Template

Acknowledgement Receipt Template

A general acknowledgement receipt confirming that documents, goods or items have been received from a person.

ACKNOWLEDGEMENT RECEIPT

A receipt issued to confirm that specified documents, goods or items have been received from the named person on the stated date.

Ref. No.: [Reference Number]    Date: [DD/MM/YYYY]

This is to acknowledge that we/I, [Name of Recipient], have received from [Name of Sender / Deliverer], residing/situated at [Address], the following [Documents / Goods / Items]:

1. [Description of Item] - Quantity [Qty]
2. [Description of Item] - Quantity [Qty]
3. [Description of Item] - Quantity [Qty]

The above have been received in [good / stated] condition for the purpose of [Purpose / Reference]. This acknowledgement is issued without prejudice and does not by itself certify verification of the contents.

_____________________
[Signature of Recipient]
[Name & Designation]
[Firm / Department Name]
Place: [Place]    Date: [DD/MM/YYYY]

How to use: List each item with its quantity, note the condition on receipt, and sign. Retain a copy for your records and hand the signed original to the sender.

Before you use it — fill in / check

  • Name of Recipient
  • Name of Sender
  • Items / Description
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.