Republic of The Philippines

Department of Education
Region IV-A CALABAR!"
Di#ision of Laguna
District of Lumban-$ala%aan
Balubad Elementary School
Lumban
WAIVERFOR CLAIMS ON ADDITIONAL EEM!TION
To &hom It 'a% Concern(
I) Louie Pette !) Abadier *ith Res) Cert) "o) ++++++++++++++++++++++, issued at
+++++++++++++++++++++++++++++++++++++ on ++++++++++++++++++++++++++++
personall% *ai#e m% right to claim the additional e-emption of m% children namel% (
$risha Louel% C) Abadier and .#on /hamce% 0re% C) Abadier, for m% *ife *ith Res)
Cert) "o) ++++++++++++++++++++++, issued at ++++++++++++++++++++++++++++ on
+++++++++++++++++++++++++++)
This certification is issued for an% legal purposes it ma% ser#e)
L!1IE PETTE !) ABADIER
23usband /ignature !#er Printed "ame4