Free template
Payment Receipt Template
Provide clear written proof of any payment received for goods, services, rent, or other obligations.
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Payment Receipt Template
[Business / Individual Name Receiving Payment]
[Street Address]
[City, State/Province, ZIP/Postal Code, Country]
Phone: [Phone Number]
Email: [Email Address]
Website (if any): [Website]
1. Receipt Information
Receipt No.: [Receipt Number]
Receipt Date: [MM/DD/YYYY]
Location: [City, State/Province, Country]
2. Payer Details
Payer Name or Business: [Payer Full Name or Business Name]
Contact Person (if business): [Contact Name]
Address: [Payer Street Address]
City, State/Province, ZIP/Postal Code, Country: [City, State/Province, ZIP/Postal Code, Country]
Phone: [Payer Phone Number]
Email: [Payer Email Address]
3. Payment Details
Total Amount Paid: [Currency and Amount]
Currency: [Currency, e.g., USD, EUR]
Payment Type (select or describe):
☐ Full payment
☐ Deposit
☐ Partial payment
Related Invoice / Contract / Reference No.: [Reference Number]
Payment Date (if different from Receipt Date): [MM/DD/YYYY]
4. Payment Method
Payment Method (select or describe):
☐ Cash
☐ Check – Check No.: [Check Number]
☐ Bank Transfer – Reference: [Transfer Reference]
☐ Credit Card – Last 4 digits: [XXXX]
☐ Debit Card – Last 4 digits: [XXXX]
☐ Other: [Payment Method Description]
5. Description of Payment
Description of Goods / Services / Obligation:
[Short description, e.g., “Payment for consulting services for [Month/Year]” / “Rent for [Property Address], [Month/Year]” / “Deposit for event booking on [Date]”]
Period Covered (if applicable):
From: [Start Date]
To: [End Date]
6. Balance Summary (Optional)
Total Amount Due Under Invoice / Agreement: [Currency and Amount]
Less Amount Paid by This Receipt: [Currency and Amount]
Previous Payments (if any): [Currency and Amount]
Remaining Balance After This Payment: [Currency and Amount]
7. Notes (Optional)
Additional Notes:
[Notes, e.g., “Non-refundable deposit,” “Payment includes applicable taxes,” “Next payment due on [Date]”]
8. Authorization
Received By (Name): [Authorized Person’s Name]
Title / Role: [Title or Role]
Signature: _______________________________
Date: [MM/DD/YYYY]
9. Acknowledgment by Payer (Optional)
I acknowledge that the above information is accurate to the best of my knowledge and that this receipt reflects a payment I have made.
Payer Name: [Payer Full Name]
Signature (if needed): _______________________________
Date: [MM/DD/YYYY]
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Easy-to-understand jargon
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Details
Learn more about
Payment Receipt Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
PAYMENT RECEIPT TEMPLATE FAQ
What is a payment receipt?
A payment receipt is a written record confirming that money has been received from a payer. It usually shows the date, amount, payment method, payer and payee details, and what the payment was for. A receipt is often used for accounting, reimbursement, refunds, or tax records.
When should I issue a payment receipt?
You typically issue a receipt whenever you receive money from a customer, tenant, client, or other payer — whether it is cash, card, bank transfer, or other methods. Receipts are useful for one-time payments, recurring payments (like rent), deposits, and partial payments toward a larger balance.
What should a payment receipt include?
A clear payment receipt should include the receipt number, date, payer and payee details, amount, currency, payment method, reference or invoice number (if any), a brief description of the goods, services, or obligation, and signatures or contact details for the issuing party.
Is a payment receipt the same as an invoice?
No. An invoice requests payment that is due. A receipt confirms that payment has already been made. In practice, many businesses issue an invoice before payment and then a receipt after the payment is received.
Can I use this Payment Receipt template for deposits or partial payments?
Yes. This template can be used for full, partial, or deposit payments. You can specify the total amount due, the amount paid today, and any remaining balance so that both parties have a clear record of payment status.
Can AI Lawyer help me customize this Payment Receipt template?
Yes. AI Lawyer can help you adapt this Payment Receipt template by adjusting fields, adding tax or reference information, and tailoring the wording to your business or industry while keeping it clear and easy to use.
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