FOR VALUE RECEIVED, I promise to pay to the order of _________________________ the sum of (in words) (P______________), Philippine Currency, on or before ________________________, 2004 at his residence/office at __________________________. Failure on my part to comply with this promise on the date aforementioned shall subject the above principal to interest at the rate of _____% per month and should the collection be made with the services of a lawyer, then the same shall further be subject to 20% attorney's fees. In the event that a case for collection of the sum of money above stated be filed, the principal shall earn further interest at the rate of _____%, plus cost of suit and other expenses

           October ______,2004 at _____________________, Philippines.