Cash Acknowledgement Form Template for South Africa

The Cash Acknowledgement Form is a crucial document used in South African business and financial transactions to provide formal proof of cash payments received. It serves multiple purposes: providing legal evidence of payment, ensuring compliance with South African financial regulations (particularly FICA), and maintaining proper financial records. The form is essential when cash transactions occur between parties and must include specific details such as party information, transaction amounts, source of funds, and appropriate declarations. It's particularly important for transactions above certain thresholds where enhanced due diligence is required under FICA regulations. The document helps protect both parties by creating a clear record of the transaction and helps organizations maintain compliance with anti-money laundering and financial intelligence requirements.

1. Form Header: Title of the document, date, and unique reference number

2. Recipient Details: Full name, ID/registration number, contact details, and address of the person/entity receiving the cash

3. Payer Details: Full name, ID/registration number, contact details, and address of the person/entity paying the cash

4. Transaction Details: Amount in figures and words, currency, purpose of payment, and transaction date

5. Source of Funds Declaration: Declaration of the origin of the funds as required by FICA

6. Acknowledgement Statement: Formal statement confirming receipt of the specified amount

7. Signatures: Space for signatures of both parties, witnesses, and date of signing