ACKNOWLEDGMENT RECEIPT

I , ______________, of legal age, widow, Filipino, and with

residence at ________________________________, Philippines,
hereby acknowledge to have received from _______________, of legal
age, Filipino, married to _____________ and a resident of Blk 26, Lot
19, Phase 3, Sta. Catalina Village, Ayala Residences, Paliparan, Dasmariñas,
Cavite the sum of SEVENTY THOUSAND PESOS (PhP 70,000.00)
representing full payment of the purchase price of the half portion of realty
under Lot No. 4174-C-_________________

________________

Subscribed and sworn to before me this ___________, 2017 at

___________________, by affiant being personally known to me.

Doc No. ______

Page No. _____
Book No. _____
Series of 2017.