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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 is 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 Fifty Thousand Pesos (P150,000.00) Philippine Currency (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

       Lessor

 

Date Received:

 

_______________

 

 

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. You may copy and revise the above document on MS Word or save the image below for reference.



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Sample of Acknowledgement Receipt


A receipt is a legal document acknowledging that a money or goods have been received by a person as payment for rental, sale or service rendered. It may be partial or full payment and must include the amount and date of payment. 

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