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Republic of the Philippines)

City of Calapan ) S.S.

ACKNOWLEDGEMENT RECEIPT
The SELLER:

AMANDY, of legal age, Filipino, both single, and with residence address at Quezon City,
representative of the registered owner of a parcel of land herein called as VENDOR, after having
been sworn to in accordance with law, hereby depose and state that:

1. Today, We have received the amount of ONE MILLION THREE HUNDRED


THOUSAND PESOS ONLY(Php1,300,000.00), representing the FULL PAYMENT of
the purchase of parcel of land covered by TRANSFER CERTIFICATE OF TITLE
NO.5467 covering an area of FORTY FIVE SQUARE METERS AND FIVE
DECIMETERS (45.5), from the BUYER, y, of legal age, Filipinos and with residence
address at San Antonio, Victoria, Oriental Mindoro;

2. That, We are executing this affidavit to attest to the truth of the foregoing statements and
to attest that I have already received the Full Payment of ONE MILLION THREE
HUNDRED THOUSAND PESOS ONLY(Php1,300,000.00), from the buyer , y for the
purchase of the above-mentioned parcel of land.

IN WITNESS WHEREOF, we have hereunto set our hands this ________________, at Calapan
City, Oriental Mindoro, Philippines.

AMANDY
Affiant
PWD:
SUBSCRIBED AND SWORN TO before me this _____________________ at Calapan City,
Philippines. The affiant exhibiting to me their government Id known to me to be the same person who
executed the foregoing and acknowledged the same freely and voluntarily.

NOTARY PUBLIC

Doc No._03
Page No._02
Book No._06
Series of 2022

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