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Acknowledgment of Debt

ACKNOWLEDGMENT OF DEBT

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________________, Filipino, of legal age, single / married to ___________________________with postal address at ___________________________________________________________ witnesseth:

That I am indebted in the sum of________ (amount in words) __________ PESOS (P: 000,000.000), Philippine Currency, to _________________________________________ also a Filipino, of legal age, single / married to _______________________________________ with postal address at ______________________________________________________.

That I shall pay the sum of _________________________________ PESOS (P 000,000.00) unto the said ____________________________ within a period of (state the repayment period - days/months/years) from the execution hereof, with interest at the rate of (state the interest rate in words) (0.0 %) percent per year.
 
IN WITNESS WHEREOF I have affixed my signature hereto this _____ day of ____________, 20__ at ___________________________. at___________________________, Philippines.

 
                                   _____________________________
                                   (Printed Name Over Signature)
 
                             WITNESSES:
 
      ________________________          _______________________
 
 
                            ACKNOWLEDGEMENT
 
REPUBLIC OF THE PHILIPPINES)
___________________________)  SS.

BEFORE ME, a Notary Public, this ____day of ________________, personally appeared the following:
 
Name                   CTC Number      Date/Place Issued
 
(Name of Debtor)        0000000        March 2, 20__/ Quezon City
(Name of Creditor)      0000000        April 4, 20__ / Makati City
 
IN WITNESS  WHEREOF, I have hereunto set my hand the day, year and place above written.
 
                       

                                                      Notary Public


Doc. No. .......;
Page No. .......;
Book No. .......;
Series of 20__.

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