed
Before you use it
- A rent receipt proves a payment was made, for which period and how.
- Always give a receipt for cash, and some states require one for cash or on request.
- Number receipts in order and keep a copy with the rent ledger.
- Show the balance due after the payment so there is no confusion about what is still owed.
How to fill it in
- Underlined spaces are blanks to fill in. The small label says what goes there.
- Shaded boxes mark rules that change by state. Look up the rule where the property is located.
- Delete clauses that do not apply, and add any disclosures your state or city requires.
General template, not legal advice. Have an attorney in your state review before use. Last reviewed October 29, 2026.
Rent Receipt
Give a receipt for every payment, and always for cash. Some states require a written receipt for cash rent or whenever a tenant asks for one. Keep the landlord copy with your rent ledger. Number receipts in order so a missing one stands out.
Tenant copy
- Receipt number
- Date received
- Received from (tenant name)
- Property address and unit
- Amount received
- Amount in words
| Applied to | Period covered | Amount |
|---|---|---|
| Rent | ||
| Late charge | ||
| Other (describe) | ||
| Total received |
- Cash
- Check number Check number
- Money order number Money order number
- Card or bank transfer, reference Reference
- Other: Method
- Balance due after this payment
- Received by (name and title)
This receipt confirms payment of the amount above. It does not waive any other amount owed under the lease or any notice already given.
Landlord copy
- Receipt number
- Date received
- Received from (tenant name)
- Property address and unit
- Amount received
- Period covered
- Payment method and reference
- Balance due after this payment
General template, not legal advice. Have an attorney in your state review before use.
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