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-and-
-WITNESSETH-
That I, the VENDOR is the lawful and registered owner of a certain motor vehicle and
more particularly described as follows:
BRAND: ___________________
MODEL: __________________
TYPE OF BODY: __________________
YEAR MODEL: ______________________
PLATE NO.: _______________________
MOTOR NO.: ____________________
COLOR: ________________________
SERIAL/CHASSIS NO.: ___________________
That I, the VENDOR, further declare that the said described motor vehicle is
free from liens and/ or encumbrances and shall defend its ownership from any/all
claim/s whatsoever.
And further that the registration certificate for the said Motor Vehicle be
transferred in the name of the VENDEE by virtue hereof and in the manner provided by
law.
_________________________ __________________________
(Vendor) (Vendee)
Signed in the Presence of:
____________________ _______________________
ACKNOWLEDGEMENT
WITNESS MY HAND AND SEAL, at the place and first above written.
Notary Public