Amount Due Rent Payment $ Monthly payment due by the Tenant(s) Is there to be anything else included in this invoice besides the Monthly Rent? Is there to be anything else included in this invoice besides the Monthly Rent? YesNo Is there anything else the Landlord wants to include such as: Late Fees, Damage to the Premises, Unpaid Parking, etc. Payment for _______________________ Additional $ Total Due by the Tenant(s) $ Invoice Date Today's Date Due Date The last day the rent is due before any penalties, fees, or an eviction is filed. Invoice Due Date Landlord's Information Landlord's Name Landlord's Phone Work or Cell Number Landlord's Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Property (Rental) Address Property Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code The mailing address of the property that the tenant is renting Tenant(s) Tenant(s) Name(s) The name(s) as stated in the lease agreement. Payment Instructions Do you want to write payment instructions? Do you want to write payment instructions? YesNo Provide instructions for payment Payment can be made __________________________ Penalty Will there be a Penalty if the rent is paid late? Will there be a Penalty if the rent is paid late? YesNo Will the penalty be a fixed amount ($) or as a percentage (%) of the rent? Will the penalty be a fixed amount ($) or as a percentage (%) of the rent? ($) Fixed Amount (%) Percentage of the Rent ExamplesFixed Amount: $20 assessed per day payment is latePercent of Rent: 1% of the rent amount assessed per day payment is late Late Rent Penalty % of the Rent Amount assessed per day rent is late. Late Payment Penalty $ Fixed Amount Accepted Forms of Payment Does the Landlord accept Credit Card Payments? Does the Landlord accept Credit Card Payments? YesNo Does the Landlord accept Bank Wires or ACH Payment? Does the Landlord accept Bank Wires or ACH Payment? YesNo This will allow the tenant to input their banking information Does the landlord accept PayPal? Does the landlord accept PayPal? YesNo If so, the Landlord's E-Mail must be provided Landlord's PayPal E-Mail Address Invoice Number Include an Invoice Number for the Landlord's records? Include an Invoice Number for the Landlord's records? YesNo Invoice Number (#) Landlord's Signature If the Landlord is not available to Electronically Sign below then click 'Save' and it can be signed after printing Sign and Print Name (Landlord) Clear Please draw your signature. Print Name Next Save Save and finish later
