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I, (Name of Principal), of legal age, single/married to (Name of spouse if any), Filipino, a resident of
(Address), do hereby name, constitute, and appoint (Name of Agent /Attorney-In-Fact), to be my true and
lawful attorney, for me and in my name, place, and stead, to do and perform the following acts and things
to wit:
To ask, demand, collect any and all sums of money, sue to recover debts, dues, accounts, dividends,
legacies, bequests, interests , and other things of value of whatever nature or kind as may now be or
may hereafter become due owing, payable or belonging to me, and to have, sue, and to take any all
lawful ways and means for the recovery thereof by suit, attachment, compromise or otherwise;
To make, sign, execute, and deliver contracts, agreements, documents and other writings of whatever
nature or kind, with any and all third persons, entities or concerns, upon terms and conditions acceptable
to my said attorney;
To delegate in whole or in part any all of the powers herein granted or conferred, by means of an
instrument in writing, favor of any third persons whom my said attorney may select;
HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever
requisite or necessary or proper to be done in and about the premises as fully to all intents and purposes
as I might and could lawfully do if personally present, with power of substitution and revocation, and
hereby, ratifying and confirming all that my said attorney or his substitute shall lawfully do or cause to
be done under and by virtue of these presents.
IN WITNESS WHEREOF, We have hereunto affixed our signatures this ___________ day of
____________________ , 20__ in ______________________, Philippines.
___________________________________ __________________________________
(Principal) (Agent /Attorney-In-Fact)
_____________________________ ______________________________
ACKNOWLEDGEMENT
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.
I hereby grant my representative full power and authority to execute and perform every act necessary
to render effective the power to compromise as though I myself have so performed it and hereby
approving all that he may do by virtue of these presents.
______________________
Principal
Conforme:
_____________________
Attorney-in-fact
______________________ ______________________
ACKNOWLEDGMENT
all known to me to be the same persons who executed the foregoing instrument consisting of
____ pages, including this page on which this acknowledgment is written, and who acknowledged to me
that the same is their free and voluntary act and deed.
CHATTEL MORTGAGE
That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of (Amount in Words)
(000,000.00), 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
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
That the condition of this obligation is that should the MORTGAGOR perform the obligation to pay the
hereinabove cited indebtedness of (Amount in Words) (000,000.00) together with accrued interest thereon,
this chattelmortgage 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 ____________ 20___ at
____ Philippines.
_______________________________ _______________________________
MORTGAGOR MORTGAGEE
_______________________________ _______________________________
ACKNOWLEDGEMENT
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public
Doc. No.______;
Page No. _____;
Book No.______;
Series of 20___.