On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples).Forms ; Summons extra caption. PDF ; Complaint sample. We are acknowledging receipt of your application on (date of receipt). Frequently Used Documents. Forms, documents and other web pages referenced in chancellor's regulations: Series A. A – 101. The PDF version of these forms are FILLABLE. They can be filled out electronically, then printed. I. have read and understand the CUNY Bank Account Control Policy.