REPUBLIC OF THE PHILIPPINES

PROVINCE OF BUKIDNON
CITY OF MALAYBALAY

PROMISORY NOTE
Date:
I am

, legal age, married/single and presently residing at

, I/we promise to pay our debt with its 10% interest upon

the negotiated due date.

Amount Borrowed

Date granted

Borrower signature

Co-makers name

Co-makers address

Co-makers signature

Signed in the presence of

Name and signature of witness

Name and signature of witness