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Document Number: DVR-13814
Description: This form is completed by consumers/landlords for receipt of rent or a security deposit.
Comments: This form should be printed and completed by hand.
Content Contact: DVR Forms
Document Attachment: DVR-13814 (Print Version - Word/30 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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