ACKNOWLEDGMENT RECEIPT

This is to acknowledge that WE received the amount of ONE HUNDRED THOUSAND PESOS
(PhP100,000.00) from the VENDEE, ___________________, as FULL payment of the parcel of land
covered by the Deed of Absolute Sale dated ____________ entered in the notarial registry of
____________ under Doc. No. ____; Page No. ____; Book No. _____; Series of 2017, over a portion of
a parcel of land (500 square meters) covered by Transfer Certificate of Title No. ____________ more
particularly described below.

“A parcel of land ---------------------------------.”

Done this ____________ at Zamboanga City.

RECEIVED BY:

Witnesses: _______________________ ______________________

SUBSCRIBED AND SWORN TO BEFORE me this __________, at _____________,

Philippines, Affiant presented to me their respective IDs written below their names as
competent evidence of identity.