Simple Form Of Acknowledgment Of A Debt

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: _____________