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WAIVER Release and Quitclaim Vehicular Accident
WAIVER Release and Quitclaim Vehicular Accident
We, the spouses _____________ and _____________, both of legal ages, Filipinos,
and residents of _____________, Philippines, hereby , DECLARE AND MANIFEST:
We further warrant that we will institute no further action against the said
_____________ and/or his driver _____________ arising from, by reason of, or in
connection with, the aforementioned vehicular accident. We also manifest that the said
payment / settlement made by the said _____________ shall not be taken by us, our heirs,
our insurer or assigns, as a confession and/or admission of liability on the part of the said
_____________ or by his driver _____________ in connection with the aforementioned
accident.
IN WITNESS WHEREOF, we have hereunto set our hands this 19th day of February
at _____________, Philippines.
AFFIANT AFFIANT
AFFIANT
__________________ __________________
(ACKNOWLEDGMENT)