Sample Promissory Note

For value received, I/We promise to pay jointly and severally to the order of the

ABC Multi-Purpose Cooperative

At its office located in Loyola Heights Quezon City.

The sum of _______________ Pesos (Php_________ ) Philippine Currency, with the interest at the rate of __________ per centum  ( ___ %) per month, from date hereof until paid, according to the following loan schedule:

Mode of Payment: ______________
Amortization: __________________
Type of Loan: __________________
Term: _________________________

In case of default in payment of any of the above stated installments shall be immediately become due and payable.

I/We bind myself/ourselves to ay ABC Multi-Purpose Cooperative , a sum equivalent one per centum (1%) per month of the outstanding balance of loan as penalty for inexcusable neglect to pay any amount of the loan when due,

In case of judicial or extra-judicial enforcements of this obligation or any part of it, the debtors waive all their rights under the provisions of Rule 39, Section 12 of the Rules of Court, and the borrower(s), co-maker(s) and indorser(s) shall pay jointly and severally ten percent (10%)  of the amount due on the note as attorney’s fees which in no case shall be less than Fifty Pesos (Php 50) exclusive of all costs and fees followed by law and as stipulated in the mortgage contract, if any.

DEMAND and DISHONOR WAIVED.  Holder may accept partial payment reserving his right of Resource against each and all indorsers.

I/We hereby agree and authorize ABC Mult-Purpose Cooperative to encumber, assign or sell to any person or entity any right, which may have under this NOTE and or any assignment, mortgage, lien, or other encumbrances constituted in favor of ABC Multi-Purpose Cooperative pursuant to the provisions of the Loan agreement and this Note if any.  The consent herein granted, recognized and acknowledged by me/us as a waiver to all intents and purposed, of whatever right I/we may have to notice of actual encumbrances or assignment.

Name of Borrower

Name of the Co-Maker

Legal Action Letter

January 30, 1998

Ms. Jen Woo
Villa Estrelita Subd.
Orani, Bataan

Dear Ms. Woo:

We very much regret to say that you have failed to settle your telephone bill in full or even in part in spite of three reminders.  I have directed to inform you that if you do not send your check in full settlement latest by the end of this week we shall instruct our lawyers to take the necessary legal steps to recover the amount long over due.

We hope you would respond to our appeals and do not allow the dispute to go overboard to avoid corresponding inconvenience to both the parties.  Therefore, we once again request you to send the check for full amount as soon as possible and inform us time to withhold the legal action.

Very truly yours,

Papa Chen

House Construction Certification

January 12, 2011

To Whom It May Concern:

Applicant Owner: Mr Edward Castro
Project Type: Bungalow Type
Complete Address: Sta. Cruz, Capitangan, Abucay, Bataan
Project Area: 145 sq.m.

This is to certify that the above – mentioned projects has been issued Barangay Certification subject to the following conditions that the proposed new construction should be in conformity with the National Building Code (P.D. 1096) and its corresponding implementing rules and regulations.

This certification is being issued upon the request of Mr. Edward Castro in connection with his application for Building Permit.

Issued this 21st day of January, 2000 at the Barangay Hall, Barangay Capitangan, Abucay, Bataan.

Teodoro Manlapid
Barangay Captain

Assignment of Share Capital/Savings Deposit

PN Number _____________


The I/We, ________________ member(s) of _______________, of legal age and residing at ___________________, Philippines in consideration of the sum of _____________________ (Php______) , my/our share capital/deposit with said cooperative/bank covered by Certificate of Share Capital No. _________ / Savings Account No. _________ issued to me/us and it is understood that said cooperative has full control of the said sum of ___________ (Php________) from and after this date, and that said amount cannot be withdrawn by the undersigned, our heirs and assignees, unless the loan granted to us by said Cooperative as well as the interest due thereon and expenses incurred have been full paid.  In the event tat said loan of ______________ (Php________ ) is not paid at maturity date or at any season whatsoever, said Cooperative is fully authorized and empowered to apply the same as payment o the loan herein mentioned.

IN WITNESS WHEREOF I/WE have hereunto affixed our signature at ____________________________________ on this ___________ day of ___________________, _______.



