ACKNOWLEDGEMENT RECEIPT

I, _________________________ ,
a resident of
________________________________
_________.
(Borrower)
(Address)
borrowed an amount of
_____________________ from
______________________________.
(Lender)
I, the borrower, agree to pay the
loan with a 10% interest per month.
I, the borrower, will submit a
monthly payment of
__________________ on the
___________day of
(Amount)
every month.
Both parties agree on the terms and
conditions surrounding the loan.
Signed and dated today on
__________________.
(Dat
ACKNOWLEDGEMENT RECEIPT
I, _________________________ ,
a resident of
________________________________
_________.
(Borrower)
(Address)
borrowed an amount of
_____________________ from
______________________________.
(Lender)
I, the borrower, agree to pay the
loan with a 10% interest per month.
 I, the borrower, will submit a
monthly payment of
__________________ on the
___________day of
(Amount)
every month.
Both parties agree on the terms and
conditions surrounding the loan.
Signed and dated today on
__________________.
(Dat
ACKNOWLEDGEMENT RECEIPT

I, _________________________, a resident of _________________________________________.

(Borrower) (Address)

borrowed an amount of _____________________ from ______________________________.

(Lender)

I, the borrower, agree to pay the loan with a ___% interest per month.
I, the borrower, will submit a monthly payment of __________________ on the ___________day of every
month.
(amount)

Both parties agree on the terms and conditions surrounding the loan.

Signed and dated today on __________________.

(Date)
__________________________________ _________________________________

Borrower’s Signature Over Printed Name Lender’s Signature Over Printed Name

ACKNOWLEDGEMENT RECEIPT
I, _________________________ ,
a resident of
________________________________
_________.
(Borrower)
(Address)
borrowed an amount of
_____________________ from
______________________________.
(Lender)
I, the borrower, agree to pay the
loan with a 10% interest per month.
I, the borrower, will submit a
monthly payment of
__________________ on the
___________day of
(Amount)
every month.
Both parties agree on the terms and
conditions surrounding the loan.
Signed and dated today on
__________________.
(Dat
ACKNOWLEDGEMENT RECEIPT
I, _________________________ ,
a resident of
________________________________
_________.
(Borrower)
(Address)
borrowed an amount of
_____________________ from
______________________________.
(Lender)
 I, the borrower, agree to pay the
loan with a 10% interest per month.
I, the borrower, will submit a
monthly payment of
__________________ on the
___________day of
(Amount)
every month.
Both parties agree on the terms and
conditions surrounding the loan.
Signed and dated today on
__________________.
(Dat
ACKNOWLEDGEMENT RECEIPT

I, _________________________, a resident of _________________________________________.

(Borrower) (Address)

borrowed an amount of _____________________ from ______________________________.

(Lender)

I, the borrower, agree to pay the loan with a ___% interest per month.
I, the borrower, will submit a monthly payment of __________________ on the ___________day of every
month.
(amount)

Both parties agree on the terms and conditions surrounding the loan.
 Signed and dated today on __________________.
(Date)

__________________________________ _________________________________

Borrower’s Signature Over Printed Name Lender’s Signature Over Printed Name