Amicable Settlement Sample
Amicable Settlement Sample
Amicable Settlement Sample
AMICABLE SETTLEMENT
WHEREAS, both vehicles involved were seized and taken into legal custody
by the Philippine National Police of Dipolog City – Traffic Management in
accordance with their rules and procedures.
WHEREAS, the owner of the Passenger Motorcab offers to pay PHP 15, 000
as payment for the cost of repair of the Mitsubishi Mirage, PHP 7,000 to be given
as partial payment and remaining balance to be paid in full upon the approval
and release of the insurance;
FINALLY, the parties hereby authorize the Chief of Police of PNP Dipolog City
Station to release the Mitsubishi Mirage vehicle with plate number ADO 8869
and PASSENGER Motorcab with plate number JY 7341.
IN WITNESS WHEREOF, we have hereunto affixed our hands this 5nd day
of June, 2018 at Dipolog City, Philippines.
________________________
Affiant
_________________________
Affiant
Represented by:
__________________________
_____________________ ___________________
ACKNOWLEDGMENT
This instrument, consisting of two (2) pages, including the page, has been
signed on the left margin of each and every page thereof by the concerned parties
and their witnesses, and sealed with my notarial seal.
NOTARY PUBLIC