[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 and high spirits. I am writing to you regarding a payment made to your esteemed organization. As per our records, a payment of [Payment Amount] was made on [Payment Date] for [Brief Description of Services/Products]. To ensure that both parties are in agreement and to facilitate the closure of any financial obligations between us, I kindly request your assistance in executing a Receipt and Release for this payment. This document will serve as evidence of the payment made and will absolve both parties of any further liabilities or claims related to this transaction. The Receipt and Release document should include the following details: 1. Payment Information: a. Payment Amount: [Payment Amount] b. Payment Date: [Payment Date] c. Mode of Payment: [Payment Method] 2. Service/Product Details: [Provide a detailed description of the services or products for which the payment was made.] 3. Confirmation of Payment Receipt: Please acknowledge the receipt of the payment and confirm that the amount mentioned has been duly received by your organization. 4. Release of Liability: Both parties agree that upon execution of this Receipt and Release, any claims or liabilities related to this payment shall be considered settled and waived. Should you require any additional information or documentation to proceed with this request, please do not hesitate to contact me at your earliest convenience. I am more than willing to provide any necessary documents or address any concerns you may have. I kindly request that the Receipt and Release document be prepared and sent to me for review and signature within [Number of Days] business days from the receipt of this letter. Once signed by both parties, please return a copy of the executed document to the address mentioned above or via email [Email Address]. Thank you for your prompt attention to this matter. I appreciate your cooperation and look forward to resolving this payment successfully. Should you have any questions or require further clarification, do not hesitate to contact me at [Phone Number] or [Email Address]. Yours sincerely, [Your Name]