
Cash Receipt 
Dated:_________________ 
Total Amount: ________________ 
Balance: ________________ 
 
Received with thanks from________________________ S/o___________________ 
R/o _________________________________________________________________ 
the sum of Rs. ____________ Rupees(in words)_____________________________ 
 
by Cash / Cheque No. _________________ dated _____________ on ___________ 
in full & final payment / towards advance of my Scooter / Car / Motor Cycle  
bearing Registered No. ___________________ Engine No. _______________  
Chassis No. _____________________ Colour __________________________  
Model No. _______________.  The Scooter / Car / Motor Cycle is my / our  
absolute property free from all encumbrances taxes are paid upto-date.  The 
 Scooter / Car / Motor Cycle is sold and delivered in perfect running order and  
condition, as seen tried and approved and as it stand to-day. 
 
Witness: 
 
Signature:________________ 
Name:___________________ 
Address:___________________
__________________________ 
Telephone:_________________ 
 
 
Seller: 
Name: ______________________ 
Address: 
____________________________
____________________________
____________________________ 
Telephone___________________ 
Driving Licence No.____________