[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 for Execution of Receipt and Release Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to request the execution of a receipt and release pertaining to a payment I made under our previous agreement. As you may recall, on [date], I made a payment of [amount] to [Company/Organization Name] for [specific purpose or service]. This payment was intended to fulfill my obligations as per our mutually agreed upon terms and conditions. I kindly request that you provide me with a receipt acknowledging the payment made on [date]. This receipt should contain the following information for accuracy and reference purposes: 1. Payment Details: — Date of Payment: [date— - Amount Paid: [amount] — Payment Method: [cash, check, bank transfer, etc.] — Invoice/Reference Number: [if applicable] 2. Recipient's Information: — Full Name: [recipient's name— - Address: [recipient's address] — Contact Number: [recipient's phone number] — Email Address: [recipient's email address] Additionally, I request you to execute a release confirming that the payment received fully satisfies the outstanding balance or any obligations arising from our agreement. This release should absolve me, [Your Name], of any further liabilities regarding the aforementioned payment. I kindly ask that you send both the receipt and release to me at your earliest convenience. You may forward them via email to [your email address] or mail a hard copy to the address provided above. Should you have any questions or require further clarification, please do not hesitate to contact me using the contact information provided. Thank you for your prompt attention to this matter. I look forward to receiving the requested documents and, as always, maintaining a positive working relationship with [Company/Organization Name]. If there are any additional forms or specific processes required to complete this request, please inform me accordingly. Yours sincerely, [Your Name]