PAYMENT ACKNOWLEDGMENT
PAIDReceived by
- Name or business:
- Morgan Example
- Address:
- 12 Example Lane, Sampletown
- Phone / email:
- [Phone or email]
Acknowledgment details
- Receipt no.:
- PA-0317
- Date received:
- 14 Oct 2026
Received from
- Name or business:
- Jordan Sample
- Address:
- 48 Sample Road, Sampletown
Payment received
- The sum of (in words):
- Six hundred fifty and 00/100
- For:
- Repayment in full of the personal loan made on 2 Sep 2026
- Amount received
- 650.00
Payment method
- Method:
- Bank transfer
- Transaction reference:
- [Reference no.]
Received by (signature)
Print name
Date
I acknowledge that I have received the amount stated above from the person named.
Payment acknowledgment receipt
A signed acknowledgment that one person or business received a payment from another, recording both parties, the date received, the amount in words and figures, what the payment was for, and the method and reference.
Confirms a payment received
