CHATTEL MORTGAGE SAMPLE

CHATTEL MORTGAGE KNOW ALL MEN BY THESE PRESENTS: WE, _____________________, Filipino citizens, of legal age, single/married to ____________________, with residence at ________________ hereinafter known s the MORTGAGOR, and _____________________, Filipino citizen, of legal age, single/married to ___________________, with residence at ______________________ hereinafter known as the MORTGAGEE, WITNESSETH: That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of __________________ (Php______________), 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 centum, 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: (Description) That the condition of this obligation is that should the MORTGAGOR perform the obligation to pay the hereinabove-cited indebtedness of ________________, 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 ___________ at ________________, Philippines. ___________________ Mortgagor SIGNED IN THE PRESENCE OF: ___________________

_____________________ Mortgagee

___________________

REPUBLIC OF THE PHILIPPINES ) CITY OF OLONGAPO )S.S. I, Notary Public for and in the city/ municipality ___________________, do hereby certify that _______________________ with CTC No. __________ issued at _______________ on _________________, with Tax Account No. _________________ , personally known to me and to me known to be the same persons who executed the foregoing instrument which they signed and acknowledged before me as their free and voluntary act and deed. .

-2The foregoing instrument relates to a CHATTEL MORTGAGE consists of two (2) pages including the page on which this acknowledgment is written and has been signed at the bottom and on the lefthand margin of the first page thereof, by the ____________ and his instrumental witnesses, and sealed with my notarial seal. WITNESS MY HAND AND SEAL. Doc. No: ______; Page No: ______; Book No. I ; Series of 2009.

FEDERICO T. MACABANGUN Notary Public Until December 31, 2009 PTR: 4502255, 01-14-09, O.C. IBP: 764481, 1-09-09, O.C. ROLL No. 19845

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 specified and for no other purpose or purposes contrary to law. _______________________ Mortgagor

_______________________ Mortgagee

REPUBLIC OF THE PHILIPPINES ) CITY OF OLONGAPO )S.S. SUBSCRIBED AND SWORN to before me this ______ day of ________________ at Olongapo City, personally appeared _________________, with CTC NO. ___________ issued on ______________ issued at _________________, known to me to be the same person who executed the foregoing instrument and acknowledged to me that the same is her/her free act and voluntary deed. WITNESS MY HAND AND SEAL.

Doc. No: ______; Page No: ______; Book No. I ; Series of 2009.

FEDERICO T. MACABANGUN Notary Public Until December 31, 2009 PTR: 4502255, 01-14-09, O.C. IBP: 764481, 1-09-09, O.C. ROLL No. 19845