Finance & banking
Receipt voucher template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
Fill in this template- Written for US law, with your state left to fill in
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Preview — US standard
Cash Receipt
Business Name
Business Address
Business Phone or Email
Receipt no.: Receipt Number
Date: Receipt Date
| Item | Details |
| --- | --- |
| Received from | Payer Name |
| Payer address | Payer Address |
| Amount | $Amount |
| Amount in words | Amount in Words dollars |
| Payment method | Cash, Check Number, Card or Transfer Reference |
| For | Purpose of Payment, such as invoice number or deposit |
| Account Balance | Amount |
| --- | --- |
| Balance before this payment | $Previous Balance |
| This payment | $Amount |
| Balance remaining | $Remaining Balance |
A check or transfer is received subject to its clearing.
Received by: Receiver Name and Title
Signature: Receiver Signature