REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.

x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of
_____________, personally appeared _____________ with Community Tax Certificate No.
_____________ issued on _____________ at _____________, personally known to me (or
whom I have identified through competent evidence of identity) and who represented to me that
he/she is the __position in the corporation__ of __(name of corporation)__ and that he/she has
the authority to sign for and in behalf of the said corporation in that capacity, that his/her
signature on the foregoing instrument was voluntarily affixed by him/her for the purposes stated in
the instrument and who declared that the foregoing instrument is the free and voluntary act and deed
of the said corporation.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by _____________ 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 20____.