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DISCHARGE OF CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

That I, _____________________ of legal age, Filipino citizen, and resident of


__________________, Pampanga and the _____________________________ San Fernando
Branch the MORTGAGEE by virtue of that certain CHATTEL MORTGAGE executed in its favor
sometime in 1983, by ____________________, of legal age married, Filipino citizen and with
residence and postal address at ______________________________ and recorded in the Office of
the Register of Deeds of Pampanga on _______________, as per Entry No. _______ of the Day
Book, and duly inscribed on Page No. ___________, Volume of the Chattel Mortgage
Register, as per Inscription No. ____________, with the following chattel: _____________________
Certificate of Registration Number _____________________ dated _____________, Serial/Chassis
No. __________________, Motor No. _________________________, and with Plate Number
________________, having received the full consideration named as the condition of said
mortgage, do hereby forever release, cancel and discharge the same.

IN WITNESS WHEREOF, I have hereunto set my hand at City of San Fernando, Pampanga ,
Philippines, of this ___ day March 2002.

Bank ___________________
Mortgagee

By:

___________________

SIGNED IN THE PRESENCE OF:

____________________________ ____________________________

REPUBLIC OF THE PHILIPPINES )


PROVINCE OF PAMPANGA )S.S.
CITY OF SAN FERNANDO )

ACKNOWLEDGMENT

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