Payment Acknowledgment Affidavit
I. Introduction
This Payment Acknowledgment Affidavit serves as a legal document confirming the receipt of payment for goods, services, or a debt. It is made by the payer to provide evidence of the transaction.
II. Payment Details
This section outlines the specifics of the payment made. Please review the information below to confirm the amount paid, date of payment, and the recipient of the payment.
Payment Amount | Date of Payment | Payment Method | Recipient |
|---|
$5,000.00 | May 15, 2050 | Bank Transfer | Lester Nolan |
The payer confirms that the payment of $5,000.00 was made on May 15, 2050, via bank transfer to Lester Nolan for the purchase of consulting services.
III. Acknowledgment of Payment
The undersigned, Lester Nolan, hereby acknowledges the receipt of the payment stated above in full. The payment satisfies the debt owed and no further payments are due at this time.
Signed by:

Lester Nolan
Date: May 15, 2050
IV. Conclusion
This affidavit is executed as proof of payment and confirms that the amount mentioned above has been fully paid. Both parties agree that no further claims or disputes regarding this payment will arise.
Prepared by:

[YOUR NAME]
[YOUR EMAIL]
Date: May 15, 2050
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