ACKNOWLEDGMENT

Republic of the Philippines

City of
S.S.
SUBSCRIBED AND SWORN to before me, this _____________,
by ________________ who exhibited to me (his/her) Community
Tax Certificate No. _____________ issued at ________________
on _______________ and by _____________ who exhibited to me
(his/her) Community Tax Certificate No. _______________ issued at
_____________ on _____________.
Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;