(Acknowledgment by an Individual and a Corporation)

REPUBLIC OF THE PHILIPPINES)

City/Municipality of_____________) S.S.

ACKNOWLEDGMENT

            BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of ____________, personally appeared _____________ with Community Tax Certificate No. ____________ issued on _____________ at _____________ (and Tax Identification NO. (T.I.N.) ____________), and ______________ with Community Tax Certificate No. ______________ issued on ______________ at ______________ representing to be the    position in the corporation    of    (name of corporation)    with Community Tax Certificate No. ______________ issued on ______________ at ______________ (and Tax Identification NO. (T.I.N) ____________), both known to me and to me known to be the same persons who executed the foregoing instrument which they acknowledged to me as their free and voluntary represented, consisting of only _______ (_____) page/s, including this page in which this acknowledgment is written, duly signed by them and their instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this ______________at _______________, Philippines

                                                                                    NOTARY PUBLIC

Doc. No.________;

Page No.________;

Book No.________;

Series No________;

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