Form for Ordinary Certificate of Acknowledgment. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples).(Seal). Given under my hand and seal of office this _____ day of ______, 20____. (Notary's Signature). (Personalized Seal). An acknowledgment receipt is a written document that confirms the receipt of goods, services, payments, or documents. If you are the governmental entity or state agency that received the signed contract and wish to acknowledge it, you are a filer type CERT-GOV. If there is no signature, watch the signer sign the document. 4. Record the notarization. 2. Please do not include this letter to refund request to avoid inconvenience during check pick up).