New Acknowledgment Form

REPUBLIC OF THE PHILIPPINES) _______________....................) S.S. ACKNOWLEDGEMENT Before me, a Notary Public for and in the Province of Cavite, appeared the persons of: NAME

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Date/Place Issued

presenting an integrally complete instrument or document entitled ________consisting of 3 pages including this page, and is attested to be personally known to me or identified by me through competent evidence of identity as defined by the Rules on Notarial Practice of 2004, and they represent to me that the signatures on the instrument or document was voluntarily affixed by them for the purposes stated in the instrument or document as their free and voluntary act and deed, and, if they act in a particular representative capacity, that they have the authority to sign in that capacity. Witness my hand and seal this __ th day of ________________, 2008. Doc. No. ___ Page No. ___ Book No. ___ 31, 2008 Series of 2008.

Notary Public Until December

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