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CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

I, _(name of mortgagor)_ of legal age, single/married to


____________________ with postal address at
_____________________________ hereinafter known as the
MORTGAGOR, and _(name of mortgagee)_ 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) Php (________.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) Php (________.00), together with accrued interest
thereon, this chattel mortgage 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.

__(NAME OF MORTGAGOR)__ __(NAME OF


MORTGAGEE)__
Mortgagor Mortgageer

WITH MARITAL CONSENT:


__________signature_______ _________ signature __________
Name of Mortgagor’s Spouse Name of Mortgagee’s Spouse

SIGNED IN THE PRESENCE OF:


_______________________ ________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


____________________________ ) SS.

BEFORE ME, a Notary Public for and in the City of ___________________, this
___________________, personally appeared:

Name __________________________________
SSS Nos. / Driver’s License No. ___________
(Name of Mortgagor) ____________________________
(Name of Mortgagee) ____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


_____________________________ ) SS.

BEFORE ME, a Notary Public for and in the City of ___________________, this
___________________, personally appeared
______Mortgagor_________________ exhibiting to me his Passport No.
_____________ issued on ________________ and set to expire on
_____________, and ____Mortgagee____ exhibiting to me her Passport No.
_____________ issued on _____________ and set to expire on
________________ as their competent evidence of identity bearing their
photograph and signatures, who are 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 own free act and voluntary act and deed.

This instrument, consisting of (__) pages, including the page on which this
acknowledgment is written, has been signed on the left margin of each and every
page hereof by the concerned parties and their witnesses, and sealed with my
notarial seal.

WITNESS MY HAND AND SEAL, at the place and date above-written.

ATTY __________________________________
Doc. No. 123 COMMISSION NO. _________________________
Page No. 69 NOTARY PUBLIC for _________________________
Book No. VII UNTIL DECEMBER 31, 2007
Series of 2007 OFFICE: __________________________________
ROLL NO. 00001
IBP Lifetime Roll No. 1234567 ; 01/07/07 ; LA UNION
MCLE COMPLIANCE No. __________; July 7, 2007
AFFIDAVIT OF GOOD FAITH

We, the undersigned MORTGAGOR and MORTGAGEE hereby


jointly and severally swear that we executed the foregoing Chattel
Mortgage in order to secure the indebtedness therein and for no other
purpose or purposes contrary to law.

__(NAME OF MORTGAGOR)__ __(NAME OF MORTGAGEE)__


Mortgagor Mortgagee

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