REPUBLIC OF THE PHILIPPINES )

CITY OF LEGAZPI ) S..S.

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public for and in Legazpi City, this ___ day of ____ 2017, personally
appeared the above-named principal, with her instrumental witnesses, known to me to be the
same person who executed this instrument , and acknowledged to me that the same is her free
act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the
date and place above written.

Doc. No. _____

Page No. _____
Book No. _____
Series of _____

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NOTES:
>>>REQUISITES: AN INDIVIDUAL ON A SINGLE OCCASION:
1. Appears in person before the NP and presents an integrally complete instrument or
document;
2. Is attested to be personally known to the NP or identified by the NP through competent
evidence of identity;
3. Represents to the NP that the signature on the instrument or document was voluntarily
affixed by him for the purposes stated in the instrument or doc, declares that he has
executed the instrument as his free and voluntary act and deed, and if he acts in a
particular representative capacity, that he has the authority to sign in that capacity.

>>>S.S. Scilicet = to wit; namely, used to particularize a general statement

-omission is immaterial, will not invalidate the instrument

>>> Commonly used in DEEDS

CONTRACTS
AGREEMENT