RECEIPT BY CREDITOR FOR COMPOSITION OF DEBT 

Dated___________ 

RECEIVED with thanks from sh.___________________ the sum of Rs.___________________________(in words) only, being a composition of________ % in the rupee upon a debt of Rs________ owing by the said Sh.________________________ to me. I accept this composition in full satisfaction and discharge of any said debt, and I, undertake to execute a formal release of the said debt at his request and expense. 

_____________ 

Signature of Creditor