WAIVER OF RIGHTS

We,
________________,
of legal age, Filipino, single, a resident
of _________________________________________ and
______________________________,
of legal age, Filipino, married
anda resident of ___________________________________
_________, afterhaving been duly sworn to in accordance with
law depose and say:
1.
That we are the legal heirs of the late
___________________,
whodied on ______________ at
________________________________;
2.
That during her lifetime, she was an active memb
e r a n d a l a w f u l holder of St. eter !ife lan with "ontract #o.
______________;
3.
That,
________________
do hereby waive, relin%uish, %uitclaimand renounce any
and all of my rights and interests, whatsoever,
overt h e a f o r e s a i d ! i f e l a n $ n s u r a n c e
i n f a v o r o f m y s i s t e r ,
______________________.IN WITNESS WHEREOF
, w e h ave h e r e u n t o af fi & e d o u r s i g n a t u r e s this
___________ at __________________________.
__________________ _________________
Affiant Affiant