Acknowledgement of Debt

ACKNOWLEDGEMENT OF DEBT

ACKNOWLEDGEMENT OF DEBT

I, the undersigned, ................................................................. (hereinafter
called “the debtor”), National ID .................................... residing at
.........................................., hereby acknowledge myself to be liable and
lawfully indebted to ............................................................ in the sum of
............................................................................................................
($....................),

SIGNED AT ........................ THIS ............ DAY OF ........................ 20...