ACKNOWLEDGEMENT OF DEBT

KNOW ALL MEN BY THESE PRESENTS: I, RAUL TABIANAN, Filipino, of legal age, single with postal address at ___________________________________________________________. Witnesseth: That I am indebted in the sum of TWO THOUSAND FOUR HUNDRED FIFTY-TWO PESOS (P 3,452.00) to MARIA THERESA MINDA P. PUTUNGAN, also a Filipino, of legal age, single with postal address at Brgy. San Crispin, San Pablo City. That I shall pay the sum of TWO THOUSAND FOUR HUNDRED FIFTY-TWO PESOS (P 2,452.00) to MARIA THERESA MINDA P. PUTUNGAN on or before March 14, 2013.

IN WITNESS WHEREOF I have affixed my signature hereto this _____ day of ____________, 20__ at___________________________, Philippines. _____________________________ RAUL TABIANAN WITNESSES:

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ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES) _____________________________ ) SS. BEFORE ME, a Notary Public, this ____________day of ________________, personally appeared the following: Name RAUL TABIANAN IN WITNESS WHEREOF, I have hereunto set my hand the day, year and place above written. Government Issued ID Date/Place Issued

Notary Public

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