[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Company/Organization Name] [Address] [City, State, Zip Code] Subject: Request to Execute Receipt and Release for Payment Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally request the execution of a Receipt and Release document for the payment I have made to your organization. This document will serve as a proof of payment and release any further liabilities between us regarding the outstanding amount. As per our previous agreement dated [Date of Agreement], I agreed to make a payment of [Amount] towards [Nature of Payment]. I am pleased to inform you that I have fulfilled my financial obligation by making the payment on [Payment Date]. The payment was made through [Payment Method], and the transaction reference number [Transaction Reference Number] has been provided for your reference. To ensure proper record-keeping and mutual understanding, I kindly request the prompt execution of a Receipt and Release document by your authorized representative. This document should clearly state the details of the payment and acknowledge that all obligations related to the aforementioned payment have been satisfied. Including the following information in the Receipt and Release document would be greatly appreciated: 1. Name of the payer (myself): [Your Full Name] 2. Name and address of the payee (your organization): [Company/Organization Name], [Address] 3. Date of payment: [Payment Date] 4. Amount paid: [Amount] 5. Nature and purpose of the payment: [Nature of Payment] 6. Payment method: [Payment Method] 7. Transaction reference number: [Transaction Reference Number] I kindly ask you to prepare the Receipt and Release document in duplicate, with one copy to be returned to me promptly. Please feel free to include any necessary terms and conditions within the document that you deem necessary for both parties' protection. Should you have any queries or require any further information, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Your prompt attention to this matter would be greatly appreciated. Thank you for your cooperation. I am looking forward to receiving the executed Receipt and Release document soon. Yours sincerely, [Your Name]