ACKNOWLEDGEMENT RECEIPT

KNOW ALL MEN BY THESE PRESENTS:

AB C D legal age, Filipino Citizen, and residents of, Philippines hereby

acknowledge the receipt of THREE HUNDRED FIFTY THOUSAND PESOS
(Php350,000.00), Philippine Currency from JUAN, married to JUANA, legal
age, Filipino Citizen and resident of, Philippines, as full payment for the sale of
SIX THOUSAND FOUR HUNDRED THIRTY (6,430) SQUARE METERS, which
portion will be designated as Lot No. 5xxxx more particularly described as
follows:,

“A parcel of land, Lot No. xxxx Psd-01-123456, AR VLT, being a

portion of Lot xxxx, Cad 445-D, situated in Barangay of, Island of
Luzon.…, containing an area of TWENTY-FIVE THOUSAND SEVEN
HUNDRED EIGHTEEN (25,718) SQUARE METERS covered by TCT
No. TC-xxxx.”

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______ day of ____ at Laoag City, Philippines.

VENDOR

Before me this _________________, in Laoag City, Ilocos Norte, Philippines,

personally appeared the VENDOR, known to me to be the same person who
executed the foregoing instrument and who acknowledge to me that the same
is his free voluntary act and deed.

Doc. No. ______; NOTARY PUBLIC

Page No. ______;
Book No. ______;
Series of 20___.