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ACKNOWLEDGEMENT AND JURAT
Form No. 1--(Acknowledgment by an Individual - One-Party Instrument)
(Acknowledgment by
an Individual - One-Party Instrument)
REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF
______) SS.
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the
(Province/City/Municipality) of
_____________, personally appeared
_____________ with Community Tax
Certificate No. _____________ issued
on _____________ at
_____________
(and Tax Identification No. (T.I.N.)
_____________), known to me and to me known to be the same
person who executed the foregoing instrument which
(he/she) acknowledged to me as
(his/her) free and voluntary act and
deed, consisting of only ______ (____)
page/s, including this page in which this Acknowledgement is
written, duly signed by (him/her)
and (his/her) instrumental witnesses
on each and every page hereof.
WITNESS MY HAND AND SEAL this
_____________ at
_____________, Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
Form
No.2--
Acknowledgment by an Individual
and a Corporation
(Acknowledgment
by an Individual and a Corporation)
REPUBLIC OF THE
PHILIPPINES)
CITY/MUNICIPALITY OF
______)
SS.
ACKNOWLEDGMENT
BEFORE ME, a
Notary Public for and in the (Province/City/Municipality)
of
_____________, personally
appeared
_____________ with Community Tax
Certificate No.
_____________ issued on
_____________
at _____________
(and Tax
Identification No. (T.I.N.)
_____________), and
_____________
with Community Tax Certificate No.
_____________
issued on
_____________ at
_____________
representing to be the
__position in
the corporation__ of
__(name of
corporation)__ with Community
Tax Certificate No.
_____________
issued on
_____________ at
_____________
(and Tax
Identification No. (T.I.N.)
_____________), both known to me
and to me known to be the same persons
who executed the foregoing instrument
which they acknowledged to me as their
free and voluntary act and deed, as well
as the free and voluntary corporate act
and deed of the corporation herein
represented, consisting of only
______ (____)
page/s, including this page in which
this Acknowledgement is written, duly
signed by them and their instrumental
witnesses on each and every page hereof.
WITNESS MY HAND
AND SEAL this
_____________
at _____________,
Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
Form
No. 3--Acknowledgment
by Individuals - Two-Party Instrument
(Acknowledgment
by Individuals - Two-Party Instrument)
REPUBLIC OF THE
PHILIPPINES)
CITY/MUNICIPALITY OF
______)
SS.
ACKNOWLEDGMENT
BEFORE ME, a
Notary Public for and in the (Province/City/Municipality)
of
_____________, personally
appeared
_____________ with Community Tax
Certificate No.
_____________ issued on
_____________
at _____________
(and Tax
Identification No. (T.I.N.)
_____________), and
_____________
with Community Tax Certificate No.
_____________
issued on
_____________ at
_____________
(and Tax
Identification No. (T.I.N.)
_____________), both known to me
and to me known to be the same persons
who executed the foregoing instrument
which they acknowledged to me to be
their free and voluntary act and deed,
consisting of only
______ (____)
page/s, including this page in which
this Acknowledgement is written, duly
signed by them and their instrumental
witnesses on each and every page hereof.
WITNESS MY HAND
AND SEAL this
_____________
at _____________,
Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
Form No. 4-- Acknowledgement by
Individuals MULTI Party
(Acknowledgment
by Individuals - Multi-Party Instrument)
REPUBLIC OF THE
PHILIPPINES)
CITY/MUNICIPALITY OF
______)
SS.
ACKNOWLEDGMENT
BEFORE ME, a
Notary Public for and in the (Province/City/Municipality)
of
_____________, personally
appeared the following persons, with
their respective Community Tax
Certificates as follows:
Name C.T.C.
No. Date / Place Issued
1. _____________
_____________ _____________
2. _____________
_____________ _____________
3. _____________
_____________ _____________
all known to me and
to me known to be the same persons who
executed the foregoing instrument which
they acknowledged to me to be their free
and voluntary act and deed, consisting
of only ______
(____)
page/s, including this page in which
this Acknowledgement is written, duly
signed by them and their instrumental
witnesses on each and every page hereof.
WITNESS MY HAND
AND SEAL this
_____________
at _____________,
Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
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