Rent Statement Template (NI)
Section 4 of the Private Tenancies Act (NI) 2022 makes it mandatory for NI private landlords to provide a rent receipt or rent statement to every tenant who pays rent in cash, and on request for other payment methods. The statement must show the amount paid, the period covered, any arrears or credit balance, and the date. Failure is an offence triable by fixed penalty. This template gives you a statutory-compliant monthly statement, an annual summary, and a pay-in-cash receipt book — all pre-formatted so you drop in the tenant's name once and generate a year of compliant documentation.
What's inside
- Monthly rent statement template (statutory-compliant)
- Pay-in-cash receipt book (carbonless-copy layout)
- Annual rent summary with running balance
- Arrears and credit-balance tracker
- Section 4 required-contents checklist
- Electronic-delivery variant (email / PDF attachment)
- Fixed-penalty-notice response template if challenged
Every NI landlord letting a private tenancy governed by the 2022 Act — absolutely required where rent is paid in cash, and a sensible default for any rent method.
Housing Executive / housing association tenancies (separate arrangements) · commercial lettings · situations where the landlord uses a professional letting agent that provides its own statements.
Questions about this template
Is this template legally binding?+
The template produces a document that, once completed and signed by the parties, has the same legal effect as any written agreement. LetSafe UK provides self-help templates, not legal advice — for advice on your specific circumstances, consult a regulated solicitor.
What format is the download?+
You receive an editable Microsoft Word (DOCX) file and a typeset PDF immediately after payment. You can fill the DOCX in Word, Google Docs, or LibreOffice.
Can I use this template again for another property?+
Yes — the template is licensed for unlimited use by a single private landlord across your own portfolio. It is not licensed for resale or for use by letting agents acting for third parties.
What if the regulation changes?+
Free updates are included for 12 months from purchase. We maintain a regulation-currency register and re-issue the template when the underlying law moves.