ACKNOWLEDGMENT RECEIPT
KNOW ALL MEN BY THESE PRESENTS:
THIS IS TO ACKNOWLEDGE RECEIPT from MARY GRACE OFREDO RAGAS, of legal age, Filipino, with postal address at 1545 Int
3 Bo Sta Maria, Pedro Gil, Manila the amount of TWO MILLION AND FIVE HUNDRED THOUSAND PESOS (Php 2,500,000.00), Philippine
Currency, representing full payment for the purchase of a property, located at Lot Block 5 Lot 44 Caraballo St., Town and Country Hills
Subdivisions, Brgy. Inarawan, Antipolo City, Rizal, consisting an area of TWO HUNDRED FORTY-EIGHT (248) SQUARE METERS, more or
less, covered by Transfer Certificate of Title No. 163-2019007374 of the Registry of Deed for the City of Antipolo.
DONE this ____th day of __________________, in the _______________.
IN WITNESS WHEREOF, we have hereunto set our hands this __th day of _____________, in the City/Municipality of
_____________________.
_____________________________________ _____________________________________
RICARDO H. MACASIEB REYNALDO DE GUZMAN MENDOZA
Vendor Attorney-in Fact
Tin No. __________________
SIGNED IN THE PRESENCE OF:
______________________________________ _______________________________________
__________________________ __________________________
Witness Witness
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
CAINTA, RIZAL ………………….. ) S.S.
BEFORE ME, a Notary Public for and in the City/Municipality of _________________, this _______________ day of _____________,
personally appeared:
NAME Competent Evidence of Identity: Date of Expiry
who has satisfactorily proven to me their competent evidence of identities mentioned above, that they are the same persons who executed and
voluntarily signed the foregoing instrument which they acknowledged before me as their free and voluntary act and deed.
The foregoing instrument relates to an ACKNOWLEDGEMENT RECEIPT, consisting of ONE (1) PAGE including the page on which
this acknowledgement is written, has been signed on the left margin of each and every page by the parties and the witnesses.
WITNESS MY HAND AND SEAL this ___________ day of ___________________, in the Municipality of ________.
Doc. No. ______
Page No. ______
Book No. _____
Series of 2020