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W I T N E S S E T H:
The DONOR further states, that this donation is not made with the purpose of
defrauding her creditors, having reserved to herself property sufficient to answer for any
and all lawful debts.
The DONEES hereby RECEIVE and ACCEPT this gift and donation, made in their
favor by the DONOR, and they hereby express their appreciation and gratefulness for the
kindness and generosity of the DONOR.
_________________ _________________
____________________ _____________________
ACKNOWLEDGMENT
Republic of the Philippines}
Iloilo City } S.S
x-------------------x
BEFORE ME, a Notary Public for and in the City of Iloilo, this ___________
personally appeared:
Name ID No.
________________
_________________
all known to me and to me known to be the same persons who executed the foregoing
instrument, consisting of three (3) pages signed by them on each and every page hereof
and they acknowledged to me that the same is their free voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place first above written.