12/3/2015

ReferenceNo.2015001259 PrintedDate:12/3/201510:28AM

REPUBLIKANGPILIPINAS
KAGAWARANNGKATARUNGAN
PANGASIWAANSAPATALAANNGLUPAIN
(LANDREGISTRATIONAUTHORITY)
EastAvenuecor.NIARoad
QuezonCity
RegistryofDeedsforQuezonCity
REGISTRATIONAPPLICATIONACKNOWLEDGEMENT&CLAIMFORM

ASSESSMENTFORMANDPAYMENTORDER
Book

EPEBNo

ChattelMortgage

EPEBDate

2015001259

12/3/201510:16:00AM

RegistryofDeeds

CMINo.

DateRegistered

QuezonCity

CHANEW

Dec3201510:16AM

TransactionDetails
MajorTransaction
Consideration
AssignedAmount
MinorTransaction

RegistrationofChattelMortgage
500,000.00
400,000.00
ChattelMortgagewithAssignment

No.Of
Quantity Received
Copies

DocumentaryRequirements
DeedofChattelMortgagewithAssignmentwithAffidavitofGood
Faith
DocumentaryStampReturn(BIRFormNo.2000)
DocumentaryStampTax(Metered/Stamp/electronic)
FeeType

true

1
1

true
true

1
1

FeeDescription

Amount(Php)
EntryFee
EntryFees
30.00
RegistrationFee*
ITServiceFeeperDeed/Document
772.64
RegistrationFee(ChattelMortgage) ForeachCM,includingCertificatesandAffidavits
3,396.00
RegistrationFee(ChattelMortgage) 10%ofAssignedAmount
492.00
LegalResearchFund
1%ofreg.feeorPhp10whicheverishigher
38.88
OperatingandMaintenanceFee
LRAFees(OperatingandMaintenance)
30.00
OperatingandMaintenanceFee*
ITServiceFees(OperatingandMaintenance)
116.48
Total:
TotalFeesinwords: PhpFourThousandEightHundredSeventySix
4,876.00
*InclusiveofITServiceFees
**ValueAddedTaxonITServiceFees95.26

ForCheckPayment,pleaseprepareseparateMCsasfollows:
a.ForLRAFeestheManager'sCheckshallbeinthenameof"RegistryofDeedsforQuezonCity"
intheamountof3,986.88
http://10.10.41.43:81/Home/ProceesToVerifyTransaction#

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12/3/2015

and
b.ForITServiceFeestheManager'sCheckshallbeinthenameof"RegistryofDeedsforQuezon
CityfortheaccountofPNBTrustBankingGroupasEscrowAgentforTrustAccountNo.
161144TA01"intheamountof889.12.
REMINDERS:
1.Pleasecheckthedetailsabovebeforepaying.Youmaygetadetailedbreakdownoftheassessedfees
fromthrRegistrationInformationOfficer(RIO).
2.Allrequestsforregistrationand/orinformationsubmittedtoLRAanditsregistriesofDeeds,shall
undergoprocessingundertheLRAsComputarizedsystems,andarethusconsideredasrendered
servicesregardlessoftheresult.
RegistriesofDeedsshallnotrefundpaymentsofservicesrendered.Registrationfeesandothercharges
mayberefundedbytheCentralOffice,upontherequestoftheclient,inaccordancewithexisting
pertinentlaws.
3.KindlypresentthisformwiththeOfficialRecieptattheReleasingCounterwhenclaimingtitle(s)
and/orregistereddocument(s).
4.Anytransactionleftunpaidafter5daysshallbeautomaticallyvoided.
5.Togettheupdatesonthestatusofyourtransaction,pleasevisitwww.lra.gov.ph,andusetheLRAOn
lineTrackingSystem.

http://10.10.41.43:81/Home/ProceesToVerifyTransaction#

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