ACKNOWLEDGEMENT 

OF DEBT

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________________, Filipino, of legal age, single / married to

___________________________with postal address at
___________________________________________________________ witnesseth:

That I am indebted in the sum of________________ PESOS (P______________), Philippine Currency,

to ______________ field officer, as representative on behalf of robocash financing with office address at
Level 7 Cyberpark Tower 1, 60 General Aguinaldo Ave, Cubao, Quezon City, 1109 Metro Manila.

That I shall pay the sum of _________________________________ PESOS (P _____________) unto

the said ____________________________ within a period of (state the repayment period -
________/_______/_____) from the execution hereof, with interest at the rate of (state the interest rate in
words) (______) percent per year.
 
IN WITNESS WHEREOF I have affixed my signature hereto this _____ day of ____________, 20__ at
___________________________. at___________________________, Philippines.

 
_____________________________
(Printed Name Over Signature)
 
 WITNESSES:
 
________________________          _______________________
 
 
ACKNOWLEDGEMENT
 
REPUBLIC OF THE PHILIPPINES)
_____________________________ )  SS.

BEFORE ME, a Notary Public, this ____day of ________________, personally appeared the following:
 
    Name                       CTC Number                Date/Place Issued
 
 
IN WITNESS  WHEREOF, I have hereunto set my hand the day, year, and place above written.
 
                       

Notary Public

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2022.