DEED OF ACKNOWLEDGMENT OF DEBT

KNOW ALL MEN BY THESE PRESENTS:

I, _____________, of legal age, Filipino, married, and a resident of

_____________, after being duly sworn to in accordance with law, witnesseth
and declare:

That I am indebted in the sum of Four Hundred Thousand Pesos

(P400,000.00), Philippine Currency, to Atty. Marydine C. Mercado, who is also
of legal age, married, and a resident of Iraga, Solana, Cagayan.

That I hereby promise and undertake to pay the said indebtedness unto the
said Atty. Mercado within a period of four (4) years from today.

That as a security of this debt, we will execute a Real Estate Mortgage over an
agricultural land located in _______ with an area of _______.

That while the debt is existing, Atty. Mercado

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ in _____________, Philippines.

_____________
Affiant

Signed in the presence of:

MARIA MAKILING JUAN TAMAD

ACKNOWLEDGMENT

Republic of the Philippines)

City of Makati ) S.S.
BEFORE ME, a Notary Public, for and in the City of Makati, this 7th day of
January 2014 personally appeared:

Name Identification Card Issued On/At

JUAN DELA CRUZ SSS I.D. No. 123 1-1-11/Makati

MARIA MAKILING SSS I.D. No. 444 4-1-11/Makati
JUAN TAMAD SSS I.D. No. 555 5-1-11/Makati

all known to me to be the same persons who executed the foregoing instrument
and hereby acknowledged to me that the same is their free and voluntary act and
deed.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2014.