DEED OF WAIVER OF RIGHTS

Know all men by these presents

That this Waiver of Rights is being executed this 6th day of August 2019, by and
between:

We, _____________________ of legal ages, Filipinos, and residents of

Osiao, Bacon District, Sorsogon City, Sorsogon after having been duly sworn
to in accordance with law, hereby declare that:

1. We are the surviving heirs of our mother, ______________ who died on

March 11, 2018 at Brgy. Basud, Poblacion, Bacon District, Sorsogon City;

2. During her lifetime, ____________ maintained a PPSTA-MAS Certificate

with No. __________ and NMRBS No. ______.

3. We,_______________, do hereby waive, transfer and convey all our rights,

interests and obligation over said PPSTA-MAS Certificate with No. ________
and NMRBS No. _________ left by our above deceased mother in favor of
__________________________ whose acceptance is manifested by her
signature below.

IN WITNESS WHEREOF, we have hereunto set our hands this 6th day
of August 2019 in Legazpi City, Albay Philippines.

NAME NAME

Accepted by:

NAME

WITNESSED BY:
_________________________ _________________________

ACKNOWLEDGEMENT

Republic of the Philippines)

City of Legazpi ) S.S

BEFORE ME, a notary for and in the City of Legazpi, personally

appeared:

known to me and to me known to be the same persons who executed the

foregoing Waiver of Rights and acknowledged to me that the same is their free
and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and place first above
written.

Notary Public
Doc. No._____;
Page No. _____;
Book No._____;
Series of 2019.