REPUBLIC OF THE PHILIPPINES )
PROVINCE OF _______________ ) SS
MUNICIPALITY OF ___________ )
BEFORE ME, this __________ day of ___________ , 20___ in the Municipality of ________________, Province of ______________, Philippines, personally appeared ________________, representing to be the President (or Manager) of ____________________, known to me to be the same person who executed the foregoing instrument for and in behalf of the said corporation, and he acknowledged to me that the same is the corporate act and deed of _________ and that he is duly authorized to sign the same. The said _____________ exhibited to me his Residence Certificates No. A ____________ , issued at __________ on _______________, and No. B ______________ , issued at _____________ on ________ with Tax Identification Number ___________________; while the corporation has Residence Certificates No. A _______________ issued at _____________ on _______________; with Tax Identification Number _____________________.
IN WITNESS WHEREOF, I have hereunto set y hand and affixed my notarial seal, the day, the year and place above written.
NOTARY PUBLIC
My commission expires Dec. 31, 20__
Not. Reg. No.____________________;
Page No.________________________ ;
Book ___________________________;
Series of 20___________