Cancellation and Discharge of Mortgage


That the RURAL BANK OF PILAR (BATAAN), INC.  the mortgage named in that certain real estate/chattel mortgage executed in its favor by Sps Manuel and Rachelle Banzon on April 26, 2001 duly registered in the Office of the Register of Deeds of Bataan on ______ on Page No. 33 Entry No. 415310 Inscription No ____________ File No. 5914 Vol.No. _________ Doc. No. 159; under Act No. 3344, the Spanish Mortgage Law having received the full consideration named as the condition of said Mortgage does hereby release and discharge the same, and (And does hereby forever authorize the Register of Deeds of Bataan, to endorse this cancellation upon Transfer Certificate of Title No. T-148247 to this Office, upon corresponding record book).

Executed at Pilar, Bataan, Philippines, this 31th day of May 2005.


Name and Signature of Witness

Name and Signature of Witness



At the locality above-mentioned, this _____ day of ________, 2005 personally came and appeared before me CYNTHIA P. RODRIGUEZ, VP/MANAGER of RURAL BANK OF PILAR (BATAAN), INC., with Community Tax Certificate No. _____ 06918819 issued at Pilar, Bataan on 01-04-05 known to me and to me known to be the same person who executed the foregoing instrument and acknowledge to me that the same is free and voluntary act and deed of the bank represented by her.  This instrument refer to the cancellation of real/chattel mortgage of One (1) parcel/s of land and consists of one (1) page which has been signed by the Mortgage and its witnesses and sealed with my notarial seal.

Until December 31, 20 __

Doc. No. _____
Page No. _____
Book No. _____
Series of  _____

Waiver and Permit Agreement

Dear Sir/Madam:

Good day!

We would like to inform you that 5th year Mechanical Engineering students of Bataan State University will be having a plant visit this coming Thursday and Friday (August 30-31, 2002) in various industrial and power plant in Bataan.  The activity aims to give insights to the students regarding the actual processes as related to the course, Industrial Processes and Plant Inspection.

Here are the lists of Industrial and Power Plant included in this plant visit:

Department of Defense (Lamao, Limay, Bataan)
Philippine Resins Industries, Incorporated (Batangas II, Mariveles, Bataan)
Bataan Nuclear Power Plant (Morong, Bataan)

In accordance to this plant visit, there will be a payment of Php 400 for the transportation including the fair to Subic, Zambales.  We decide to include Subic, Zambales so the students can unwind for a while, to enjoy the remaining hours of the tour and to make the most of the fee.

Thank you and God bless!

Respectfully yours,

Mr. Ron Allen Santos

I have carefully read this waiver and permission agreement and understand the terms and condition of it and agree to be bound thereby and give permission to my son/daughter to participate in this plant visit.

Signature over Printed Name



That I, Edwin M. Navarro, Filipino, of legal age, a resident of #281 Wawa St., Abucay, Bataan, is the lawful owner of a certain motor vehicle which is more particularly described as follows:

MAKE : Kawasaki
MOTOR NO.:  KC125EEB4873
PLATE NO. : TC-RL-1469
YEAR MODEL :  2001
FILE NO.:  0308-00000029061
C.R. NO.: 04719420

That for and in consideration of the sum of Twenty Five Thousand Pesos (P25.000.00) PESOS, Philippine Currency, receipt whereof is hereby acknowledged to my entire satisfaction, I hereby sell, transfer and convey by way of Absolute Sale unto Miriam L. Jaime, Filipino, of legal age, and resident of Siongo Subd. Abucay, Bataan, the above described motor vehicle, free from all liens and encumbrances.

IN WITNESS WHEREOF, we have hereunto affixed our hands this____ day of _______________ at ________________.

Edwin M. Navarro                              Miriam L. Jaime
Vendee                                              Vendor

Signed in the presence of:




Pag-ibig Notice of Approval

May 13, 2011

HL Account No. 456176478
Mr. Eduard Zonnia
Rosal St.
Abucay, Bataan

Dear Mr. Zonnia:

We wish to inform that your HDMF housing loan application for House Construction has been approved in the amount of Seven Hundred Fifty Thousand Pesos (Php 750,000.00)/

The loan shall bear an interest rate of Seven percent (7%) per annum.  However, we shall re-price the interest rate of your loan every three (3) years at rates based on prevailing market rates at point of re-pricing, which shall not exceed NINE (9%) per annum.  It shall be secured by your Real Estate Mortgage on certain property covered by TCT/CCT No. T-134267 by the Registry of Deeds of Bataan.

