(Deed of Revocation of Donation)

DEED OF REVOCATION OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

That, I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, by virtue of a certain public instrument made
and executed on _____________ at _____________, Philippines, and entered on the
Notarial Register of Notary Public _____________ as Doc. No. ______, Page No. ______,
Book No. ______, Series of ______, did voluntarily and freely give, by way of
DONATION, unto _____________, who is also of legal age, Filipino, (single / married /
widow), and a resident of _____________, Philippines (hereinafter referred to as the
"DONEE"), a certain parcel of land more particularly described as follows:

(Technical Description of Property)

WHEREAS, the DONEE undertook to render support to the undersigned

DONOR such that the undersigned then willingly and voluntarily donated the
aforementioned parcel of land to the DONEE.

WHEREAS, in an act of ingratitude, the DONEE has refused to, still refuses and
continues to refuse to give support to the DONOR.

NOW, THEREFORE, I, _____________, by virtue of Article 765 of the New Civil

Code, do hereby REVOKE, AVOID, and CANCEL the above-mentioned donation, and
demand from said DONEE, _____________, the immediate reconveyance of title of the
above-described property in the name of the undersigned and turn-over of possession
thereof from the date hereof.

_____________, Philippines, _____________, 200__.

 DONOR

SIGNED IN THE PRESENCE OF:

__________________ __________________

(ACKNOWLEDGMENT)