Invoices and paymentsForm
Payment receipt template
A signed receipt for money received, especially cash, deposits and part-payments: what was paid, how, for what, and what is still owed, confirmed by the person who took the money.
Opens in the Salsox editor with 5 signing fields already placed for Received by and Paid by. Add their emails and send. The free plan sends 3 documents a month.
Who signs
- Received by (you)
- Paid by
Preview
Payment Receipt
Receipt number: R-2026-0381 Date: 3 November 2026
Received by: Palm Court Apartments, 8 Third Close, Airport Residential Area, Accra Received from: Ms. Lindiwe Dube
Payment
The sum of GHS 7,500 (seven thousand five hundred Ghana cedis) was received by bank transfer, reference PCA-12B.
For: security deposit and first month's rent for Apartment 12B, lease dated 1 November 2026.
Account
| Amount | |
|---|---|
| Total due | GHS 15,000 |
| Paid before today | GHS 0 |
| Paid today | GHS 7,500 |
| Balance remaining | GHS 7,500, due 1 December 2026 |
This receipt confirms the payment above only. It does not change the terms of any agreement it relates to.
Notes
Where part of this payment is a deposit, it is held under the terms of the agreement named above and returned, or applied to the final amount, as that agreement says. Please keep this receipt with your copy of the agreement. If any detail on it is wrong, tell the receiver within seven days so a corrected receipt can be issued; after that, the figures above are taken as agreed by both parties.
Signatures
Received by: Signature · Received by Date: Date · Received by Name: Name · Received by
Paid by (confirming the balance above): Signature · Paid by Date: Date · Paid by
These templates are general starting points, not legal advice. Laws differ between countries and states: check that a template suits your situation, or ask a lawyer, before you rely on it.
About the Payment receipt template
A receipt is small but it settles arguments that can be expensive: whether a deposit was paid, how much cash changed hands, and what is still owed. Landlords, schools, contractors and shops taking part-payments all need one that both sides can rely on.
This template records the amount in figures and in words (which stops a figure being altered), the payment method and reference, exactly what the payment was for, and a running balance: total due, paid before, paid now, and what remains. The person who received the money signs it, and the payer can countersign to confirm the record.
Sent through Salsox, both signatures and the date are captured with an audit trail, so a receipt for a cash deposit is as solid as a bank statement.
- Signers
- 2
- Signing fields placed
- 5
- Details to fill in
- 12
How to use this template
Open it in Salsox
Choose Use this template. Sign up free if you have no account; the template opens straight after.
Fill in the details
Type your details into each blank, or start from the sample to see how it reads. Save it as your own template to reuse it.
Add signers and send
The editor already has every signature, date and initials field in place. Add each signer's email and send; they sign on their phone, and everyone gets the sealed copy with its audit trail.
Used in
Questions
What should a payment receipt include?
The date, a receipt number, who paid and who received, the amount in figures and words, the payment method, what it was for, and any balance still owed.
Why write the amount in words?
Figures are easy to alter or misread. Writing the amount in words as well is a long-standing way to make the receipt reliable.
Does the payer need to sign the receipt?
The receiver's signature is the important one. A payer countersignature is useful for deposits and part-payments, because it confirms the balance both sides agree on.
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Send it for signature in minutes
Start from this template in Salsox: fill in the blanks, add your signers and send by email, WhatsApp or SMS. Signers sign one field at a time on their phone, and you can collect a payment in the same step.