CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

This CHATTEL MORTGAGE, made and executed by (COMPLETE NAME OF
MORTGAGOR) , Filipino, of legal age, married to (NAME OF SPOUSE OF
MORTGAGOR) and a resident of (INSERT ADDRESS OF MORTGAGOR), hereinafter
called the MORTGAGOR, in favor of (COMPLETE NAME OF MORTGAGEE) , Filipino,
of legal age, married to (NAME OF SPOUSE OF MORTGAGEE) , with residence and
postal address at (INSERT ADDRESS OF MORTGAGEE) , hereinafter called the
MORTAGEE, witnesseth:
That the MORTGAGOR does hereby convey by way of chattel mortgage unto
the MORTGAGEE the following described personal property, situated and ordinarily
kept at (INSERT THE ADDRESS/CITY WHERE THE PERSONAL PROPERTY CAN BE
FOUND) and presently in the possession of the said MORTGAGOR, to wit:
MAKE : ________
TYPE OF BODY ______:
SERIAL/CHASSIS#: _______
MV FILE NO. : _________
PLATE NO. : ________
That this CHATTEL MORTGAGE is given as security for the payment to the
MORTGAGEE, of a certain promissory note dated _________ , for the sum of (enter
the amount in words) (insert the amount in figures) PESOS, with interest thereon at the
rate of _________ percent (%) per month/annum;
That the condition of this CHATTEL MORTGAGE is such that if that said
MORTGAGOR, his heirs, executors, or administrators shall well and truly perform the
full obligation above stated according to the terms thereof, then this chattel mortgage
shall be null and void; otherwise, it shall remain in full force and effect and shall be
enforceable in the manner provided for by law.
In Witness Whereof, we have hereunto set our hands this ____ day of ______
2006, Philippines.
_______________
Mortgagor
With my marital consent:

__________________
Spouse of mortgagor

Signed In The Presence Of: ___________ & ___________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
CITY OF ________ )S.S.
x------------------------------------x
BEFORE ME, a Notary Public for and in the City of _____, Philippines, this
_____________, personally appeared ________________ with his/her Community Tax
Certificate No. ______________ issued on __________- issued at _______,
Philippines, known to me to be the same person who executed the foregoing instrument
and he acknowledged to me that the same is his own free voluntary act and deed.
This instrument refers to Chattel Mortgage consisting of two (2) pages including
this page on which this acknowledgment is written and duly signed by the parties
together with their instrumental witnesses on each and every page hereof.
WITNESS MY HAND AND SEAL.
Doc. No._______;
Page No._______;
Book No._______;
Series of 2006.

AFFIDAVIT OF GOOD FAITH

I, (name of mortgagor) under oath, aver that: I am the mortgagor of this Chattel
Mortgage and that I have executed this mortgage in good faith to secure a valid
obligation, and not for the purpose of committing fraud.
_____________
Mortgagor

Subscribed and sworn to before me on _________ , affiant having exhibited to me his

community tax certificate no. ________ issued on ________ at ___ day of ______
2006.
Doc. No._______;
Page No._______;
Book No._______;
Series of 2006.