_____________________

Date

LOAN ACKNOWLEDGMENT & PROMISSORY

NOTE
The undersigned borrower
Last Name,
_____________________________,
First Name M.I.
of

legal age, ____________, with residence at

Civil Status Complete Address

_______________________________________

_________________, hereby acknowledge receipt of the principal

loan amount of __________________________________________

Amount in Words

(P____________) from lender ________________________, of legal age,

Married, with residence at ____________________________________.

The undersigned borrower promises to pay lender the above

received principal loan amount of

Amount in Words

_________________________________ (P___________) with FOUR

PERCENT (4%) monthly interest on the outstanding principal loan

balance, until fully paid.

________________________
Signature over Printed Name of Borrower

Date: ___________________