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Acknowledgement of debt

A signed note in which a person or company admits owing a sum and says how and when it will be paid.

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Acknowledgement of debt

Date: 15 November 2027
Place: Leeds, United Kingdom

The parties

Debtor: Daniel Okafor
27 Elm Street, Leeds, LS1 2AB, United Kingdom

Creditor: Sofia Ramirez
9 Hill Lane, Manchester, M1 3CD, United Kingdom

1. The debt

I, Daniel Okafor, acknowledge that I owe Sofia Ramirez the sum of GBP 4,500.

2. Where the debt comes from

The unpaid balance of the invoice dated 3 May 2027 for kitchen refit work.

3. How it will be repaid

In 9 monthly payments of GBP 500, by bank transfer to the creditor's account, on the first day of each month

The first payment is due on 1 December 2027.

4. Interest

No interest is charged if each payment is on time.

5. If a payment is missed

If a payment is more than 14 days late, the full unpaid balance becomes due.

6. Nothing else changed

This acknowledgement confirms the debt. It does not cancel or reduce it, and it does not give up any right the creditor already has.

7. Law that applies

This document is governed by The law of England and Wales.

8. Freely signed, and a note on time limits

The debtor signs freely, has read this document and has had the chance to take advice. In some places a written acknowledgement of a debt can restart the time limit within which the creditor may claim it, so both sides should check the rule where they are before signing. Each side keeps a signed copy.

9. Signatures

Signed by the debtor:

Signature: ______________
Daniel Okafor
Date: 15 November 2027

Accepted by the creditor:

Signature: ______________
Sofia Ramirez
Date: 15 November 2027

Witnessed by: Priya Shah, 4 Mill Road, Leeds, LS2 9QQ
Signature: ______________

Templates are a careful starting point, not legal advice. Where the law matters, check what applies where you are.

Money and payments

What this template is for

A written acknowledgement of debt: who owes whom, how much, why, the repayment terms and signatures. Fill it in online, then download as Word or PDF.

It is free to fill in online, needs no account, and downloads as a Word document or a PDF. See all Money and payments templates

Money and payments

What you fill in

The form asks for 14 details. The document fills itself in as you type.

  • Debtor (the one who owes)

    For example: Daniel Okafor

  • Debtor's address

    For example: 27 Elm Street, Leeds, LS1 2AB, United Kingdom

  • Creditor (the one owed)

    For example: Sofia Ramirez

  • Creditor's address

    For example: 9 Hill Lane, Manchester, M1 3CD, United Kingdom

  • Amount owed

    Include the currency.

    For example: GBP 4,500

  • Why the money is owed

    Say what the debt comes from, with an invoice number or date if there is one.

    For example: The unpaid balance of the invoice dated 3 May 2027 for kitchen refit work.

  • How it will be repaid

    Say the amount, how often, and how. For one payment, give the date.

    For example: In 9 monthly payments of GBP 500, by bank transfer to the creditor's account, on the first day of each month

  • First payment due

    For example: 1 December 2027

  • Interest, if anyoptional

    Write 'None' if there is none. Some places limit interest.

    For example: No interest is charged if each payment is on time.

  • If a payment is missedoptional

    For example: If a payment is more than 14 days late, the full unpaid balance becomes due.

  • Law that applies (place)

    The place whose law governs this document. Check what it says on time limits and form.

    For example: The law of England and Wales

  • Witness (optional)optional

    Name and address of someone who sees the debtor sign. Some places require this.

    For example: Priya Shah, 4 Mill Road, Leeds, LS2 9QQ

  • Place of signing

    For example: Leeds, United Kingdom

  • Date of signing

    For example: 15 November 2027

Money and payments

What is inside

The parts of this document, in order.

  1. 1The parties
  2. 21. The debt
  3. 32. Where the debt comes from
  4. 43. How it will be repaid
  5. 54. Interest
  6. 65. If a payment is missed
  7. 76. Nothing else changed
  8. 87. Law that applies
  9. 98. Freely signed, and a note on time limits
  10. 109. Signatures

Templates

How it works

  1. 01

    Fill in

    Type your details in the form. The document fills itself in as you type; click any gap to jump to its field.

  2. 02

    Check

    Read it through. Gaps you have not filled stay marked, so nothing goes out half done.

  3. 03

    Download

    Save it as a Word document to edit further, or as a PDF to send or print.

Make it yours with AI

Open it in the chat and ask for changes: shorter, firmer, another situation, another language.

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Money and payments

Questions people ask

What details does this template ask for?

The form asks for 14 details, starting with Debtor, Debtor's address, Creditor, Creditor's address, Amount owed. 3 more are optional.

Can I download this template as Word or PDF?

Yes. When you have filled in the form, save it as a Word document to keep editing, or as a PDF to send or print. It is free and needs no account.

Is what I type sent anywhere?

No. What you type stays in your browser while you fill in the document. It only goes to nerix if you choose to open the template in the chat.

What should I check before I use this template?

Rules on interest, time limits for collecting a debt and whether the document must be witnessed or notarised differ between countries. Check the rules where the debtor lives. This is not legal advice.

Are these invoice and payment templates free?

Yes. Each one is free to fill in and download as Word or PDF, with no account.

What must an invoice include?

Your details, the customer's details, an invoice number and date, a description of what was sold, the amount and how to pay. Tax rules differ by country, so add what your local rules require.

How polite should a payment reminder be?

Start friendly and factual, with the invoice number, amount and due date. Only move to firmer wording if the first reminder is ignored.

Can I use these for a business in any country?

Yes. The templates assume no country, and you enter your own currency, tax details and payment instructions.

Templates

See all Money and payments templates

Templates

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