Вы находитесь на странице: 1из 1

DEED OF ASSIGNMENT

KNOW ALL MEN BY THESE PRESENTS

I, NOLAND B. BENGAR, of legal age, single, Filipino and a resident of


Zone 5, Doyugan, Sinaloc, El Salvador City, hereby declare as follows, that:

I am a plan holder of St. Peter Life with Policy No. L137095940 that had
already been fully paid.

For good and valuable consideration, the receipt of which is hereby


acknowledged by me from ROMEO BALABA RATO, likewise of legal age, single,
Filipino and a resident of Zone 1 Brgy. Loguilo, Alubijid, Misamis Oriental, do
hereby assign, cede and transfer in a manner absolute and irrevocable unto
said ROMEO BALABA RATO, her heirs and assigns, all my rights and interest
over the said Life Plan Policy.

IN WITNESS WHEREOF, I have hereunto set my hand this ______________


at Cagayan de Oro City, Philippines.

NOLAND B. BENGAR
Assignor
CTC No. _______________
Issued on _____________
Issued at ______________

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________

ACKNOWLEDGMENT

Republic of the Philippines )


City of Cagayan de Oro ) S.S.

BEFORE ME, a Notary Public for and in the City of Cagayan de Oro, this
_____________________ personally appeared the above-named person, known o
me and to me known to be the same person who executed the foregoing
instrument and he acknowledged to me that the same is his own free and
voluntary act and deed.

WITNESS MY HAND AND SEAL…

Doc. No. _______


Page No. _______
Book No. _______
Series of 2018.

Вам также может понравиться