Republic of the Philippines)

City of __________ ) S.S .

KASUNDUAN

Ako si___________, nasa legal na edad and residente ng Brgy Pooc Inovation phase 2,
Sta Rosa Laguna City. Ako ay mangungutang ng pambayad ng motor na “Aerox Yamaha” na
nagkakahalaga ng P95,000 sa ________________ na kinakatawan ni ______________________
Kakaltasan ng P2,500 kada kinsenas na magsisimula ngayong March 15, 2022, at
babawasan din ng P5,000 ang aking 13th month pay. Ang CR ng motor ay hawak pa ni Atty.
hanggang ito ay mabayaran ng buo.

IN WITNESS HEREOF, I have hereunto affixed my signature this 12th day of March 2022, at
Muntinlupa City, Philippines.

________________________
Driver

SUBSCRIBED and sworn to before me, this 12th day of March 2022, in the City of
Muntinlupa by __________________, with License no. _____________, issued on March 12,
2017 at Land Transportation Office, Santa Rosa, Laguna.

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