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Acknowledgment Simple Form

This document is an acknowledgment form used in the Philippines. It states that an individual appeared before a notary public with proper identification documents and acknowledged that they voluntarily signed the attached instrument and that it accurately represents their wishes. The notary public then signs and dates the document to validate the acknowledgment.

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Eppie Severino
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274 views1 page

Acknowledgment Simple Form

This document is an acknowledgment form used in the Philippines. It states that an individual appeared before a notary public with proper identification documents and acknowledged that they voluntarily signed the attached instrument and that it accurately represents their wishes. The notary public then signs and dates the document to validate the acknowledgment.

Uploaded by

Eppie Severino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ACKNOWLEDGMENT

(Simple form)

REPUBLIC OF THE PHILIPPINES}


PROVINCE OF } SS
MUNICIPALITY }

BEFORE ME, this_____ day of _________, 2001 in the Municipality of


_________________, Province of _____________, Philippines, personally appeared
_______________________ , with Residence Certificate No. _______ issued at
________, on _______________ , and B.I.R. Tax Account 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, 2001


IBP No. ________, 1/2/2001, Pasig City
P.T.R. No. ______, 2/2/2001, Pasig City
Doc. No. _____;
Page No. ____;
Book No. _____
Series of 20___

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