REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ZAMBOANGA DEL NORTE)

CITY/MUNICIPALITY OF DIPOLOG) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the

(Province/City/Municipality) of __DIPOLOG___, personally appeared JUSTIN
B. SARIMOS with Community Tax Certificate No. 123456789 issued on
SEPTEMBER 16, 2020 at DAPITAN CITY (and Tax Identification No. (T.I.N.)
325-329-856), and ALMIRA B. RUALES with Community Tax Certificate No.
987654321 issued on SEPTEMBER 16, 2020 at DAPITAN CITY (and Tax
Identification No. (T.I.N.) 123-456-789), both known to me and to me
known to be the same persons who executed the foregoing instrument
which they acknowledged to me to be their free and voluntary act and
deed, consisting of only Two (2) pages, including this page in which this
Acknowledgement is written, duly signed by them and their instrumental
witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this 16TH DAY OF SEPTEMBER 2020 at

DIPOLOG CITY, Philippines.

JUAN DELA CRUZ 

NOTARY PUBLIC- Dipolog City 
Appointment No. 1234
Until December 31, 2020
Roll no. 123456 
PTR no. 1234, 1/1/20, Dipolog City 
IBP no.1234, 1/2/20, Dipolog City 
Office Address: Cruz Bldg. Dipolog City
Email: juandelacruzlaw@gmail.com
Contact Number: +639171668148

Doc. No. 123;

Page No. 12;
Book No. 12;
Series of 2020;