Notary Receipt Template
A notary receipt confirms a payment after it arrives: who paid, how, for what and the balance left. This one records $330.60 paid by card for mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust across 7 lines, balance zero. Edit it and download the PDF.
Pre-filled for a notary: mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust. Example prices: replace them with your own.
From
Northgate Mobile Notary
388 Market Street
Franklin, TN 37064
billing@example.com
(608) 555-0188
Receipt
Received from
Jordan Avery
27 Birch Avenue
Salem, MA 01970
client@example.com
| Description | Qty | Rate | Amount |
|---|---|---|---|
| Loan signing appointment, refinance packageWalk borrowers through 112 pages, collect signatures and initials, return package | 1 signing | $150.00 | $150.00 |
| Acknowledgment, trust certificationOne stamp per signer, recorded in notary journal | 2 notarial act | $15.00 | $30.00 |
| Jurat, sworn statement of occupancy | 1 notarial act | $15.00 | $15.00 |
| Printing of loan documents, letter and legal sizeTwo borrower copies and one lender set | 224 page | $0.15 | $33.60 |
| Travel fee to signing locationRound trip of 34 miles, agreed before the appointment | 1 trip | $45.00 | $45.00 |
| Evening appointment surcharge, after 7 pm | 1 each | $25.00 | $25.00 |
| Prepaid overnight return of executed packageCourier drop-off with tracking number, billed at cost | 1 each | $32.00 | $32.00 |
- Subtotal
- $330.60
- Total paid
- $330.60
Notes
Paid in full for mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust. Thank you.
Paid
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Notary receipt at a glance
| Amount received | $330.60 |
|---|---|
| Paid for | Mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust |
| Payment method (sample) | Card |
| Balance after payment | $0.00 |
| Receipt number | RCT-1252 |
| Lines itemised | 7 |
Lines on the notary receipt
| Paid for | Amount |
|---|---|
| Loan signing appointment, refinance package × 1 signing | $150.00 |
| Acknowledgment, trust certification × 2 notarial act | $30.00 |
| Jurat, sworn statement of occupancy × 1 notarial act | $15.00 |
| Printing of loan documents, letter and legal size × 224 page | $33.60 |
| Travel fee to signing location × 1 trip | $45.00 |
| Evening appointment surcharge, after 7 pm × 1 each | $25.00 |
| Prepaid overnight return of executed package × 1 each | $32.00 |
| Total paid | $330.60 |
| Balance due | $0.00 |
What a notary receipt proves
A notary receipt should list each notarial act and its fee, the travel fee if any, the signer's name, the date and place of the appointment and the matching journal entry number.
In the sample, Jordan Avery paid $330.60 by card for mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust, so the receipt shows the full amount and a zero balance.
Recording how the customer paid
- Card: card type, last four digits and the $330.60 charged
- Bank transfer: the date the $330.60 cleared and the payer's reference
- Cash: the amount handed over and any change given
- Cheque: cheque number and bank, receipted once it clears
Avoiding notary payment disputes
- A signing company may short-pay a fee when the lender says the package arrived late. Listing the drop-off time and courier tracking number on the invoice answers that claim with a record.
- Charging more per stamp than your state allows can put your commission at risk, so check the current fee schedule for your state and keep the per-act rate visibly within it.
Refunds and corrections
If part of the $330.60 is refunded, do not edit the old receipt: issue a credit note or a refund receipt that points to RCT-1252 and states the amount returned.
Frequently asked questions
How do I make a notary receipt?
Enter who paid, what for and how, list the lines (or one summary line), and mark the amount paid. The sample records $330.60 paid by card for mobile loan signing at the borrowers' home for a refinance, with two extra acknowledgments for a family trust, leaving a zero balance.
What is the difference between a notary invoice and a receipt?
The invoice asks for payment of the $330.60 and gives a due date; the receipt confirms the money arrived and shows how it was paid. Many customers need both for their records.
Can I give a receipt for a deposit?
Yes. Issue a receipt for the amount received now and a second one when the balance is paid, both referring to the same job.