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Receipt for Non-Refundable Deposit (United States)

This is a receipt for a non-refundable deposit. The form provided here is simply a sample of what the actual form looks like.


Received of ________(1)___________, hereinafter referred to as "Buyer",

the sum of ___________(2)________ ($_____________) as NON-REFUNDABLE DEPOSIT toward the purchase of

________(3)________ to be sold to Buyer by

________(4)_________, hereinafter referred to as "Seller", owner of said property,

on or before the __________(5)_________ day of ______(6)________, ____(7)_______,

for a total price of ($_____________(8)_____________), this NON-REFUNDABLE DEPOSIT being a part thereof.

Buyer understands, acknowledges and agrees that if he fails to pay to Seller the remaining

$___________(9)___________ due by the above date, said NON-REFUNDABLE DEPOSIT shall be forfeited.

Seller hereby agrees in consideration of payment of said NON-REFUNDABLE DEPOSIT to withdraw said vehicle from the market until the above date and to transfer title to said vehicle to Buyer upon receipt of the remaining amount due.



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