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ACKNOWLEDGEMENT OF DEBT
KNOW ALL MEN BY THESE PRESENTS:
I, ______________________________, Filipino, of legal age, single / marriedto
___________________________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 / marriedto _______________________________________ 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 pe riod -
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.
_____________________________
(PrintedName 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) 10000000 January 15, 20__ / Manila
(Name of Creditor) 10000000 February 24, 20__ / Pasig
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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Acknowledgement of debt

  • 1. ACKNOWLEDGEMENT OF DEBT KNOW ALL MEN BY THESE PRESENTS: I, ______________________________, Filipino, of legal age, single / marriedto ___________________________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 / marriedto _______________________________________ 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 pe riod - 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. _____________________________ (PrintedName 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) 10000000 January 15, 20__ / Manila (Name of Creditor) 10000000 February 24, 20__ / Pasig 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__.