ACKNOWLEDGEMENT RECEIPT

The seller hereby coveys to the buyer full ownership and title to the motor vehicle described below:

Description of motor vehicle:

MODEL/YEAR: ______________________ FILE NO._________________________

PLATE NUMBER:____________________ CR NO.__________________________

The buyer agrees to pay the seller _______________ on ______________.

Received from ______________________ one (1) unit of motor vehicle described above, in good
running condition and satisfaction of the buyer. And so agreed upon that the buyer shall be fully
responsible in any accident or damages that maybe incurred on the said motor vehicle. Both parties
hereby agree that this sale is an “AS IS, WHERE IS BASIS ONLY.”

______________________________ ______________________________

BUYER SELLER

ACKNOWLEDGEMENT RECEIPT

The seller hereby coveys to the buyer full ownership and title to the motor vehicle described below:

Description of motor vehicle:

MODEL/YEAR: ______________________ FILE NO._________________________

PLATE NUMBER:____________________ CR NO.__________________________

The buyer agrees to pay the seller _______________ on ______________.

Received from _______________________ one (1) unit of motor vehicle described above,in good
running condition and satisfaction of the buyer. And so agreed upon that the buyer shall be fully
responsible in any accident or damages that maybe incurred on the said motor vehicle. Both parties
hereby agree that this sale is an “AS IS, WHERE IS BASIS ONLY.”

______________________________ ______________________________

BUYER SELLER