Republic of the Philippines Municipality of Tatay S.S.



THAT WE/I, ____state the name___, of legal age, single/married to_____juan dele cruz___, a resident of ______state ur address___________, hereinafter known as the BAILOR, and ___________, also of legal age, single/married to __________________, a resident of ___________________ and hereinafter known as the BAILEE, do hereby agree and state:

1. That the BAILOR is the owner of a certain House and Lot Located in ______________. 2. That the BAILOR hereby agrees to allow the BAILEE to use the House and Lot for free. 3. That the term of use is one (1) year from the institution of this contract or it may be

extended by the BAILOR. 4. That the House and Lot shall be return to the BAILOR after the agreed term of use. 5. That the BAILEE shall maintain the same in good condition.

IN WITNESS WHEREOF, we have hereunto affix our signature this 10th Day of July 2012, at _________,

_______________________________ BAILOR

___________________________________ BAILEE

_______________________________ WITNESS

___________________________________ WITNESS

Doc. with their Community Tax Certificates. No. ________ Page No. to wit: NAME 1. ________ Book No. ________ Series of ________ Nota bene: bailor = nagpahiram Bailee = pinahiram . BEFORE ME. CTC/PASSPORT # DATE/PLACE OF ISSUE Known to me and to me known to be the same persons who executed the foregoing instrument and they acknowledged to me that the same is their free and voluntary act. signed on the appropriate spaces provided above and on the left –hand margins of all other pages. a Notary Public.ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES ) ) S. WITNESS MY HAND AND SEAL this ________ day of ________2012. This instrument consist of two (2) pages including this page where the acknowledgment is written. for and in the above jurisdiction personally appeared the following persons.S. and is AGREEMENT FOR THE USE OF HOUSE AND LOT situated at___________ Municipality of. 2.

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