REPUBLIC OF THE PHILIPPINES)
______________________________) S.S.
BEFORE ME, this ______ of ____ personally appeared, _______________________exhibiting to me her/his ______________________, known to me and to me known to be the same person who executed the foregoing instrument which (he/she) acknowledged to me as (his/her) free and voluntary act and deed.
This document is a _______________consisting of ____ (_) pages, including the page where this Acknowledgment is written, and was executed and signed by the parties on each and every page hereof.
______________________________) S.S.
ACKNOWLEDGMENT
WITNESS MY HAND AND SEAL on the date and place first above written.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______.
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