DEED OF QUITCLAIM AND UNDERTAKING

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Quitclaim and Undertaking, made and entered by and among:

The heirs of the late ________________, namely:

1. _______________, of legal age, widow, ________________ National,

and a resident of ____________________;
2.

WITNESSETH:

WHEREAS, the above-named parties are the legitimate children and sole heirs of the
late _________________, who died intestate without will and testament on [DATE OF
DEATH] at [PLACE OF DEATH];

WHEREAS, the said deceased, at the time of his death left in a bank account,
cash/money deposited with _____________________ (bank), Balabag, Malay, Aklan,
Philippines, more particularly described as:

SAVINGS/CHECKING ACCOUNT

Bank: ___________________
Branch: ___________________
Account Name: ___________________
Account No. ___________________
Total/Available Balance: __________________

WHEREAS, pursuant to Rule 74, Sec, 1 of the Rules of Court of the Philippines, we
hereby adjudicate unto ourselves and claim the balance/money of above-described SAVINGS
ACCOUNT as the legal heirs of _______________;

THUS, we undertake to render the __________________, its officers, employees and

its assigns free and harmless and indemnify _________________, its officers, employees and
its assigns from any and all claims and liablities that may arise, directly or indirectly, from, in
connection with or incidental to the release of the balance/money in the subject account to
us;

WHEREFORE, for and in consideration of the foregoing premises, and upon our
actual receipt of the proceeds/money deposited in the subject account, We hereby freely and
voluntarily renounce, waive, quitclaim and forever release any and all claims and/or causes of
action which we may have against _________________________, its officers, employees and
assigns inrelation to the subject account in a manner that is absolute and irrevocable;

IN WITNESS WHEREOF, all parties have hereunto set their hands this
______________________ at __________________________
 ___________________
Heir/Affiant
Passport No. ________________
Issued on: ____________
Issued at: _____________

SIGNED IN THE PRESENCE OF:_____________________ & ____________________

REPUBLIC OF THE PHILIPPINES)

____________________________ )S.S.
____________________________ )
x------------------------x

BEFORE ME, a Notary Public, for and in the ____________________

personally appeared _____________________________ and __________, who are
known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged under oath that the same is their own free will, voluntary act
and deed.

WITNESS MY HAND AND SEAL on the date and place above-mentioned.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of 2019.