Professional Documents
Culture Documents
I/We:
after having been duly sworn to in accordance with law do hereby depose and say that:
1. I/We am/are the sister and the sole heir(s) of the late MICHAZEL
LOPEZ MALANA (the “deceased”) who passed away on September 17, 2016.
accordance with Section 1 of Rule 74 of the Revised Rules of Court and other applicable
provisions thereof. I/We hereby certify that I/we have complied with all the requirements
provided under Section 1 of Rule 74 of the Revised Rules of Court (the “Rules”) as well
as under all applicable provisions of the said Rules and other laws, rules and regulations
regarding settlement of the estate of the deceased, and that I/we have paid all the taxes
due from the said estate.
9. I/We hereby finally attest that I/we have read and fully understand
this Deed of Release and Quitclaim with Undertaking as well as the legal implications
thereof, and that I/we hereby express my/our complete agreement and conformity
thereto willingly, voluntarily, without reservation on my/our part and with full knowledge of
my/our rights under the law.
IN WITNESS WHEREOF, I/we hereunto set my/our hand(s) this ___th day of
____________ 20__ at ________________, Philippines.
3
________________________ ________________________
(Signature over Printed Name) (Signature over Printed Name)
____________________________ _____________________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of Cagayan de Oro personally
appeared:
Competent Evidence
of Identity No.
Place and Date of Issuance;
Name (i.e. Passport/Driver’s
Date of Expiration
License No./
SSS ID etc.)
Micha Chernobyl Lopez Malana Passport No. P3186630A DFA DUMAGUETE/Valid Until
25 May 2022
known to me and to me Deed of Release and Quitclaim with Undertaking and they
acknowledged to me that the same is his/her/their free and voluntary act and deed.
The said Deed of Release and Quitclaim with Undertaking consists of three (3) pages
including this page on which the acknowledgment is written, duly signed by the party(ies) and
his/her/their instrumental witnesses on each and every page hereof.
Doc. No._ ;
Page No. _ ;
Book No. _ ;
Series of 2018.