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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.





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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