ADVANCE PAYMENT RECEIPT

Received with thanks a sum of _________/- (_________ only) in the following mode: –

Cash	_________/-
Draft/Cheque	_________/-

From _________ Son/Daughter/Wife of Shri _________ Resident of _________ on account of Advance/Earnest Money against the Sale of my Land No. _________, measuring _________ Sq. Yards/Mtrs./Ft., situated in _________, District _________, State __________________, which has been acquired by me/us vide Allotment Letter/Sale Deed No._________ dated_________. The balance amount of _________/- (_________ Only) in full and final shall be payable by the proposed Purchaser(s) on or before _________, _________.

Dated: _________

EXECUTANT(S)

WITNESSES:
1. _________
2. _________