(Jurat for an Individual Affiant)

SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant who is personally known to
me (or whom I have identified through competent evidence of identity) and who exhibited his/her Community Tax
Certificate No. _____________ issued at _____________ on _____________.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Joint Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited his/her
Community Tax Certificate No. _____________ issued at _____________ on _____________ and by _____________
who exhibited his/her Community Tax Certificate No. _____________ issued at _____________ on _____________,
both of whom are personally known to me (or whom I have identified through competent evidence of identity).

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Multiple Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by the following who are all personally
known to me (or whom I have identified through competent evidence of identity) and who exhibited to me their
respective Community Tax Certificates as follows:

Name C.T.C. No. Date / Place Issued

1. _____________ _____________ _____________

2. _____________ _____________ _____________
3. _____________ _____________ _____________

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by an Individual - One-Party Instrument)

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________, personally
appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at
_____________, personally known to me (or whom I have identified through competent evidence of identity) and who
represented to me that his/her signature on the foregoing instrument was voluntarily affixed by him/her for the purposes
stated in the instrument and who declared that he/she has executed the foregoing instrument as his/her free and voluntary
act and deed.

This Instrument consists of only ______ (____) page/s, including this page in which this acknowledgment
is written, duly signed by _____________ and his/her instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by Individuals - Two-Party Instrument)

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________, personally
appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at
_____________, and _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, both personally known to me (or whom I have identified through competent
evidence of identity) and who represented to me that their respective signatures on the foregoing instrument were
voluntarily affixed by them for the purposes stated in the instrument and who declared that they have executed the
foregoing instrument as their free and voluntary act and deed.

This Instrument consists of only ______ (____) page/s, including this page in which this acknowledgment
is written, duly signed by the parties and their instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by Individuals - Multi-Party Instrument)

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________, personally
appeared the following persons, with their respective Community Tax Certificates as follows:
 Name C.T.C. No. Date / Place Issued

1. _____________ _____________ _____________

2. _____________ _____________ _____________
3. _____________ _____________ _____________

all personally known to me (or whom I have identified through competent evidence of identity) and who represented to
me that their respective signatures on the foregoing instrument were voluntarily affixed by them for the purposes stated
in the instrument and who declared that they have executed the foregoing instrument as their free and voluntary act and
deed.

This Instrument consists of only ______ (____) page/s, including this page in which this acknowledgment
is written, duly signed by the parties and his instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment for and in behalf of a Corporation)

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________, personally
appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at
_____________, personally known to me (or whom I have identified through competent evidence of identity) and who
represented to me that he/she is the __position in the corporation__ of __(name of corporation)__ and that he/she has
the authority to sign for and in behalf of the said corporation in that capacity, that his/her signature on the foregoing
instrument was voluntarily affixed by him/her for the purposes stated in the instrument and who declared that the
foregoing instrument is the free and voluntary act and deed of the said corporation.

This Instrument consists of only ______ (____) page/s, including this page in which this acknowledgment
is written, duly signed by _____________ and his/her instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by an Individual and a Corporation)

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________, personally
appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at
_____________, and _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________ who represented to me that he/she is the __position in the corporation__ of
__(name of corporation)__ and that he/she has the authority to sign for and in behalf of the said corporation in that
capacity, both personally known to me (or whom I have identified through competent evidence of identity), and who
represented that their signatures on the foregoing instrument were voluntarily affixed by them for the purposes stated in
the instrument and who declared that the foregoing instrument is their free and voluntary act and deed as well as the free
act and deed of the corporation herein represented.

This Instrument consists of only ______ (____) page/s, including this page in which this acknowledgment
is written, duly signed by the parties and their instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.