ACKNOWLEDGMENT RECEIPT

Received from ___________________________________, the

amount of ____________________________________________
(Php________________) as FULLPAYMENT for the purchase of parcel of
lot located at ____________________________ covered by Tax Declaration
No. ____________________ of the ________________________ with an
area of _________________________ (_______) SQUARE
METERS.

Given this _____ day of ___________________________.

Received by:

__________________________
SELLER / VENDOR

__________________________
SELLER / VENDOR