I,________ s/o _____,_______(Address) have received on this day of _____ from sh. _____, s/o_____, ____(Address) the property of my share_________________( description of the property). I hereby confirm that the above mentioned property is well maintained and accept the property with full satisfaction of all my claims on the property.

Signed by _______ on this day of _____ in the presence of the following witness

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