
Deposit Receipt
Date: ______________________
Receipt #:
______________________
Received From (Depositor):
Company/Individual Name: ______________________
Address: ______________________
City, State, Zip: ______________________
Phone Number: ______________________
Email Address: ______________________
Account Number (if applicable): ______________________
Received By (Recipient):
Name: ______________________
Address: ______________________
City, State, Zip: ______________________
Details of Transaction:
Amount Received: $______________________
Payment Method: ______________________
Description/Purpose of Deposit:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Payment Owed: ______________________
Due Date: ______________________
Additional Terms and Conditions:
The deposit mentioned above is non-refundable unless otherwise specified in writing.
This deposit will be refunded upon
______________________________________________________________________
___________________________________________________.
Any damages or outstanding balances will be deducted from the deposit amount.