HELP WITH FINANCIAL MATTERS
Acknowledgement of repayment
This template allows a creditor to acknowledge a payment and identify the agreement it relates to. Enter the amount, the date the money was received and how the payment has been allocated. Also state whether any balance remains after the payment, based on the actual account records.
How to complete the document
- The recipient issues this document; it is not issued by someone who has merely initiated a transfer.
- Enter the amount and date received and explain how it was allocated.
- Acknowledging a partial payment does not automatically confirm full repayment.
This template must be adapted to your circumstances. Before signing or sending it, remove uncompleted fields and check all amounts, dates and party details.
Prepare your document
Complete your details and the bracketed fields in the sections below, then download the completed Word document. You can edit individual paragraphs; the file retains the template layout, headings, tables and signature spaces. Check all wording and any remaining placeholders before use.
Download the blank template as DOC and the document completed in the generator as DOCX.
Your entries remain in this browser tab and are not sent to the server. Download the DOCX document and send it to the recipient yourself.
Template preview
Replace the bracketed fields with your informationFURTHER OPTIONS
Need help with the wording?
After exhausting the complaint procedure, check whether the Financial Ombudsman can intervene. Free advice services can also help you prepare documents and understand your situation.