Free Payment Receipt Template
Record a payment in a form at the counter or after a bank transfer, and the customer gets a PDF receipt by email.
| Received from | {{Customer Name}} |
| For | {{Item}} |
| Amount | {{Amount Paid}} |
| Paid by | {{Payment Method}} |
What’s in this template
An official receipt with a receipt number, date and time, the payer, what the payment was for, the amount and the payment method. It suits schools, clubs, tuition centres and shops that record payments in a form.
Make it yours
- Add your registration or tax number in the header.
- Keep the “Received by” signature line for counter payments, or remove it for online-only receipts.
- Add a line for outstanding balance if you take instalments.
How to use this template
Download and open in Google Docs
Upload the .docx to Google Drive, open it with Google Docs and choose File → Save as Google Docs. Swap “YOUR COMPANY” for your details and add your logo.
Copy the ready-made Google Form
Make a copy of the ready-made form. Its question titles already match the placeholders. Or build it yourself:
| Question title | Type | Example answer |
|---|---|---|
| Customer Name | Short answer | Aisha Rahman |
| Customer Email | Short answer (email) | aisha@example.com |
| Item | Short answer | Term 2 tuition |
| Amount Paid | Short answer | RM 450.00 |
| Payment Method | Multiple choice | Bank transfer |
Placeholders in this template
Built-ins (starting with _) are filled automatically: date, time, response ID.
Generate it on every submission
Install AutoDoc, pick this file as your template and a Drive folder, and each response creates a finished Payment Receipt automatically, emailed if you like.
Install AutoDoc freePro tips
- Collect the payer’s email in the form so the receipt goes straight to them.
- Use {{_time}} as well as {{_date}} if you take several payments a day.
- Share the PDF with your accounts team automatically by adding them as viewers.
Frequently asked questions
Is the Payment Receipt template really free?
Yes. Download the .docx file, upload it to Google Drive and open it with Google Docs. You can use it with or without AutoDoc.
How do I use it in Google Docs?
Upload the file to Drive, open it with Google Docs, then File → Save as Google Docs. Replace YOUR COMPANY text and keep the {{placeholders}}.
Do the placeholders need to match my form?
Yes. Each {{placeholder}} must match a question title exactly (case-sensitive). The question list on this page matches the template.