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12/1/2015

DIVContents

CHATTELMORTGAGE

0042015005104

KNOWALLMENTHESEPRESENTS:
I,TEST,oflegalage,singlewithpostaladdressatTESThereinafterknownastheMORTGAGOR/S,
and TEST of legal age, with postal address at TEST herein after known as the MORTAGAGEE/S,
witnesseth:
That the MORTGAGOR/S is/are indebted unto the MORTGAGEE in the sum of Six Hundred
Thousand (PHP 600,000.00) , receipt of which is acknowledged by the MORTGAGOR/S upon the
signingofthisinstrument,payablewithinaperiodof3Years,withinterestthereonattherateof(2)%
perannum
Thatfor,andinconsiderationof,thisindebtedness,andtoassuretheperformanceofsaidobligationto
pay, the MORTGAGOR/S hereby conveys by way of CHATTEL MORTGAGE unto the
MORTGAGEE, his heirs and assigns, the following personality now in the possession of said
MORTGAGOR/S:
Motor/Vehicle
Make/Brand
Acura

Year/Model
TEST

ChassisNo.
TEST

EngineNumber
TEST

ThattheconditionofthisobligationisthatshouldbeMORTGAGOR/Sperformtheobligationtopay
thehereinabovecitedindebtednessofSixHundredThousand(PHP600,000.00)togetherwithaccrued
interestthereon,thischattelmortgageshallatoncebecomenullandvoidandofnoeffectwhatsoever,
otherwise,itshallremaininfullforceandeffect.

AFFIDAVITOFGOODFAITH
We,theundersignedMORTGAGOR/SandMORTGAGEE,herebyjointlyandseverallyswearthatthe
foregoing chattel mortgage is made and executed for the purpose of securing the obligation specified
therein,andfornootherpurpose,andthatthesameisajustandvalidobligationandonenotentered
intoforpurposesoffraud.
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Mortgagor

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Spouse/CoMaker

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TEST

TEST

Mortgagee

AuthorizedRepresentative

TinNo.

1.

TEST

TEST

TEST

Witnesses

SignatureOverPrintedName

ACKNOWLEDGEMENT
RepublicofthePhilippines)
)S.S
BEFOREME,personallyappeared:
Name

CTCNumber

Date/PlaceIssued

TEST
TEST
Known to me to be the same persons who executed the foregoing Chattel Mortgage, the Affidavit of
TruthmadeoathtothetruththereofandtotheEndorsementandAssignmentandacknowledgedthatthey
executedtheaforementioneddocumentastheirfreeandvoluntaryactanddeed(aswellasthefreeand
voluntaryactanddeedofentitiesheortheyrepresent).
WITNESSMYHANDANDSEALthis
Philippines
NotaryPublic
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