ACKNOWLEDGMENT RECEIPT WITH UNDERTAKING
I, ___________, Filipino, of legal age, married to ___________ and a resident of
______________, Bohol, Philippines, am the wife of the registered owner of a certain
motorized vehicle, which is more particularly described as follows, to wit:
Make :
Body Type :
Engine No. :
Chassis No. :
C.R No. :
O.R No. :
That for and in consideration of the sum of __________(P___.00) PESOS,
Philippine Currency, in hand paid to me in full satisfaction and acknowledged to have
received from the VENDEE, _________, Filipino, of legal age, single/married and a
resident of ________________ Bohol, Philippines, by virtue of these presents, do hereby
sell, convey and transfer unto said VENDEE, ____________, his heirs, assigns, and
successors in interest, the above stated vehicle;
That I, _______, further declare that the above stated vehicle is free from liens
and/or encumbrances and shall defend its ownership from any/all claim/s whatsoever.
That I hereby bind myself, as well as my husband, to execute all necessary deeds,
instruments or undertakings which are or may hereafter be pertinent and material for the
transfer of the said vehicle in favor of the Vendee
IN WITNESS WHEREOF, I have hereunto set my hand this __________ day of
________________, at Tagbilaran City, Bohol, Philippines.
_____________________________
Wife of the Registered Owner
Signed in the presence of:
___________________ ____________________