Receipt in Full

for Your State

Model form to be used to document a payment which completely pays off a debt.

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This form should be used as a receipt for a payment which completely pays off a debt. The original receipt should go to the person making the payment, but a copy should be retained.

This attorney-prepared packet contains:
  1. Information on Receipts in Full
  2. Receipt in Full form
State Law Compliance: Designed for use in all states
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22031
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.





Receipt in Full







This Packet Includes:
1. Information
2. Receipt in Full





Information
Receipt in Full




This form should be used as a receipt for a payment which completely pays off a debt. You will need to include the amount paid, the name of the person who paid it, the date when paid, and a description of the obligation which is paid off (for example: an invoice, statement, sales slip, note, or bill of sale). The original receipt should go to the person making the payment, but a copy should be retained.







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THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS.


 
RECEIPT IN FULL





Thee undersigned acknowledges receipt of the sum of $ ____________________________ paid by _______________________________________. This payment constitutes full payment and satisfaction of the following obligation:






Dated: ______________________________, 20 __

____________________________________
Signature of person receiving payment

____________________________________
Name
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