RELEASE, WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

I, ____________________, of legal age, Filipino, single and presently residing at

____________________, for and in consideration of the sum of Pesos:
____________________, receipt whereof in two (2) installments – (i) fifty percent (50%)
shall be deposited to ____________________ and (ii) the remaining balance thereof shall
be given personally upon the return of the items purchased, is hereby acknowledged from
____________________, representing for the refund in full the items purchased from
her, particularly, ____________________, hereby declare and accept that I have no more
right or interest of any kind whatsoever from her upon signing this agreement, and I further
state that:

1. I will remove all ____________________;

2. I finally declare that I have read and understood this document of Release Waiver and
Quitclaim which is hereby given and made willingly and voluntarily and with full
knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this ____ day of

_________ 2019, at ____________, Philippines.

_________________________
Affiant

Signed in the presence of:

________________________o0o_________________________