The sample acknowledgement letters for receipt of payment provided below can be used as format templates for official and personal purposes. By signing this document, I acknowledge receipt of the filed document and waive the requirement that I receive notice of this hearing.Acknowledgment of receipt for payment​​ Use this template to acknowledge the receipt of a payment. Dear (Recipient's name), I hope you are well. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.