CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

I, ( N a me o f M o r t g a g o r ) of legal age, single/married to____________________ with postal address

at_____________________________hereinafter known as the MORTGAGOR, and
_________________________________ of legal age, single/married to ______________________ with postal address at
_______________________________ hereinafter known as the MORTGAGEE, witnesseth:

That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of (Amount in Words)
(000,000.00), Philippine Currency, receipt of which is acknowledged by the MORTGAGOR upon the signing of
this instrument,payable within a period of _____ years, with interest thereon at the rate of (___) % per
annum;

That for, and consideration of , this indebtedness, and to assure the performance of said obligation to pay,
the MORTGAGOR hereby conveys by way of CHATTEL MORTGAGE unto the MORTGAGEE, his
heirs and assigns, the following personality now in the possession of said MORTGAGOR

MAKE : MOTOR NO. :

SERIES : SERIAL/CHASSIS NO. :
TYPE OF BODY : PLATE NO. :
YEAR MODEL : FILE NO. :

That the condition of this obligation is that should the MORTGAGOR perform the obligation to pay the
hereinabove cited indebtedness of (Amount in Words) (000,000.00) together with accrued interest thereon,
this chattelmortgage shall at once become null and void and of no effect whatsoever, otherwise, it shall remain in full
force and effect.

IN WITNESS WHEREOF, the parties have hereunto set their hands, this ____day of ____________ 20___ at
____ Philippines.

_______________________________ _______________________________
MORTGAGOR MORTGAGEE

IN THE PRESENCE OF:

_______________________________ _______________________________

ACKNOWLEDGEMENT

Republic of the Philippines)

________________________ ) S.S
BEFORE ME, personally appeared:

Name CTC Number Date/Place Issued

(Name of Mortgagor) 10000000 Jan 01, __ / Quezon City

(Name of Mortgagee) 10000000 Jan 11, __ / Las Pinas
City

Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and place first above written.

Notary Public

Doc. No.______;
Page No. _____;
Book No.______;
Series of 20___.
 DEED OF CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

That I, JUAN DELA CRUZ, of legal age, married and resident of

9000 Hormiga Street, Makati City, for and in consideration of the loan of FIVE
HUNDRED THOUSAND PESOS (P500,000.00), granted to me by PEDRO DELOS
SANTOS, also of legal age, married and resident of 800 Theresa Street, Makati
City, to be paid one (1) year from date hereof, have transferred and conveyed by
way of chattel mortgage unto said PEDRO DELOS SANTOS, his heirs, successors
and assigns, free from all liens and encumbrances that certain motor vehicle,
presently in my possession, more particularly described as:

MODEL/MAKE : 2011 Isuzu

COLOR : Black

BODY : Canter

MOTOR NO. : 123456

SERIAL/CHASSIS NO. : 789666

PLATE NO. : XYZ-123

of which I am the true and absolute owner by title thereto, being evidenced by
Registration Certificate of Motor Vehicle No. 1122 issued in my name by the Land
Transportation Office on July 6, 2011.

This chattel mortgage has been executed in order to secure the full and
faithful payment of my obligation to PEDRO DELOS SANTOS in accordance with
the terms and conditions of this instrument. Upon payment, this contract shall
become null and void; otherwise, it shall continue in full force and effect and may
be foreclosed in accordance with law.
 IN WITNESSS WHEREOF, I have hereunto signed
this deed of chattel mortgage, this 5th day of May 2013 at Makati City, Philippines.

JUAN DELA CRUZ

Mortgagor

With my marital consent (if married):

MARIA DELA CRUZ

Mortgagor’s wife

AFFIDAVIT OF GOOD FAITH

We, the undersigned MORTGAGOR and MORTGAGEE, severally swear that the
foregoingchattel mortgage is made and executed for the purpose of securing the
obligation specified therein, and for no other purpose, and that the same is a just
and valid obligation, and one not entered into for the purposes of fraud.

JUAN DELA CRUZ PEDRO DELOS SANTOS

Mortgagor Mortgagee

SIGNED IN THE PRESENCE OF:

 MARIA MAKILING JUAN TAMAD

Witness Witness

ACKNOWLEDGMENT

Republic of the Philippines)

City of Makati ) S.S.

BEFORE ME, a Notary Public, for and in the City of Makati, this 25th day of June 2013 personally appeared:

Name Identification Card Issued On/At

JUAN DELA CRUZ SSS I.D. No. 123 1-1-11/Makati

PEDRO DELOS SANTOS SSS I.D. No. 222 2-1-11/Makati
MARIA DELA CRUZ SSS I.D. No. 333 3-1-11/Makati
MARIA MAKILING SSS I.D. No. 444 4-1-11/Makati
JUAN TAMAD SSS I.D. No. 555 5-1-11/Makati

all known to me to be the same persons who executed the foregoing instrument and hereby acknowledged
to me that the same is their free and voluntary act and deed.

This instrument consisting of two (2) pages, including this page on which this acknowledgment is written refers to
a DEED OF CHATTEL MORTGAGE and has been signed by the parties and their witnesses and sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2013.