Full and final settlement receipt

A receipt that also closes the matter: nothing more is due.

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How the paper begins

With Dastavo's sample details; the people and places are fictional. The words in blue are the ones you fill in.

FULL AND FINAL SETTLEMENT RECEIPT

I, Simran Kaur daughter of Shri Gurdev Singh, aged about 19 years, resident of House No. 88, Model Town, Amarnagar, Tehsil and District Amarnagar, Punjab, have received ₹54,000 (Rupees Fifty-Four Thousand only) by bank transfer from Sharma Hardware, through its proprietor Kabir Sharma son of Shri Dev Sharma, aged about 44 years, resident of House No. 7, Basant Vihar, Amarnagar, Tehsil and District Amarnagar, Punjab in full and final settlement of my salary and dues up to 30-09-2026. Nothing more is due to me from him on that account, and I have no further claim of any kind about it.

Place: Amarnagar
Date: 12-10-2026
Simran Kaur

WITNESSES:

1. Name and address
2. Name and address

What to bring

Papers to bring

Where to go

Signed by the person receiving the money and given to the person paying, who keeps the original. It is not registered.

Fee

Plain paper is enough; a receipt above the amount set in the stamp law carries a revenue stamp, signed across by the person receiving the money.

Good to know

Papers and fees can change. Check with the office before you go. Guidance only, not yet reviewed by a lawyer.

Stamp paper

A receipt for more than ₹5,000 usually carries a one-rupee revenue stamp, signed across.