Acknowledgement Receipt

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Acknowledgement Receipt

Date: _________________

RECEIVED THE AMOUNT OF ______________________________________________________________

(Php.___________________) PHILIPPINE CURRENCY FROM ____________________________________

RESIDING AT _______________________________________________________________________

RECEIVED THE AMOUNT AS FULL PAYMENT OF MOTOR VEHICLE WHICH DESCRIBES AS FOLLOWS:

MANUFACTURER
MODEL
TYPE
ENGINE NO
CHASIS NO
PLATE NO
COLOR:

NOTE:

The said motor vehicle is given in good running condition, “As is where is basis”. Any
accident, damages, or traffic violation whatsoever after the sale of the said vehicle will be the
sole responsibility of the vendee.

The following documents are given:

Orig. O.R. Photocopy of I.D.s


Orig. C.R. Keys
Orig. Deed of Sale Tools

CONFORME/ VENDEE RECEIVED BY/ VENDOR


ADDRESS: ADDRESS:

-NOTHING FOLLOWS-

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