[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Request to Execute Receipt and Release — Payment Confirmation Dear [Recipient's Name], I hope this letter finds you in good health and spirits. I am writing to kindly request your assistance in executing a Receipt and Release document for the payment I made on [Payment Date]. As per our agreement [or as stated in the contract], I have made a payment of [Payment Amount] towards [Nature of Payment]. This payment represents the full and final settlement of all outstanding dues owed to [Recipient's Name or Company] regarding [Reason for Payment]. I am seeking your prompt acknowledgement of the payment and request a duly executed Receipt and Release in order to formalize our transaction. I kindly request that you prepare a Receipt and Release in accordance with the laws and regulations of the State of Connecticut. This document should reflect the following information: 1. Full Payment Information: — Payment amount: [Payment Amount— - Date of payment: [Payment Date] — Method of payment: [e.g., bank transfer, check, cash, etc.] 2. Parties Involved: Mayoror's name: [Your Name] - Payee's name: [Recipient's Name] — Any relevant identification details (e.g., account numbers, invoice numbers, etc.) 3. Release of Liability: — Confirmation that the payment represents the full and final settlement of all outstanding obligations between the parties. — An explicit statement releasing thmayoror from any further claims, demands, or liabilities related to the aforementioned payment. Furthermore, please ensure that the Receipt and Release are signed by an authorized representative of [Recipient's Name or Company] and are duly notarized for their legal validity and enforceability. Kindly provide the executed Receipt and Release as a scanned copy via email or mail it to my address mentioned above. I trust that you will give this matter your utmost attention to expedite the process. Should you require any additional information or documents to proceed with this request, please do not hesitate to contact me at the provided phone number or email address. Thank you for your immediate attention to this matter. I look forward to receiving the executed Receipt and Release document soonest. Sincerely, [Your Name]