Payment Receipt - sample
PAYMENT RECEIPT
| Receipt no.: R-0042 Date: 13/11/2026 | Payment reference: TXN-558210 Paid on: the date of this receipt |
Received with thanks from John Smith, of 45 Park Road, Manchester M1 4AB, the sum of USD 1,200.00 (in words: one thousand two hundred dollars) as payment for rent for the month of May, paid by bank transfer.
Payment details
| Received from | John Smith |
|---|---|
| Amount received | USD 1,200.00 |
| Amount in words | one thousand two hundred dollars |
| Payment for | rent for the month of May |
| Period covered | 1 to 31 May 2026 |
| Mode of payment | bank transfer |
| Reference | TXN-558210 |
| Balance due | None - paid in full |
Receipt for the rent of the flat at 45 Park Road for May 2026. The rent for June is due on 1 June.
Terms of this receipt. (1) This receipt is valid only if it is signed by the receiver. (2) Where the payment is made by cheque, draft or other instrument, the receipt is subject to realisation of the amount in the receiver's account. (3) The receipt is an acknowledgement of the payment only and is not a waiver of any right or of any other amount due. (4) Any error in this receipt should be reported to the receiver in writing within seven days of the date of issue.
This receipt confirms only the payment of the amount stated above. It does not release the payer from any other amount due, and a payment by cheque or other instrument is subject to its realisation. Please keep this receipt for your records; a copy has been retained by the receiver.
Thank you for your payment.
| Received by ______________________ Maria Garcia 12 High Street, London | Payer's acknowledgement ______________________ John Smith |