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Waiver of Rights - 1
Waiver of Rights - 1
AFFIDAVIT
(WAIVER/TRANSFER OF RIGHTS)
We, GIOVANNIE D. DANO and REY ANNE D. DANO, both of legal age,
Filipinos, single, and residents of San Jose, Sto. Tomas, Davao del Norte,
Philippines, after having been sworn to in accordance with law, do hereby
depose and state:
1. That we are the same affiants who personally and voluntarily caused
the preparation of this affidavit;
2. That we are the surviving heirs and children of the late German O.
Dano, who died on December 13, 2008 at Davao Regional Hospital,
Apokon, Tagum City;
4. That we hereby waive our rights on whatever claims from the Health
Insurance Corporation relative to the death of our father, German O.
Dano, in favor of our mother, ANNA D. DANO;
Doc. No.__________;
Page No.__________;
Book No.__________;
Series of 2009.