This is a form letter of receipt of money. The form letter provided here is simply a sample of what the actual form letter looks like.
BE IT KNOWN, that the undersigned hereby acknowledges
receipt of the sum of ____________________ (dollars), $______________
paid by ____________________________________
which payment constitutes ______________________________ payment of the below described obligation:
If this is in partial payment of said obligation
the remaining unpaid balance on this date is $__________________.
Signed this ______________ day of ____________________, 20________.