RECEIPT ON ACCOUNT OF PAYMENT
OF ALL DEBTS DUE 

I ______________________, S/o___________________, R/o __________________________ have

received on this ____ day of _____ from Sh. _______________________, S/o______________________,

R/o ________________________ the sum of Rs.________ (Rupees _________________________ only)

against discharge of all claims and to the fulfilment of all pending debts, which I have against him up to

this day. 

Signed by _____ on this ___ day of ____ in the presence of the following witnesses. 

Witnesses: 

1. 

2.