FORM NO.

2 ACKNOWLEDGMENT OF INSTRUMENT CONSISTING OF TWO OR

MORE PAGES

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ______________)
MUNICIPALITY OF __________) S.S.

BEFORE ME, this _______ day of ______________, 19____ in the Municipality of

__________________, Province of __________________, Philippines, personally appeared
________________________________, with Residence Certificates A No. ______________
and B No. ______________ issued at ________________, ________________, on
________________, ________________ 19___, respectively, and B.I.R. Tax Account No.
________________, known to me to be the same person who executed the foregoing
instrument, and he acknowledged to me that the same is his free act and deed.

This Instrument, consisting of ____ pages, including the page on which this
acknowledgement is written, has been signed on the left and his witnesses, and sealed with my
notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year, and place above
written.

NOTARY PUBLIC
My commission expires Dec. 31, 19____

Not. Reg. No. _______________;

Page ________; Book ________;
Series of 19____.