A simple, signed confirmation that a payment was received or an item was transferred. Used as proof of a completed transaction — deposits, partial payments, items handed over, services rendered.
This is what your final document will look like. The watermark is removed after payment.
Date: [Date]
This Receipt acknowledges and confirms the following transaction between the parties identified below.
Issuer (the person giving this receipt):
[Issuer Name]
[Address]
Telephone: [Phone]
Recipient (the person receiving this receipt):
[Recipient Name]
[Address]
Telephone: [Phone]
The Issuer hereby acknowledges and confirms the following:
| Transaction type: | |
|---|---|
| Date of transaction: | |
| Amount: | $ USD |
| Payment method: |
[Description]
By signing below, the Issuer acknowledges that the above-described transaction took place as stated, and that the Issuer has no further claim against the Recipient with respect to the matter described above (except as may be expressly stated in the description).
Executed on this [Date].
ISSUER
Signature
[Name]
Printed Name
Date:
RECIPIENT (acknowledges receipt)
Signature
[Name]
Printed Name
Date:
State of _______________________, County of ______________________
On this _______ day of ____________________, 20_____, before me personally appeared ______________________________________, known to me (or proved on satisfactory evidence) to be the person who executed the foregoing receipt.
Notary Public Signature
Printed Name: ______________________________________
Commission No.: _________________ Expires: _________________
[ AFFIX NOTARY SEAL HERE ]
Prepared via YYMA Documents · yymanotary.com · Self-help document preparation · Not legal advice
Fecha: [Fecha]
Este Recibo reconoce y confirma la siguiente transaccion entre las partes identificadas a continuacion.
Emisor (la persona que da este recibo):
[Nombre]
[Direccion]
Telefono: [Telefono]
Destinatario (la persona que recibe este recibo):
[Nombre]
[Direccion]
Telefono: [Telefono]
El Emisor por la presente reconoce y confirma lo siguiente:
| Tipo de transaccion: | |
|---|---|
| Fecha de la transaccion: | |
| Monto: | $ USD |
| Metodo de pago: |
[Descripcion]
Al firmar abajo, el Emisor reconoce que la transaccion descrita arriba tuvo lugar como se indica, y que el Emisor no tiene reclamo adicional contra el Destinatario con respecto al asunto descrito arriba (excepto lo expresamente indicado en la descripcion).
Ejecutado en este [Fecha].
EMISOR
Firma
[Nombre]
Nombre Impreso
Fecha:
DESTINATARIO (acusa recibo)
Firma
[Nombre]
Nombre Impreso
Fecha:
Estado de _______________________, Condado de ______________________
En este dia _______ de ____________________, 20_____, comparecio personalmente ante mi ______________________________________.
Firma del Notary Public
Nombre impreso: ______________________________________
No. de Comision: _________________ Vence: _________________
[ COLOCAR SELLO NOTARIAL AQUI ]
Preparado por YYMA Documents · yymanotary.com · Preparacion autoservicio · No es asesoria legal
