RECEIPT ON ACCOUNT OF A DEBT





I ____, S/o______, R/o ________ on this ____ day of ____ have borrowed and received from Mr. _____, S/o_______, R/o _________ the sum of Rs.____ repayable within _____ years with interest at @ __ % per annum.

Signed by _____ on this ___ day of ____ in the presence of the following witnesses.



Witnesses:



1.



2.