ACKNOWLEDGMENT BY OF INSTRUMENT CONVEYING TWO OR MORE PARCELS OF

LAND

REPUBLIC OF THE PHILIPPINES )

CITY OF ____________________ ) S.S.

BEFORE ME, this ____ day of ____, 2___ in the City of _______, personally appeared:

Name Competent Evidence of Place and Date of Issue

Identity
________________________ ________________________ ________________________
__________________ __________________ ________________________

representing to be the President (or manager) of ______________________________, and known to me

to be the same persons Who executed the foregoing instrument for and in behalf of the said corporation,
and he acknowledged to me that the same is the corporate act and deed of _______________, and that he
is duly authorized to sign the same.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. __________; NOTARY PUBLIC for __________

Page No. __________; Commission Serial No. _________
Book No. __________; Until December 31, ____________
Series of __________. Roll of Attorney _______________
IBP No. ____/Date/Place of Issue
PTR No. ____/Date/Place of Issue