Payment Request Form Template UK

The Payment Request Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, and features customizable and printable examples.

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Sample

Payment Request Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Payment Request Form Template UK

1. Requestor Information


2. Client Information


3. Project Information


4. Details of Payment Request


5. Payment Method

6. Payment Due Date

7. Payment Description

8. Terms and Conditions

9. Additional Notes

10. Acknowledgment

11. Signature and Date


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Examples

Payment Request Form Template UK (1)
To:
[Name of the Client]
[Client’s ID or Reference Number]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
From:
[Name of the Service Provider]
[Provider’s ID or Reference Number]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
Date:
[Date of Request]
Invoice Number:
[Unique Invoice Number]
Amount Due:
£[Total Amount Due]
Description of Services:
[Detailed description of the products or services rendered]
[Provide specifics, e.g., “Consultation Services for the month of [Month]” or “Web Design Services rendered between [Start Date] and [End Date]”].
Payment Instructions:
Please make payment to the following bank account:
Account Name: [Account Name]
Account Number: [Account Number]
Sort Code: [Sort Code]
Reference: [Your Reference or Invoice Number]
Due Date:
[Specify Due Date, e.g., “Payment is due within 30 days of the invoice date.”]
Notes:
[Include any additional information or instructions regarding payment, such as late fees or discounts for early payment].
Thank you for your prompt attention to this matter.
Sincerely,
[Signature of the Service Provider]
[Name of the Service Provider]
[Position, if applicable]
[Company Name, if applicable]
Payment Request Form Template UK (2)
To:
[Name of the Client]
[Client’s ID or Reference Number]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
From:
[Name of the Service Provider]
[Provider’s ID or Reference Number]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
Date:
[Date of Request]
Invoice Number:
[Unique Invoice Number]
Amount Due:
£[Total Amount Due]
Description of Services:
[Detailed breakdown of services or products provided]
[For example, “Monthly Subscription Fee for [Service/Product]” or “Graphic Design Services completed on [Date(s)]”].
Payment Instructions:
For bank transfers:
Account Name: [Account Name]
Account Number: [Account Number]
Sort Code: [Sort Code]
Please use the following reference: [Your Reference or Invoice Number]
Due Date:
[Specify Due Date, e.g., “Payment is due upon receipt” or “Due within 14 days”].
Additional Information:
[Any pertinent notes, such as payment methods accepted or specific payment policies].
Thank you for your business and prompt payment.
Best regards,
[Signature of the Service Provider]
[Name of the Service Provider]
[Position, if applicable]
[Company Name, if applicable]

Printable

PDF – 1 PDF – 2

Payment Request Form Template UK