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_______________________________ _______________________________
Borrower Borrower’s Spouse
SIGNED IN THE PRESENCE OF:
_______________________________ _______________________________
NOTARIAL ACKNOWLEDGMENT
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REPUBLIC OF THE PHILIPPINES )
ANTIPOLO CITY, RIZAL PROVINCE) SS.
BEFORE ME, a notary public for and in the above-stated locality, personally appeared on ___________________, the following:
known to me and to me known to be the same person(s) who executed the foregoing instrument and he/she/they acknowledged to me that the
same is his/her/their free and voluntary act and deed. This instrument, referring to a Promissory Note, consists of two (2) pages including this page
whereon the acknowledgment is written, and has been signed on each and every page by the said Borrower and Co-Maker or Co-Borrower (if
any) and witnesses.
WITNESS MY HAND AND SEAL on the date and at the place first above written.
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