Holding Deposit Receipt

Date
MM slash DD slash YYYY
Received from Applicant:
Name
The sum of:
Dollars
As holding deposit to hold vacant the rental property at:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Until date and time:
Expiration Date
The property will be rented to the Applicant on
Please write the length of the lease, start and end date, the lease amount and frequency of payments.
If Applicant signs a lease before the expiration date and pays Landlord Security Deposit, First Month and any other fees listed below.
List Fist Month, Security Deposit and Other Move-In Fees.
The entire holding deposit will be applied to the first month's rent.
Applicant approval by the Landlord depends upon receiving a satisfactory report of the Applicant's references and credit history. Landlord and Applicant agree that if the Applicant's application is denied or/and Applicant fails to sign a lease and deposit first month, security deposit and other move-in fees before or on the expiration date, Landlord may retain of this holding deposit the following .
Prorated daily rent of:
Plus the following amount to compensate for lost time and labor:
Received by Landlord:
Name
Signature Landlord
Signature Applicant
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