ACKNOWEDGEMENT RECEIPT
March 9, 2021
Received from MR. JIREH C. CORNITA, of legal age, Filipino, and a resident of
_________________________, Ilocos Sur the amount of FORTY THOUSAND PESOS
(PHP40,000.00) Philippine Currency as (Partial/Full) Payment for the purchase of Nine Hundred
(900) Square Meters Lot located at Barangay ___________________ and covered by Transfer
Certificate of Title No. _______________ of the Register of Deeds of Vigan, Ilocos Sur.
RECEIVED PARTIAL/FULL PAYMENT:
JEFFERSON ___
WITNESSES:
__________________________ __________________________
SUBSCRIBED AND SWORN to before me, this ___________________, 2021 at
__________________, Ilocos Sur, Philippines Affiant exhibiting to me his PRC I.D. No.
___________, issued at ___________ on ______________.
Doc. No. _______
Page No. _______
Book No. ______
Series of 2021.