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CHATTEL MORTGAGE

KNOW ALL MEN BY THESE PRESENTS:


This CHATTEL MORTGAGE, made and entered into by and betweenTESS BUZZ , of legal age, single, with postal address at Brgy. Sambag, Jaro, Iloilo
City, hereinafter known as the MORTGAGOR,
-and RIZAL COMMERCIAL BANKING INSTITUTION, a banking institution duly
organized under the laws of the Philippines, with principal office at 302 Roosevelt Avenue, San
Francisco Del Monte, Quezon City, Metro Manila, represented by its Jaro, Iloilo City Branch
Manager JOSIE C. DIZON, hereinafter known as the MORTGAGEE

WITNESSETH

That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of EIGTH
HUNDRED THOUSAND PESOS (PhP 800,000.00), Philippine Currency, receipt of which is
acknowledged by the MORTGAGOR upon the signing of this instrument, payable within a
period of three (3) years, with interest thereon at the rate of 10 % 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
: Honda Civic
SERIES
: 67
TYPE OF BODY: Coupe
YEAR MODEL :2010

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

: 5467893
: 52479
: FEW 456
: 700034

That the condition of this obligation is that should the MORTGAGOR perform the
obligation to pay the hereinabove cited indebtedness of EIGTH HUNDRED THOUSAND
PESOS (PhP 800,000.00), Philippine Currency, 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 28th day of
March 2015 at Iloilo City, Philippines.

TESS BUZZ
MORTGAGOR

JOSIE C. DIZON
MORTGAGEE

IN THE PRESENCE OF:

JOAN BLAIRE V. SIO

ROSEMINDA A. VARONA

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)


ILOILO CITY
) S.S
x------------------------------------------------x

BEFORE ME, personally appeared:


Name
TESS BUZZ
JOSIE C. DIZON

TIN
3489302
2390294

Date/Place Issued
January 5, 2009/ Iloilo City
May 3, 2010/ Iloilo 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 this 31st day of March 2015 at Iloilo City,
Philippines.

ATTY. VINCENT ENRIQUE A. VARONA


Notary Public for and in the City and Province of Iloilo
My Commission No. is 58
Expires on December 31, 2015
Varona Law Office, Alta Tierra Village, Jaro, Iloilo City
Roll of Attorneys No. 54321
PTR NO. 654321, 01/06/14, Iloilo City
IBP NO. 123456, 01/04/14, Iloilo City
MCLE Comp. No. IV-0009876, 01/02/14

Doc. No. ;
Page No. ;
Book No. ;
Series of 2015.
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.

TESS BUZZ
MORTGAGOR
TIN 3489302, 01/05/09, Iloilo City

JOSIE C. DIZON
MORTGAGEE
TIN 2390294, 05/03/10, Iloilo City

SUBSCRIBED AND SWORN to before me, this 31st day of March 2015, affiants
exhibiting to me their Tax Identification Card as shown above below their names as competent
evidence of their identities.

ATTY. VINCENT ENRIQUE A. VARONA


Notary Public for and in the City and Province of Iloilo
My Commission No. is 58
Expires on December 31, 2015
Varona Law Office, Alta Tierra Village, Jaro, Iloilo City
Roll of Attorneys No. 54321
PTR NO. 654321, 01/06/14, Iloilo City
IBP NO. 123456, 01/04/14, Iloilo City
MCLE Comp. No. IV-0009876, 01/02/14

Doc. No. ;
Page No. ;
Book No. ;
Series of 2015;

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