ACKNOWLEDGEMENT RECEIPT

We, ________________, _____________________, _____________________, and

_______________________, hereby acknowledge receipt of
_______________________(_______________) from ___________________as partial
payment in the sale of our share in the estate of the late
___________________consisting of ___sq.m. more or less.

IN WITNESS WHEREOF, we have hereunto signed our names this ___ day of
________________ 2023 in _______________________.

Name Name

SUBSCRIBED AND SWORN TO BEFORE ME this ___day of _______2023

in_____________________, affiants exhibiting to me their respective identification
cards as proof of identity.

Doc. No.
Page No.
Book No.
Series of 2023