ACKNOWLEDGMENT RECEIPT

KNOW ALL MEN BY THESE PRESENTS:

I, FELIPE S. ANTIOLA, JR., of legal age, Filipino, single, and a resident of Libay,
Sibutad, Zamboanga del Norte, do hereby acknowledge receipt of the amount of NINETY SIX
THOUSAND SIX HUNDRED PESOS (P96,600.00), Philippine Currency, from JONALD S.
LOMOLJO, of legal age, Filipino, single, and a resident of Libay, Sibutad, Zamboanga del
Norte, as full payment for the sale of A PORTION KNOWN AS LOT 3174-D-2-D
containing an area of THREE HUNDRED TWENTY TWO (322) SQUARE METERS of
parcel of land covered under Original Certificate of Title No. P-26759.

IN WITNESS WHEREOF, I have hereunto set my hand this

______________________ at Dipolog City, Philippines.

FELIPE S. ANTIOLA, JR.

Vendor/Recipient
TIN: 471-392-754-000

Signed in the presence of: ____________________ & ________________________

Republic of the Philippines}

City of Dipolog……………}s.s.
ACKNOWLEDGMENT

BEFORE ME, this ________________ at Dipolog City, personally appeared the

Vendor/Recipient with his proof of identity written below his name, known to me to be the
same person who executed the foregoing instrument, an Acknowledgment Receipt consisting
of one (1) page, including this page on which this acknowledgment is written, signed, by him
and his witnesses and sealed with my notarial seal, and hereby acknowledged to me that the
same is his free and voluntary act and deed.

WITNESS MY HAND AND SEAL, at the place and on the date above written.

Doc No.: _____;

Page No.: _____;
Book No.: _____;
Series of 2022.

1 | Acknowledgment Receipt