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WAIVER AND UNDERTAKING

I, EMPRESSION F. BARBADILLO, is the sister of the deceased, MR. REGIDOR


FIGURACION, (age) and presently residing at 763 Marbella Circle, Chula Vista, CA 91910,
USA and hereby expressly waive and undertake before the Office of _______________.

1. That my deceased brother, MR. REGIDOR C. FIGURACION, legally married to


_______________________;
2. That out of their marriage they begot one (1) child named ___________________ who
also died last ______________ with three (3) children namely ___________________,
___________________, ________________________;
3. That the above mentioned children of the deceased were born out of wedlock (parents
are not legally married);
4. That my deceased brother _________________________ died last and left deposits,
monetary considerations in the forms of monthly pension from ________________ to the
bank and he left without any written will;
5. That I am his sister and/or surviving heir of my deceased brother, I am waiving any
rights, claims and whatever monetary considerations owned or due to my brother,
particularly his monthly pension in the amount of ____________________/month which
is directly transmitted or deposited to China Bank, Laoag Branch to his grandchildren.
6. That I undertake not to file any action against them and also not to ask any consideration
from the amount to be released to them;
7. That the above-mentioned statements are herein understood and I agree upon it for
whatever purpose it may serve.

Executed and signed this day of ____________ 2011 at ______________________


_____________.

EMPRESSION F. BARBADILLO

SUBSCRIBED AND SWORN to before me this ________ day of __________, 2011 at


________________, affiant exgibited to me/his/her Residence Certificate No. ____________
issued at _________on _____________.

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