[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 of Payment Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to request your cooperation in executing a Receipt and Release of Payment pertaining to the outstanding balance owed to me by [Debtor's Name]. The purpose of this letter is to formally document our agreement and provide you with all the necessary information for its completion. I, [Your Name], am the rightful holder of a debt owed by [Debtor's Name] in the amount of $[Total Amount]. The aforementioned balance has arisen due to [brief explanation of the nature of the debt]. After several attempts at amicable resolution, [Debtor's Name] has acknowledged their obligation to settle the debt and has agreed to make the payment as outlined in our previous communication [provide date and any reference numbers if applicable]. In order to facilitate this transaction smoothly, I kindly request your assistance in preparing and signing a Receipt and Release of Payment. This document serves as an official acknowledgement that [Debtor's Name] has paid the agreed-upon sum, effectively releasing them from any further financial obligations toward me. The following details outline the necessary information to complete the Receipt and Release of Payment: 1. [Debtor's Name]: Provide the full legal name of the debtor. 2. [Creditor's Name]: State your full legal name as the creditor. 3. [Total Amount]: Specify the total amount owed by the debtor. 4. [Payment Method]: Indicate the method used by the debtor to fulfill the payment (e.g., cash, check, wire transfer, etc.). 5. [Payment Date]: Mention the date on which the payment was received. 6. [Acknowledgement of Full Payment]: State that the creditor acknowledges receiving the full payment and that the debtor is henceforth released from any outstanding debt. 7. [Signature and Date]: Leave ample space for both the creditor and debtor to sign and date the document. Upon its completion, please return the signed and dated Receipt and Release of Payment to me via [preferred method of delivery]. As a note of caution, it is crucial to ensure the legal validity of this document by consulting with a qualified attorney or seeking legal advice if necessary, given that the laws regarding debt and settlements vary by jurisdiction. In the event that there are any complications or if you require further information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. I genuinely appreciate your prompt attention to this matter, and I look forward to resolving this debt in a mutually beneficial manner. Thank you in advance for your cooperation. Yours sincerely, [Your Name]