CHATTEL MORTGAGE
KNOW ALL MEN BY THESE PRESENTS:
    I, (Name of Mortgagor) of legal age, single/married
to____________________ with postal address at_____________________________hereinafter known as the MORTGAGOR, and _________________________________ of legal age, single/married to______________________ with postal address at
_______________________________ hereinafter
known as the MORTGAGEE, witnesseth:
That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of (Amount in Words) (000,000.00), Philippine Currency, receipt of which is acknowledged by the MORTGAGOR upon the signing of this instrument, payable within a period of _____ years, with interest thereon at the rate of (___) % per annum;
That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of (Amount in Words) (000,000.00), Philippine Currency, receipt of which is acknowledged by the MORTGAGOR upon the signing of this instrument, payable within a period of _____ years, with interest thereon at the rate of (___) % per annum;
        That for, and
consideration of , this indebtedness, and to
assure the performance of said obligation to pay, the MORTGAGOR hereby conveys by way of CHATTEL MORTGAGE unto the MORTGAGEE, his heirs and assigns, the following personality now in the
possession of said MORTGAGOR
| 
MAKE                  
  : | 
MOTOR
  NO.                     
  : | 
| 
SERIES              
    :  | 
SERIAL/CHASSIS
  NO.     : | 
| 
TYPE
  OF BODY     : | 
PLATE
  NO.                       
  : | 
| 
YEAR
  MODEL       : | 
FILE
  NO.                           
  : | 
|  |  | 
    That the condition of this obligation
is that should the MORTGAGOR
perform the obligation to pay the herein above cited indebtedness of (Amount in Words)
(000,000.00) together with accrued interest thereon, this
chattel mortgage shall at once become null and void and of no effect
whatsoever, otherwise, it
shall remain in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands, this ____day of ____________ 20___ at ____ Philippines.
 _______________________________            
_______________________________
MORTGAGOR                    
               MORTGAGEE
 IN THE PRESENCE OF:
_______________________________            
_______________________________
ACKNOWLEDGEMENT
Republic of the Philippines)
________________________ ) S.S
BEFORE ME, personally appeared:
Name (ID used) Date/Place Issued
(Name of Mortgagor) 10000000 Jan 01, __ / Quezon City
(Name of Mortgagee) 10000000 Jan 11, __ / Las Pinas City
Known to me and to me known to be the same persons who executed the foregoing instrument and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
                                                                                                    (Sgd)
                                                Notary Public for  (city/municipal)
                                                Commission Serial No:
1234
                                                Until December 31,
2015
                                                (office address)
                                                Roll
No: 12345
                                                IBP
Lifetime Roll No: 12345:5/6/2010: (city/province)
                                                PTR
No: 12345: 5/6/2010: (city/province)
                                                MCLE
Compliance Cert. No: 12345: 5/6/2010
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20__.
AFFIDAVIT OF GOOD FAITH
We,
the undersigned MORTGAGOR AND MORTGAGEE hereby jointly and severally swear that
we executed the foregoing Chattel Mortgage in order to secure the indebtedness
therein and for no other purpose or purposes contrary to law.
____________________________ _____________________________
MORTGAGOR MORTGAGEE
 
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