of Legal Age, Filipino Citizen, and A Resident of
of Legal Age, Filipino Citizen, and A Resident of
of Legal Age, Filipino Citizen, and A Resident of
: __________________________
: __________________________
: __________________________
Plate No.
OR No.
CR No.
: __________________________
: __________________________
: __________________________
Therefore, in consideration of the exchange of promises contained herein and other valuable
consideration we, the Owner and User, agree as follows:
1)
User will indemnify and hold harmless the Owner from and against all losses, claims, suits
or other legal liability and legal expenses of any nature imposed upon or brought against them
by reason of any act or omission of the User or its agent or employees in the course of the use of
the above vehicle.
2)
User will inspect the vehicle and will return the above in the same condition as prior to use
or will pay to have them restored to that condition.
3)
4)
5)
IN WITNESS WHEREOF,
_________________________.
we
hereby
______________________________________
Owner
_______________________________
_______________________________
affix
our
signatures
____
day
_________________________________________
User
_______________________________
_______________________________
this
ACKNOWLEDGMENT
of
BEFORE ME Notary Public, on the date and place first above-mentioned personally appeared
the above named parties with their competent evidence of identity already appearing below their
names and signatures, known to be the same persons who executed the foregoing instrument, and
acknowledged to me that the same is their voluntary act and deed.
Witness my hand and seal.