Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). 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. Edit, sign, and share sample acknowledgment receipt online. No need to install software, just go to DocHub, and sign up instantly and for free. Click on New Document and choose the form importing option: upload Acknowledging payment from your device, the cloud, or a secure link. Court Staff cannot act as your counsel, provide legal advice or suggestions. Court staff can provide all litigants with procedural information. ACKNOWLEDGEMENTS. Acknowledgement taken in New York State. (Name): We are acknowledging receipt of your application on (date of receipt).