That I, of legal age, married/single, with residence and postal
address at for and in consideration of the amount of PESOS: (P ) Philippines Currency and other valuable consideration, receipt of which is hereby acknowledge from likewise of legal age, married/single, with residence and postal address at hereby SELL, TRANSFER AND CONVEY and by these presents have SOLD, TRANSFERRED AND CONVEYED unto said the following firearm described as follows: CONTROL NO: FA LICENSE NO: KIND/MAKE: MODEL/CALIBER: SERIAL NO:
Of which I am the absolute owner:
I hereby warranty that the said firearm is free from any liens and encumbrances and that I will defend the title and right of the VENDEE from any claims of whatever kind of nature from third persons. IN WITNESS WHEREOF, I have hereunder affixed my hand this day of 20 at . CONFORME:
VENDEE VENDOR
SIGNED IN THE PRESENCE OF
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ) S.S. CITY OF )
Before me, a Notary Public, for and in the City of appeared
with CTC No. issued on at , known to me and to me and to me known to be the same person who executed the foregoing instrument, and acknowledge to me that the same is her/his free and voluntary act and deed. WITNESS MY HAND AND SEAL this day of , 20 .