ACKNOWLEDGMENT
(SIMPLE FORM)
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF _______________ ) SS
MUNICIPALITY OF ___________)
BEFORE ME, this ________day of ___________, 20___ in the Municipality of _____________, Province of ____________, Philippines, personally appeared _____________________, with Residence Certificates A No. ___________ and B No. ____________ issued at ______________, on _________________, 20_____, respectively, and BIR Tax Identification No. __________________, known to me to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day, year, and place above written.
NOTARY PUBLIC
My commission expires Dec. 31, 20__
Not. Reg. No.____________________;
Page No.________________________ ;
Book ___________________________;
Series of 20___________