On this ______day of ______, in the year 20____, before me,. On this _____ day of ______, in the year 20__, before me,., personally appeared. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). Here's a guide to help you understand why you need an acknowledgement statement and how to make yours as effective as possible. A form for the employee to sign acknowledging receipt of the policies. Following are samples of these provisions. A receipt is a written acknowledgment or proof of a financial transaction that provides evidence of the exchange of goods, services, or money between parties. A Utah notary acknowledgment is used to verify the authenticity of a signature on a legal document. How do you fill out an acknowledgment letter?