PROMISSORY NOTE

Date: ___________

Amount: ________________

I, _____________________, of legal age, Filipino, single and resident of

_____________________________________, promise to pay __________________ and ____________ as
solidary creditors. the amount of PESOS: ________________________, which shall be payable in
six (6) equal monthly installment payable every 30th of the month starting January 30, 2020
to October 30, 2020 amounting to ______________ per month.

IN WITNESS WHEREOF, I have hereunto set my hand this___________________________,

at ________________________.

______________________________ ________________________
Creditor 1 Creditor 2

___________________________
Debtor

Signed in the presence of:

______________________ ______________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

__________________________ ) S.S.

BEFORE ME, this ____ day of ________ 2020, personally appeared _____________________, with
government issued IDs____________________ _____________________, known to me and to me known to be
the same person who executed the foregoing instrument and she acknowledge to me that the same is
her free and voluntary act and deed.

WITNESS MY HAND AND SEAL, the date and place above written.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2020.