Sample Acknowledgment of Debt

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Republic of the Philippines )

_______________________ ) S.s.

DEED OF ACKNOWLEDGMENT OF INDEBTEDNESS

KNOW ALL MEN BY THESE PRESENTS:

We, Spouses ___________________ and ____________________, both of legal age,


Filipino Citizens and residents of _______________________, after having been duly sworn in
accordance with law, depose and state that:
We are indebted in the sum of ____________________________ Pesos
(PhP________.00), Philippine Currency, to ________________________________ with postal
and residential address at _____________________________;

We hereby promise and undertake to pay ______________________________ on terms


and conditions which will be agreed upon by both parties at a later date.

IN WITNESS WHEREOF, we have hereunto set our hands this _____ day of
______________, 2020 at _______________________, Philippines.

__________________________ ___________________________
Debtor Debtor

_____________________________
Creditor

Signed in the Presence of:

_______________________________ _______________________________

Republic of the Philippines )


Province of _____________ ) S.s.
Municipality of __________ )

SUBSCRIBED AND SWORN to before me this _________________ at


_______________________, Philippines.

Doc. No. ________;


Page No. ________;
Book No. ________;
Series of ______.

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