ACKNOWLEDGMENT OF PART PAYMENT OF A DEBT

Date:__________
I (Name)________, S/o. Sh._______ hereby acknowledge that I have paid Rs______ (Rupees in words ) in part payment of the debt of Rs._________ (Rupees in words) borrowed by me from Sh.___________ S/o Sh.________________ R/o __________________ on a pronote executed by me in his favour on (Date) _________.
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(Signature)