1, X son of …………… resident of …………. confirm that I am indebted to Y son of …………. Resident of ………… to the extent of Rs. ……………..on account of the price of purchased by me from the said Y and I hereby agree and covenant to pay the said sum on demand of Rs ………….. with interest at the rate of ……….. percent per annum to Y.

Date ……………
signature …………….
X

WITNESSES
1.

2.