Date:

Address

Acknowledgement Receipt of Payment

This letter is to acknowledge receipt payment of the sum of FOUR HUNDRED THOUSSAND
(₱400,000) from the payor to payee as satisfaction/payment for “A parcel of land (Lot
7026 o Cad. Survey Of Atimonan) situated in the Barrio of Lakip, Atimonan, Quezon. Bounded
on the N by Creek; on the E by Lot 7025; on The S by Lots 7024 and 7031; on the NW by Lots
7030,7028, and 7027, containing an area of SIX THOUSAND FIVE HUNDRED AND
SIXTY-TWO (6,562) square meters more or less covered by Transfer Certificate of Title No.
T-260223"
I/We hereby confirm that I/we have received a payment of Four hundred thousand pesos/-
(₱400,000) for the purchase of a parcel of land. The detail of the payment is mentioned below:
Name of Payee:
Mode of Payment: CASH
Total Amount Paid: ₱400,000

Kindly consider this letter as an acknowledgment of the payment receipt.

Received By: Signed in the Presence of: