Satisfaction of Claim (No. 90)(PDF, 244KB) – Acknowledging receipt of payment on a claim.Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). The Court of Common Pleas of Allegheny County (Fifth Judicial District) consists of the following divisions:. Sample Forms These sample forms may be useful when filing documents for the civil and family courts. If you have any questions, consult an attorney. This document is a receipt acknowledging payment received from an individual or entity. A divorce case is started with the filing of a "Complaint. 1. Gather all required personal information and estate details. They issue a receipt to our office to be recorded showing the taxes that were due and paid.