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An Acknowledgement Receipt can come in many forms, it can be a simple one sentence acknowledgment of money indicating the date, amount, what the payment was for and the person who received the money. Below is a sample. You are free to copy and revise this form.

 

 

ACKNOWLEDGEMENT RECEIPT

 

Received from Atty. Juan Santos the amount of One Hundred Thirty Five Thousand Pesos (P135,000.00) BPI Roxas Boulevard Manila Branch check # 12345-67890 representing the payment of:

 

Two (2) months deposit and one (1) month advance

 

for the lease of condominium unit # 540 Philippine Executive Towers, Ayala Avenue, Makati City.

 

 

Received by:

 

 

Victor Gonzalez

 

 

Note: The Acknowledgement Receipt can be used as proof of payment for: services rendered, rental payments, partial payments or for any other payment that needs acknowledgement.

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