ACKNOWLEDGMENT RECEIPT

That We Spouses JUAN DELA CRUZ SANTOS and MARIA MAKILING

SANTOS, both of legal age, Filipino citizens and residing at
_______________________________, received the total amount of TWO HUNDRED
THOUSAND PESOS (Php 200, 000. 00), Philippine Currency, from
____________________________________ (BUYER), who is likewise of legal age,
Filipino citizen, married to __________________________ and residing at
_______________________________ , representing the total payment for the sale of
a parcel of land covered by Transfer Certificate of Title No. 042-
20181234567 situated at Barangay________________________ , Pampanga,
containing an area of FOUR HUNDRED SIX (406) square meters, more or less.

IN WITNESS WHEREOF, We have hereunto set our hands this

________________________ at _____________________________________,
Philippines.

JUAN DELA CRUZ SANTOS MARIA M. SANTOS

Affiant Affiant
UMID CRN 0001-1298990-0 UMID CRN-0111-345639-9

SUBSCRIBED AND SWORN TO before me, this _____________________ at

_______________________________, Philippines.

Doc. No.____ ;
Page No.____ ;
Book No.____;
Series of 2019.