1. The person who receives the money writes and signs the receipt; the person who pays keeps it.
2. Write the sum in figures and in words, and what the money is for: tick one box only.
3. Refer to the agreement the money is paid under, such as a lease or a preliminary sale agreement, with its date.
4. When the money is paid by bank transfer, keep the bank statement with the receipt.

RECEIPT

City of ____________, date ____________ 20___

I, ______________________________ (full name), ID/passport No. ____________, issued on ____________ by ____________, living at ______________________________,

have received from ______________________________ (full name), ID/passport No. ____________,

the sum of ____________ (in words: ______________________________) AMD / USD

☐ as a deposit under the preliminary sale agreement dated ____________ 20___ for the property at ______________________________;
☐ as a security deposit under the lease agreement dated ____________ 20___ for the home at ______________________________;
☐ as an advance for ______________________________.

The money was received in full: ☐ in cash ☐ by bank transfer to account No. ______________________________.

I have no claims about the sum received.

Received: ____________________ (signature) ______________________________ (name)

Paid: ____________________ (signature) ______________________________ (name)

Witnesses (if any):

1. ______________________________ (name), ____________________ (signature)
2. ______________________________ (name), ____________________ (signature)