FORM NO. 42.

Real Estate Mortgage KNOW ALL MEN BY THESE PRESENTS: I, (full name of mortgagor), Filipino, of legal age, married to _____________________________, and with residence and post-office address at __________________________________, for and consideration of loan in the sum of ________________________PESOS ( __________), Philippine currency, to me in hand paid by (full name of mortgagee), Filipino, of legal age, single/married to __________________________, and with residence and post-office address at __________________ ___________________, do hereby convey, by way of MORTGAGE, unto the said (full name of mortgagee), his/her heirs and assigns, that certain parcel of land, together with all the buildings and improvements thereon, situated in _________________________, particularly describes as follows: (Description) of which real property I am the registered owner in accordance with the provisions of the Land Registration Act, my title thereto being evidenced by Original/Transfer Certificate of Title No. ______ of the land registry of ______________________________: PROVIDED, HOWEVER, that if I, the said (full name of mortgagor) shall pay or cause to be paid to said (full name of mortgagee), his heirs or assigns, the sum of __________________________ PESOS ( _____________), within the period of __________________________ ( __________ )years from and after the execution of this MORTGAGE together with the interest thereon at the rate of ______________________ per centum ( _________ %) per annum, then this MORTGAGE shall be discharged and of no effect; OTHERWISE, it shall remain in full force and effect and shall be enforceable in the manner of the provided law. IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________, 20__ in _______________________, Philippines.

______________________________ (Mortgagor) With my consent: _______________________________ (Wife of Mortgagor) Signed in the presence of: ___________________________ ___________________________

ACKNOWLEDGEMENT