ACKNOWLEDGEMENT RECEIPT

Date: _____________________

Received from Mr.and Mrs. CHISTOPHER N. DULAY of Barangay Lipit Sur, Manaoag,

Pangasinan the amount of 10,000 (Reservation Fee) as Partial Payment for the purchase of 220

Square Meters Lot (1, 000 per sqm) located at Barangay Babasit, Manaoag, Pangasinan and

covered by TAX DECLARATION No._______________________ of Assessor’s Office of

Manaoag, Pangasinan.

RECEIVED PARTIAL PAYMENT:

_______________________________

CTC No: _______________________

Date: _______________________
Place Issued: ____________________

Mr. and Mrs. ____________________________________, Filipino and residence at

______________________________________herein after to as owner.

Witnesses:

___________________________ _________________________
Witness 1 Witness 2

SUBSCRIBED AND SWORN to before me, this __________day of _____________2021

at Manaoag, Pangasinan, Philippines Affiant exhibiting to me hi Community Tax Certificate No.
_______________, Issued at ___________________________.