The sample acknowledgement letters for receipt of payment provided below can be used as format templates for official and personal purposes. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples).If you return this form to the sender, service of a summons is deemed complete on the day you sign the acknowledgment of receipt below. Acknowledgment of receipt for payment​​ Use this template to acknowledge the receipt of a payment. Dear (Recipient's name), I hope you are well. By signing this document, I acknowledge receipt of the filed document and waive the requirement that I receive notice of this hearing. How to write an Acknowledgement Receipt Letter? An easy way to start is to download this Sample Payment Receipt Acknowledgement Letter template now! How to write an Acknowledgement Receipt Letter? Medi-Cal Letter Templates.