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WITNESSETH
That the ASSIGNOR is indebted to the ASSIGNEE in the sum of
_________________ PESOS (Php__________________), Philippine currency,
and in full payment and complete satisfaction thereof, the ASSIGNOR does hereby
ASSIGN, TRANSFER, and CONVEY unto the ASSIGNEE that certain real estate
with all the buildings and improvements thereon, situated in
_________________________, and more particularly described as follows:
Of which real estate the ASSIGNOR is the registered owner, his title thereto being
evidenced by Transfer Certificate of Title No. __________ of the Register of
Deeds of ____________;
That the ASSIGNEE does hereby accept this assignment in full payment of
the above-mentioned debt of _____________________________ PESOS (Php
_______________________).
IN WITNESS WHEREOF, the partied hereto have set their hands this
______ day of __________ 20___, in _________________, Philippines.
___________________________
ASSIGNOR
___________________________
ASSIGNEE
___________________________
______________________________
ACKNOWLEDGEMENT
CITY OF_____________
S.S
Name
______________
_
______________
_
______________
_
____________________________
_
____________________________
_
____________________________
_
_____________________
_____________________
_____________________
Known to me to be the same person who executed the foregoing instrument, and
acknowledged that the same are their free act and deed.
This instrument, consisting of___ pages, including the page on which this
acknowledgment is written, has been signed on the left margin, of each and every
page thereof by______________________ and________________ and their
witnesses, and sealed with my notarial seal.
NOTARY PUBLIC
Commission Serial No._______
Until December 31, __________
Roll of Attorney_____________
IBP No.________
PTR No.________
Doc. No._____;
Page No._____;
Book No._____;
Series of _____.