RECEIPT OF CONSIDERATION OF A PROMISSORY NOTE
 
	I, B, son of A, resident of …………………………acknowledge to have received this day the sum of Rs . ……………… (Rupees………..only) from X, son of Y, resident of………………………… on account of the consideration of the promissory note executed by me in favour of the said Shri Y.
 
Dated the………………………… day of…………………………20………..

B (Stamp) 

(Signature across the stamp)
 
WITNESSES
1.
2.