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) _________.

(Signature)