| Serial No.________________ | Original | |
| ________________________________ (Name of Bank) |
||
| CERTIFICATE OF ASSIGNMENT WITH RECOURSE |
Issue Date : ______________, 20__
FOR AND IN CONSIDERATION OF PESOS ____________________________________________ (P_____________),
______________________________________________________________ hereby assigns, conveys, and transfers
(Name of Assignor)
with recourse to ____________________________________ the debt of ____________________________________
(Name of Assignee) (Name of Principal Debtor)
to the Assignor, specifically described as follows:
(Description of Securities)
| Principal Debtor/s | Serial Number/s | Maturity Date/s | Face Value | Interest/Yield |
| _____________ | _____________ | |||
| TOTAL | P _____________ | P _____________ |
and Assignor hereby undertakes to pay, jointly and severally with the Principal Debtor, the face value of, and the interest/yield on, said debt securities. This assignment shall be subject to the terms and conditions on the reverse side hereof.
CONFORME:
| _________________________ (Signature of Vendee) |
_________________________ Duly Authorized Officer |
NOT INSURED WITH THE PHILIPPINE DEPOSIT INSURANCE CORPORATION (PDIC)
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___________________________________________________________________________________
TERMS & CONDITIONS OF CERTIFICATE OF ASSIGNMENT WITH RECOURSE
1. No Pretermination
Assignor shall not pay nor repurchase subject security/ies before the maturity date thereof.
2. Liquidated Damages
In case of default, Assignor shall be liable, in addition to interest, for liquidated damages of (amount or %), plus attorney’s fees of (amount or %) and costs of collection in case of suit.
3. Delivery/Custody of Securities
( ) Physically delivered to payee
( ) Evidenced by Custodian Receipt No. _______________ dated _______________ issued by ______________________________________.
4. Separate Stipulations
( ) This Agreement is subject to the terms and conditions of __(describe document)__ dated
________________, executed by __(name of party/ies)__ and made an integral part hereof.
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