Maine Sample Letter for Payment — Request to Execute Receipt and Release [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 for Payment Dear [Recipient's Name], I hope this letter finds you in good health. I am writing to request the execution of a Receipt and Release document for the payment I have made to fulfill a financial obligation. As per our agreement on [date], I have made a payment of [amount] to you in relation to [provide details of the reason for payment, e.g., settlement of a debt, purchase of goods/services, etc.]. I am enclosing a copy of the payment confirmation for your reference. In order to formally acknowledge the receipt of the aforementioned payment and release me from any further liabilities or obligations related to the transaction, I kindly request you to execute the Receipt and Release document. This document will serve as evidence that the payment has been received in full and that no further claims will be made. The Receipt and Release should include the following information: 1. Name and contact details of the Payee (recipient of the payment). 2. Name and contact details of the Payer (sender of the payment). 3. Date of the payment and the payment method used. 4. Detailed description of the purpose of the payment. 5. Amount paid and any applicable reference numbers. 6. Statement acknowledging the payment as full and final settlement. 7. Indication that the Payee releases the Payer from any further claims or liabilities related to the transaction. 8. Signature and date of execution from both the Payee and the Payer. I kindly request you to prepare the Receipt and Release document on your letterhead and send it to me for review and signature within [number of days, e.g., 10 days] of receiving this letter. Alternatively, if you prefer, we can arrange a meeting to execute the document in person. Please let me know if there are any additional details or requirements needed for the Receipt and Release document. I appreciate your prompt attention to this matter. Thank you for your cooperation, and I look forward to receiving the document soon. Sincerely, [Your Name]