RECEIPT BY CREDITOR FOR COMPOSITION OF DEBT
Dated___________
RECEIVED with thanks from sh._______ the sum of Rs._________(in words) only, being a composition of________ % in the rupee upon a debt of Rs________ owing by the said Sh.______ to me.
I accept this composition in full satisfaction and discharge of any said debt, and I, undertake to execute a formal release of the said debt at his request and expense.
_____________
Signature of Creditor