[Your Address]
[City, State, ZIP Code]
[Date]
[Borrower's Name]
[Borrower's Address]
[City, State, ZIP Code]
Receipt for Borrowed Money
This receipt serves as written acknowledgment that the borrower, [Borrower's Name], has borrowed the sum of [Amount] (USD) from the lender, [Your Name], on [Date].
The borrowed amount will be repaid in full, without any deductions, fees, or interest, on or before [Repayment Date]. The repayment should be made to:
Lender's Name: [Your Name]
Lender's Address: [Your Address]
Upon complete repayment of the borrowed amount on the specified repayment date, this receipt will be considered null and void.
By signing below, both the lender and the borrower acknowledge and accept the terms and conditions outlined in this receipt.
Lender's Signature: __________________
Borrower's Signature: _______________
Print Lender's Name: _______________
Print Borrower's Name: ___________
Date: _________________
Witness (Optional):
Name (if applicable): ___________________
Signature: _________________________
_Note: Duplicate copies of this receipt should be made for both the lender and the borrower to keep for their records._