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ACKNOWLEDGMENT RECEIPT with UNDERTAKING

KNOW ALL MEN BY THESE PRESENTS:

I, PCPT VALENTIN VINLUAN ABALOS (Ret.), of legal age, married, Filipino


and a resident of Valmay, Beach House, Libsong East, Baywalk, Lingayen, Pangasinan,
Philippines and herein referred to as the RECIPIENT do hereby ACKNOWLEDGE
receipt of the amount of ONE HUNDRED THIRTY THOUSAND PESOS
(PhP130,000.00) from the Philippine National Police through PCOL LUISITO B MERIS,
Chief RPCADU, herein referred to as PAYEE as settlement for my improvements
consisting of a 48 square meter bungalow house constructed within the premises of Camp
Major Bado Dangwa, Alapang La Trinidad declared under my name with PIN-009-03-
002-11(638)1397 as reflected in the Assessor’s Field Notes attached herein as Annex “A”

Upon receipt of the amount, I UNDERTAKE to voluntarily vacate the premises


and surrender full possession of the said improvement in recognition of the full rights of
the PNP over the camp’s premises.

Further, in consideration of the amount herein received, I UNDERTAKE not to


commence any action, complaint, protest or any similar opposition of same nature as
against the PNP regarding the said improvement which I am now surrendering.

Likewise, I hereby WARRANT peaceful turn-over of the property to the PNP and
guarantees that the same is with the full knowledge of my family/heirs. I also assure that
no claims from third persons, family members and such other persons acting under my
behalf will be initiated and should any action be initiated by any other claimants, I
UNDERTAKE to defend the PAYEE.

Finally, I hereby AFFIRM that I have voluntarily executed this instrument out of
my own free will, without force, intimidation or violence at the time of execution of this
presents nor anything which may somehow vitiate my individual consent.

IN WITNESS WHEREOF, I hereunto affix my signature this _____ day of


________________________ at _____________________________, Philippines.

PCPT VALENTIN VINLUAN ABALOS (Ret.)


Recipient
ID No. __________________________
Issued on________________________
Issued at_________________________
Will expire on_____________________

Signed in the presence of:

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


) S.S.

1
BEFORE ME, a Notary Public for and in ______________, on this ___ day
of ___________, 20__, personally appeared VALENTIN VINLUAN ABALOS
with his competent evidence of identification indicated below his name and
signature, known to me and to me known to be the same person who executed the
foregoing instrument and he acknowledged to me that the same is his free and
voluntary act and deed.

This instrument refers, consisting of two (2) pages, including the page on
which this Acknowledgment is written refers to an ACKNOWLEDGMENT WITH
UNDERTAKING, signed on each and every page thereof by the Party and his
witnesses, and sealed with my notarial seal.

WITNESS MY HAND AND SEAL on the date and at the place first above
written.

Doc. No.
Page No.
Book No.
Series of 20_.

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