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________________________________: SS.
________________________________)
_________________________________________
It appearing that you have been in arrears in the payment of your installments
on the Contract to Sell No. ________ executed in your favor by us on
_______________,_____, involving Lot _______________, Block ____________ of the
______________Subdivision, with an area of ____________square meters, for the last
_________ months/years, or more than sixty (60) days’ grace period allowed by
Republic Act 6552, we regret to advise you that, unless you make up for all your
arrears within the next thirty (30) days from receipt of this notice, all your rights will
be deemed extinguished and terminated, and the aforementioned Contract to Sell
declared, as it is hereby declared, cancelled and of no further force and effect.
Inasmuch as you have paid less than two years of installments, pursuant to the
provision of Republic Act 6552, you will not be entitled to any cash surrender value of
your installment payments.
_________________________________
(Seller)
T.I.N________________________
(NOTARIAL OATH)