DONATION MORTIS CAUSA
KNOW ALL MEN BY THESE PRESENTS: _____________ , of lega I, _____________ legall age, age, Fili Filipi pino no,, (sin (singl glee !a"" !a""ie ie# # $i#o$%, an# a "esi#en& of ''''''''''''', Pilippines (e"einaf&e" )alle# &e *+ONOR*%
- an# _____________ _____________ , li.e$ise of legal age, Filipino, (single !a""ie# $i#o$%, an# a "esi#en& of ''''''''''''', Pilippines (e"einaf&e" )alle# &e *+ONEE*% WITNESSETH:
WHEREAS, &e +ONOR is &e &"/e an# "egis&e"e# o$ne" of a )e"&ain pa")el of lan#, !o"e pa"&i)/la"l0 #es)"i1e# as follo$s: (Te)ni)al (Te)ni)al +es)"ip&ion of P"ope"&0% NOW THEREFORE, fo" an# in )onsi#e"a&ion of &e lo2e an# affe)&ion &e +ONOR as fo" &e +ONEE, &e +ONOR #oes e"e10 TRANSFER, 3I4E an# 5ON4EY /n&o &e +ONEE, (ise"% ei"s, assigns an# s/))esso"s-in-in&e"es&, &e a1o2e-#es)"i1e# pa")el of lan#, &o &a.e effe)& /pon &e +ONOR6S #e!ise, s/17e)& &o &e follo$ing )on#i&ions: _____________, &e 89 Ta& so/l# _____________, &e spo/ spo/se se of &e &e +ONO +ONOR, R, s/"2 s/"2i2 i2ee (i! (i! e" e"%, %, &e &e /s/f"/)&/a"0 "ig&s o2e" &e a1o2e-#es)"i1e# pa")el of lan# sall pe"&ain &o e" #/"ing e" life&i!e
9 Ta& &e +ONEE +ONEE sall no& no& #ispose #ispose of, o" in an0 !anne", !anne", en)/!1e", en)/!1e", &e &e p"ope"&ies p"ope"&ies e"ein e"ein #ona&e# #/"ing &e life&i!e of &e sai# /s/f"/)&/a"0 ;9 Ta& Ta& &e +ONEE +ONEE e"e10 e"e10 a))ep& a))ep&ss an# "e)ei2 "e)ei2es es &is &is #ona&ion #ona&ion !a#e !a#e in (ise (ise"% "% fa2o" fa2o" 10 &e +ONOR, an# e"e10 !anifes&s (ise"% g"a&ef/lness fo" &e la&&e"6s gene"osi&0 an# li1e"ali&0 <9 Ta& f/"&e" f/"&e",, &e +ONOR +ONOR e"e10 "ese"2e "ese"2ess /n&o i!self i!self &e "ig& "ig& &o possess possess an# sell sell &e a1o2e-#es)"i1e# p"ope"&0, as &"/e o$ne" &e"eof, 1efo"e is #ea&, $i&o/& nee# of p"io" )onsen& o" app"o2al 10 &e +ONEE9
e"e/n&o &o se& o/" an#s, &is &is _____________ IN WITNESS WHEREOF , $e a2e e"e/n _____________ a& _____________ _____________ , Pilippines9
+ONOR
+ONEE
ATTESTAT ATTESTATION ION CLAUSE
WE, &e /n#e"signe# $i&nesses e"e10 a&&es& an# )e"&if0: Ta& &e fo"egoing +ONATION MORT MORTIS 5A=SA 5A=SA $as e>e)/&e e>e)/&e# # 10 _____________ an# )onsis )onsis&& of _____________ _____________ an# _____________ ( _____ _____ %
pages, in)l/#ing &is page $e"e &e A&&es&a&ion of Wi&ness an# &e a).no$le#g!en& 1efo"e &e No&a"0 P/1li) appea"s Ta& &is $as signe# 10 &e +ONOR an# &e +ONEE in o/" p"esen)e, an# $e a& &ei" "e?/es&, a2e signe# &ese p"esen&s on &e las& page e"eof, an# on &e lef&-an# !a"gin of ea) an# e2e"0 page, in &ei" p"esen)e, an# in f"on& of ea) an# e2e"0one of /s9
WITNESS
A++RESS
1. _____________________ ____________________________________ 2. _____________________ ____________________________________ 3. _____________________ ____________________________________
REP=BLI5 OF THE PHILIPPINES% P"o2in)e of ''''''''''''''''''''% S9S9 5i&0M/ni)ipali&0 of '''''''''''''% >-------- ----------- ----> ACKNOWLEDGMENT BEFORE ME, a No&a"0 P/1li) fo" an# in &e (P"o2in)e5i&0M/ni)ipali&0% of ''''''''''''', pe"sonall0 appea"e# &e follo$ing pe"sons, $i& &ei" "espe)&i2e 5o!!/ni&0 Ta> 5e"&ifi)a&es as follo$s:
Na!e 89 +ONOR 9 +ONEE ;9 WITNESS <9 WITNESS @9 WITNESS
59T959 No9
+a&e Pla)e Iss/e#
''''''''''''' ''''''''''''' ''''''''''''' ''''''''''''' '''''''''''''
''''''''''''' ''''''''''''' ''''''''''''' ''''''''''''' '''''''''''''
all .no$n &o !e an# &o !e .no$n &o 1e &e sa!e pe"sons $o e>e)/&e# &e fo"egoing +EE+ OF +ONATION MORTIS 5A=SA $i) &e0 a).no$le#ge# &o !e &o 1e &ei" f"ee an# 2ol/n&a"0 a)& an# #ee#, )onsis&ing of onl0 '''''' (''''% pages, in)l/#ing &is page in $i) &is a).no$le#g!en& is $"i&&en, #/l0 signe# 10 &e +ono", &e +onee an# &ei" &"ee (;% ins&"/!en&al $i&nesses on ea) an# e2e"0 page e"eof9 WITNESS MY HAND AND SEAL Pilippines9
&is ''''''''''''' a& ''''''''''''',
NOTARY P=BLI5
+o)9 No9 '''''' Page No9 '''''' Boo. No9 '''''' Se"ies of ''''''
