DEED OF CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:

WE, _____________________, Filipino citizens, of legal age, single/married to
____________________, with residence at ________________ hereinafter known as 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:
MAKE
SERIES
TYPE OF BODY
YEAR MODEL

:
:
:
:

MOTOR NO.
SERIAL/CHASSIS NO.
PLATE NO.
FILE NO

:
:
:
:

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

Mortgagee

SIGNED IN THE PRESENCE OF:

___________________________
___________________________

REPUBLIC OF THE PHILIPPINES )

CITY OF
)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 2014.

Notary Public
Until _________________________
PTR: _________________________
IBP: _________________________
ROLL
No.

_________________________

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 2014.
_________________________

Notary Public
Until _________________________
PTR: _________________________
IBP: _________________________
ROLL
No.