REPUBLIC OF THE PHILIPPINES )

PROVINCE OF AURORA )
MUNICIPALITY OF BALER ) S.S.

DISCHARGE OF CHATTEL MORTGAGE

The__________________________________, with principal office at
__________________________, represented by its Manager, _______________, having
received the full consideration of the sum of ______________________________PESOS
(P____________), to me in hand paid by (full name of mortgagor), of legal age, single/ married
to _____________________________, Filipino, with residence address at
___________________________________________________, do hereby by these presents,
forever RELEASE AND DISCHARGE that certain CHATTEL MORTGAGE executed by (full
name of mortgagor) on ___________________ before ATTY. _________________________, a
Notary Public for and in the Province of Aurora, docketed as Doc. No. ______, Page No.
______, Book No. ______, Series of ______, and registered in the Registry of Deeds for the
Province of Aurora on __________________, docketed as Entry No. ______, Page No.
______, Volume No. ______.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ________,
________, in ___________________, Philippines.

For SIKAP MPC:

__________________________
(Mortgagee)

WITNESSES:

__________________________ __________________________