Boilerplate World

Payment Receipt

A simple signed receipt showing who paid whom, how much, and what for.

Good for: Anyone who takes a payment, such as for rent, a sale, a deposit, or a service, and wants a written record.

Before you sign

  • Give the person who paid the original, and keep a copy for yourself.
  • Write the date and the exact amount, and say what the payment was for.
  • If the payment is only part of what is owed, say so on the receipt and write the amount still owed.

What this is not

These are standard forms for you to fill in, plus plain-language information. This is not legal advice and this site is not a law firm. We do not file anything for you or check your answers. Rules differ from state to state, so read the finished form before you sign it.