Professional Documents
Culture Documents
_________________________________________
(Signature of owner of the dominant estate)
_________________________________________
(Signature of owner of the servient estate)
SIGNED IN THE PRESENCE OF:
____________________
_________________
ACKNOWLEDGENT
REPUBLIC OF THE PHILIPPINES)
__________________
)S.S.
X ------------------------------------------ X
BEFORE ME, this _____ day of _______________, 20___ in the City of Bacolod,
Philippines, personally appeared the following persons with their proof of identity, to wit:
Name
ID No.
Place Issued
Date Issued
_______________
___________
__________
__________________________
___________
__________
___________
All known to me as the same persons who executed the foregoing instrument consisting of 3
pages including this page on which this acknowledgment is written and they acknowledged
before me that they and their instrumental witnesses signed each and every page thereof and
that the same is their own free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and at the place first above-written.
Doc. No. _____
Page No. _____
Book No. _____
Series of 20____