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Date:_______________________
Amount:___________________
Date Amount
I have understood that failure to pay on one of the installment dates shall make my WHOLE
monetary obligation DUE and DEMANDABLE. (acceleration clause).
_________________________________
Printed Name & Signature
Signed in the presence of:
______________________________ ____________________________
SUBSCRIBED AND SWORN to before me, this ______________ at Mandaue City, Cebu
Philippines, affiant exhibited to me her valid ID____________________________ known to me
and to me known to be the same person who executed the foregoing instrument and acknowledge
that the same is her free act and deed.
Doc. No.___ ;
Page No. ___;
Book No. ___;
Series of 2016.