DEAD OF SALE MOTOR VEHICLE

KNOW ALL MEN BY THESE REPRESENTS:

That I, __________________, of legal age, married/single, with residence and postal addres at
____________________________
For and in consideration of the amount of PESOS: ___________________________
______________, (_____________).Philippine Currency. And other valuable consideration,
Receipt of which is hereby acknowledged from _______________________- likewise of legal age married/single, with
residence and postal addres at ____________________hereby SELLS TRANSFERS AND CONVEYS and by these
presents have SOLD, TRANSFERRED AND CONVEYED unto said___________________ the following motor
vehicle describe as follows:

Make: __________________________ Serial No:______________________

Model:__________________________ Motor No:______________________
Type:___________________________ File:___________________________

of which I am the absolute owner.

I hereby warrant that said motor vehicle is free from any liens and encumbrances and that I will defend the title and
rights of the VENDEE from any claims of whatever kind or nature from third persons.

IN WITNESS WHERE OF, I have hereunder affixed my hand this___________th day of

___________________,_________,at__________________________, Philppines

CONFORME:

________________________ _________________________
Vendee Vendor

SIGNED IN THE PRESENCE OF:

____________________________ _________________________

REPUBLIC OF THE PHILIPPINES. )

PROVINCE OF PANGASINAN______________) S.S.
CITY/MUNICIPALITY OF MANGALDAN____)

Before me, Notary public, for and in the City/Municipality of _________________

____________________appeared___________________________________________
With Residence Certificate No._____________issued on ________________________
_____________________at_______________________,known to me and to me known to be the same person who
executed the foregoing instrument, and acknowledged to me the same is her/his free and voluntary act and deed,
WITNESS MY HAND AND SEAL this _______th day of ____________

Doc. No.________
Page No._________
Book No._________
Series no._________

NOTARY. PUBLIC.
Until December 31,______________________