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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
ROSEMINDA A. VARONA
ACKNOWLEDGEMENT
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.
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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.
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Book No. ;
Series of 2015;