In line with this approval, you shall execute a Loan and Mortgage Agreement (LMA) in favor of the HDMF which shall be annotated on the TCT/CCT, whereupon you are to submit the following documents:

–    TCT/CCT in the name of borrower with proper mortgage annotation in favor of HDMF (Owner’s Duplicate copy)
–    Certified true copy of TCT/CCT in the name of borrower with proper mortgage annotation in favor of HDMF (RD’s copy)
–    Certified true copy of tax declaration of lot upon annotation of mortgage
–    Loan and Mortgage Agreement duly registered with Registry of Deeds bearing original RD stamp
–    Duly accomplished/notarized Promissory Note
–    Building/Electrical/Sanitary Plans and Permits duly approved by the building official
–    Occupancy Permit
–    Please refer to Annex “A” for other terms and conditions

You are automatically covered by an interim insurance from date of issuance of this notice up to takeout date.  The interim insurance premium shall be based on number of days from date of issuance of this notice up to date of the voucher, and shall be deducted from your loan takeout proceeds.  In case the effectivity period of this notice has lapsed but was later extended, the interim insurance coverage shall take effect from the date of extension.

Your upgraded contributions, net of mandatory contributions, shall be incorporated to your monthly payments.  However, if you are an individual payor/self-employed or POP member, both the mandatory and upgraded contribution shall be incorporated to your monthly payments.  In either case, said contributions shall be considered as contributions for the applicable month.

You are hereby requested to pay an additional of Two Thousand Pesos (Php 2,000.00) as processing fee upon loan takeout.

The HDMF guarantees to release net proceeds of the loan provided all loan documentation requirements are submitted to HDMF within ninety (90) calendar days from receipt of this advice, and the same are found to be complete, valid, and acceptable.  Otherwise, the loan shall be deemed cancelled.

Should you have any query regarding your application, please visit our office or call us at telephone numbers: (047) 481-3606 and 481-1181.

Very truly yours,

Asst. Dept. Manager

Application for Probation

Republic of the Philippines
Third Judicial Region
Branch I
Balanga, Bataan


-versus –


Accused, Dexter L. Santos, hereby applies for probation under the provisions of PD. NO. 968 and declares:

  1. That the accused is of legal age, married, and a resident of Brgy. Wawa St, San Fernando, Bataan;
  2. That he has been convicted of the crime of ‘VIOL. OF SEC. 16 ART. III OF R.A. 6425” as amended and was sentenced to suffer the penalty of six (6) months to two (2) years, four (4) months and one (1) day;
  3. That he has not began to serve the term of imprisonment imposed against him;
  4. That the crime for which he has been convicted is not an offence against the security of the state;
  5. That he has not been previously convicted by final judgment of any offense punished by imprisonment of not less than one (1) month and one (1) day and/or a fine of not less than Php500.00;
  6. That he has not been once on probation under the provision of PD 968 as amended.

Balanga City, Bataan, April 21, 1990.


Copy furnished:

Prosecutor’s Office
Balanga, Bataan

Bataan Parole and Probation Office
Balanga, Bataan

Affidavit of Change of Status

Affidavit of Change of Status

That I, AIKO HERRERA SANTOS, married, of legal age, Filipino and presently residing at Wawa Abucay, Bataan, after having been sworn to in accordance with law, hereby depose and state:

  1. That I was legally married to Jomari Santos on February 28, 2005 at Abucay, Bataan;
  2. That, per the Certificate of Registration and Official Receipt of my vehicle identified as NISSAN BLUEBIRD with Plate No. PTT-421, my status then is SINGLE and using the name AIKO M. HERRERA as my maiden name;
  3. That the names AIKO HERRERA SANTOS and AIKO M. HERRERA refers to one and the same person;
  4. That, I am executing this affidavit to attest to the truth of the statements and for other legal purposes that this may serve.

Affiant further sayeth naught.

Abucay City, Bataan        May 21, 2008


SUBSCRIBED AND SWORN TO, before me this ____day of ____, 2008 at Abucay, Bataan.

Doc. No. _____
Page No _____
Book No. _____
Series of 2008