REPUBLIC OF THE PHILIPPINES)

AFFIDAVIT OF WAIVER

I, _______________, of legal age, Filipino citizen, married and a resident of Brgy.

________________, Philippines, after having been duly sworn to in accordance with law,
do hereby depose and say:

That I am previously the owner of a motorcycle including its franchise and more
particularly described as follows:

Make Yamaha
Type of Body MC W/ SIDECAR
Engine No. 123456
Chassis No. 789101
Cert. of Reg. No. 11166678-5
Official Receipt No. 0001292000
Franchise No. MAL-12345

That the ownership of the above-mentioned motorcycle together with its franchise
was already transferred in the name of _____________ by virtue of Deed of Sale of
Motorcycle including its Franchise executed on ______ before Notary Public ________
per Doc. No. ___; Page No. __; Book No. ____; Series of ____;

That in view of the foregoing, I hereby WAIVE, CEDE, and RELINQUISH all my
rights, claims, interests whatsoever in the above-mentioned motorcycle in favor of the
new owner, ___________;

That I am executing this affidavit to attest the truth of the foregoing facts and to
therefore request the _______ to process the cancellation of the franchise in my name and
thereafter transfer the same to ___________ and for the Land Transportation Office
(LTO) to register the same in the name of ___________.

           IN WITNESS WHEREOF, I have hereunto affixed my signature on this ______

day of ____________________ at Kalibo, Aklan, Philippines.

_________________________
Affiant
ID No. _______________

SUBSCRIBED AND SWORN to before me this _____ day of

_________________ at _______, affiant has satisfactorily proven to me her identity
through his Valid Identification Number as above-indicated and she acknowledged to me
that she executed the foregoing affidavit freely and voluntarily and she understood the
contents thereof.