SAMPLE FORM UNDER ACT 496 OF LEASE OF LAND REGISTERED UNDER SAID
ACT
I, ________________________________, of ________town/municipality_______,
in the Province of ____________________, in the Republic of the Philippines, in
consideration of the agreements hereinafter contained, do hereby lease unto
___________________________, of _______________________, in the Province of
_______________________,
Republic
of
the
Philippines,
married
_______________________ and his assigns (if the lease is to be assignable), that the
parcel of land, together with all the buildings and improvements thereon, situated in the
municipality
of
_______________________,
in
the
Province
of
_______________________, Republic of the Philippines, bounded and described as
follows (here insert boudaries and description), of which land I am the registered owner in
accordance with the provisions of the Land Registration Act, my title thereto being
eveidenced by Certificate Number _______________ in the land records of said province,
for the period of ______________ (__) years from this date.
And I, the said lessee, in consideration of this lease, do hereby promise, for myself
and my heirs and assigns, that I will cause to be paid to the said
_______________________ (lessor), as annual rental (or monthly rental) of
_______________________ pesos, per year (or per month, as the case may be) during
the whole period of this lease, payable on the _____th day of __________ of each year
(or at such other times as may be agreed upon).
______________________________________________________________
______________________________________________________________
(Other special agreements of the lease may be here inserted).
______________________________________________________________
______________________________________________________________
In witness whereof, the parties hereto have subscribed their names this ___th day
of ______________, 20____, at ________________, Philippines.
_________________________________
Lessor
SIGNED IN THE PRESENCE OF:
____________________________
____________________________
__________________________
Lessee
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
)
PROVINCE OF __________________ ) S.S.
MUNICIPALITY OF _______________)
BEFORE ME, a Notary Public in and for the Province of _______________,
Municipality of _______________ on this day personally appeared:
Name
Com. Tax Cert. No.
Date & Place of Issue
____________________
_______________
____________; _______________
____________________
_______________
____________; _______________
____________________
_______________
____________; _______________
____________________
_______________
____________; _______________
____________________
_______________
____________; _______________
known to me and to me known to be the same person who executed the foregoing
instrument and who acknowledged to me that the same is their own free and voluntary act
and deed and that of the corporation they represent.
WITNESS MY HAND AND SEAL this _th day of ____, 20__ at ________________.
Doc. No. ____
Page No. ____
Book No. ____
Series of 20__
ATTY _________________________________
COMMISSION NO. _______________________
NOTARY PUBLIC for _____________________
UNTIL DECEMBER 31, 20__
OFFICE: ________________________________________
ROLL NO. ________ ADMMITTED AT BAR: ___________
IBP NO. ________ ; __/__/__ ; _________________
PTR NO ________ ; __/__/__ ; _________________
MCLE COMPLIANCE No. __________; __________
