On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared. The sample acknowledgement letters for receipt of payment provided below can be used as format templates for official and personal purposes.What do you need to include in your donation acknowledgment letter? Dear Erin Justice, Deputy Clerk: This is to acknowledge receipt of your docketing letter in the above case. Complete the information below ONLY if you pay your employee in cash (in full OR in part). All of the questions must be answered. These are the official forms for use in Surrogate's Court proceedings. This modification allows us to send an acknowledgment receipt and copy of filed image. For additional information please click here. Note: This form must be downloaded to your device in order to be filled out properly.