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CHATTELMORTGAGE

0042015005100

KNOWALLMENTHESEPRESENTS:
I,wwe,oflegalage,singlewithpostaladdressatwewehereinafter known as theMORTGAGOR/S,
andTESTEO2oflegalage,withpostaladdressatDd herein after known as the MORTAGAGEE/S,
witnesseth:
ThattheMORTGAGOR/Sis/areindebteduntotheMORTGAGEEinthesumofFiftyThousand(PHP
50,000.00) , receipt of which is acknowledged by the MORTGAGOR/S upon the signing of this
instrument,payablewithinaperiodof1Years,withinterestthereonattherateof(3)%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
21123

ChassisNo.
21332

EngineNumber
213213231

ThattheconditionofthisobligationisthatshouldbeMORTGAGOR/Sperformtheobligationtopay
thehereinabovecitedindebtednessofFiftyThousand(PHP50,000.00)together with accrued interest
thereon, this chattel mortgage shall at once become null and void and of no effect whatsoever,
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

1.

wwe

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Spouse/CoMaker

TinNo.

aerr
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Mortgagee

AuthorizedRepresentative

TinNo.

1.

TESTEO2

dd

dd

Witnesses

SignatureOverPrintedName

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

CTCNumber

Date/PlaceIssued

wwe
dd
Known to me to be the same persons who executed the foregoing Chattel Mortgage, the Affidavit of
TruthmadeoathtothetruththereofandtotheEndorsementandAssignmentandacknowledgedthatthey
executedtheaforementioneddocumentastheirfreeandvoluntaryactanddeed(aswellasthefreeand
voluntaryactanddeedofentitiesheortheyrepresent).
WITNESSMYHANDANDSEALthis
Philippines
NotaryPublic
Doc.No.
PageNo.
BookNo.
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dayof

20

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