Acknowledgement Receipt Sample
What is an Acknowledgement Receipt?
An Acknowledgement Receipt is a written document used to confirm that one party has received payment, property, or a specific item from another party. It serves as a simple form of proof of transaction, especially for private sales, cash payments, or informal agreements. This document is commonly used in real estate, service payments, or any situation where confirmation of payment is needed but a full contract is not required.
Below is a sample Acknowledgement Receipt you can use as a reference or template. The example details are for illustration only.
ACKNOWLEDGEMENT RECEIPT
October 9, 2025
Received from SPS. RAFAEL S. ESTEBAN and JANICE RAPOSAS ESTEBAN of Barangay Caloocan, Talisay, Batangas the amount of FORTY THOUSAND (₱40,000.00) PESOS as full payment for the purchase of One Hundred (100) Square Meters Lot located at Barangay Poblacion 10, Talisay, Batangas, and covered by Tax Declaration No. 001-01xxx of the Assessor’s Office of Talisay, Batangas.
RECEIVED FULL PAYMENT:
FELIZARDO S. ESTEBAN JR.
WITNESS:
1. ____________________________
2. ____________________________
SUBSCRIBED AND SWORN to before me, this 9th day of October, 2025 at Tanauan City, Batangas, Philippines. Affiant exhibiting to me his Community Tax Certificate No. 027017, issued at Talisay, Batangas on October 9, 2025.
Doc. No. _______
Page No. _______
Book No. _______
Series of 2025
Disclaimer: This sample is for educational and reference purposes only. Replace the names, dates, and details as needed for your actual transaction.