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WITNESSETH:
KIND : ______________
MAKE : ______________
MODEL/CALIBER : ______________
SERIAL NUMBER : ______________
THAT THE VENDOR does hereby warrant valid and peaceful possession of the above described
firearm sold and conveyed, and further declares that the same is free and clear of all liens and
encumbrances of any kind whatsoever.
IN WITNESS WHEREOF, the VENDOR has hereunto set his/her hand at the place first
above written, on this ___ day of ___________ 2012 at Muntinlupa City, Philippines.
______________________________ ______________________________
VENDOR VENDEE
___________________________ __________________________
ACKNOWLEDGMENT
In the City of Muntinlupa, this _____ day of _______________ 2012, personally appeared
_________________________ with _________________ ID No. ___________________ and
______________________________ with __________________ ID No. _________, known to me
and to be the same persons who executed the foregoing instrument and he/she acknowledge to me that
the same is his/her free act and deed.
WITNESS MY HAND AND SEAL at the place on the date first above written.