ACKNOWLEDGEMENT OF DEBT
KNOW ALL MEN BY THESE PRESENTS:
I, ______________________________, Filipino, of legal age, single / married to
___________________________
with
residence
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 residence 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 ___________________________, 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
ID Number
(Name of Debtor)
(Name of Creditor)
10000000
10000000
Date/Place Issued
January 15, 20__ / Manila
February 24, 20__ / Pasig
IN WITNESS WHEREOF, I have hereunto set my hand the day, year and place above
written.