SIMPLE FORM OF ACKNOWLEDGMENT OF A DEBT
This is to acknowledge that a sum of Rs.___________
has been found due from me on the basis of an account settled between Mr.__________________________
Mr______________________________
Resi ________________________________________
and myself. That I undertake to repay the same within ____ months.
That I clearly acknowledge this debt which I owe to the said Mr. __________
Dated: _____________ (Signed) ______________
Address: _____________
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