DEED 

OF ACKNOWLEDGMENT OF DEBT

KNOW ALL MEN BY THESE PRESENTS:

I, (Mr./Ms./Mrs.)_______________________, of legal age, Filipino, and a

resident of ___________________________________________________,
after being duly sworn to in accordance with law, witnesseth and declare:

That I am indebted in the SUM of __________________________________

(P_______), Philippine Currency, to _Vickriz Buenaventura_, who is
also of legal age, (married), and a resident of _Montalban, Rizal__.

That I hereby promise and undertake to pay the said indebtedness unto the
said (Personal/Emergency) Loan within a period of _____________ (_____)
(months/years/days) from today, in the
amount of _________________________________ (P______) (bimonthly)
every _____________ with interest at the rate of _Fifteen__ (15%)
percentum per month until fully paid.
 

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ in _____________, Philippines.

_______________________
AFFIANT
ID No.________________
Issued ON_____________
Issued At______________

SIGNED IN THE PRESENCE OF:

_________________ __________________
ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) S.S.
______________________________)

BEFORE ME, A NOTARY PUBLIC for and in the

______________________________, personally came and appeared the above named person with their
respective Government Identification Card, indicated below their signatures above, known to me and to
me known to be the same persons who executed the foregoing instrument, a
DEED OF ACKNOWLEDGMENT OF DEBT involving two (2) paragraph stated in fallowing
acts, which they acknowledged before me as their free and voluntary act and deed.

WITNESS MY HAND AND SEAL on this ____ day ____________, 2021 here at
______________________________________________________.

Doc. No._____
Page No._____
Book No._____ ______________________
Series of_____ NOTARY PUBLIC