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Sample of Acknowledgement of Debt (South Africa, English)
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Acknowledgement of Debt
I, the undersigned,
Full Name: __________________________________ ; Identity Number: ___________________
Residential Address: ________________________________________________________________
Work Address: ________________________________________________________________
Email: ______________________________; Tel: __________________
(the Debtor)
hereby acknowledge that I am truly and lawfully indebted to ______________________________________ (the Creditor) in the sum of R ______________ (in words: ____________________________________)
due to _________________________________________________________ (cause of debt)
I hereby bind myself to pay the entire debt no later than ___ _______, 20__.
Should the payment not be received on the due date, a monthly interest of __% will be charged.
SIGNED at _____________________ on this ______ day of ______________ 20___.
______________________________
(The Debtor)
AS WITNESSES:
1. ____________________________
2. ____________________________