TRUST RECEIPT

I, _______________________, of legal age, married, Filipino citizen and residing

at ____________________________________ received in trust from

_________________________________________ the amount of

__________________________________________ (PhP________________),

Philippine Currency, for the sole purpose of buying ___________ cavans of

______________ under the obligation involving the duty to deliver the said quantity of

cereals at her warehouse located at ___________________________________________

or return the aforementioned amount if not invested for said purpose on or before

_______________________________.

Tuguegarao City, Cagayan - ________________________

__________________________ ___________________________
(Guarantor) (Recipient/Trustee)

SIGNED IN THE PRESENCE OF:

_____________________________ ___________________________

SUBSCRIBED AND SWORN to before me this ________ day of

___________________ in Tuguegarao City, Cagayan.

DOC. NO. _________

PAGE NO. ________
BOOK NO. ________
SERIES OF 20 _____.