ACKNOWLEDGMENT of amount due to settlement of accounts

ANOTHER FORM OF ACKNOWLEDGMENT

I hereby acknowledge that a sum of Rs………………….(Rupees……………………....

………………………………………………………………………………………) is due from me on

The basis of settlement of account between the said Shri/Mr……………………and myself.

Date………………..                                                                 Address………………………………. .

…………………………………………

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