ACKNOWLEDGMENT RECEIPT

TO WHOM IT MAY CONCERN:

I, __________________________________,
single/married/widow/widower, resident of
_________________________________, do hereby acknowledge and affirm the
receipt of ____________________________ (PHP ________________ ), Philippine
Currency, as total/partial consideration for the
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________.
Said amount is from ________________________, single/married/widow/widower,
resident of ________________________________.

IN WITNESS WHEREOF, I have hereunto set my hand this

_______________ in _________________, Philippines.

______________________________
Seller
ID NO.____________________

SIGNED IN THE PRESENCE OF:

_________________________ _________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

_________________________)

BEFORE ME, a Notary Public for and in _________________, this

__________________, personally appeared herein above-named seller with his/her
IDENTIFICATION DOCUMENT as indicated below his/her name, known to me and to
me known to be the same person who executed the foregoing instrument and
acknowledged that the same is his/her own, free, voluntary act and deed.

WITNESS MY HAND and NOTARIAL SEAL at date and place above

written.

Doc. No. ____;

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