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REPUBLIC OF THE PHILIPPINES)

IN THE CITY OF DAVAO . . . . .)S.S.

WAIVER

I, [name], of legal age, married, Filipino and a resident of [address], after having been
duly sworn to in accordance with law, do hereby depose and state that:

1. I am the daughter of [names of parents]. Both have an existing Philippine National Bank
(PNB) Peso joint account with [account number];

2. As the daughter of the late [name], I understand that I am interested in his estate – which
includes the amount in herein account;

3. Nevertheless, I agree that my sister, [name], be substituted in the stead of my father in the
aforesaid account. With full comprehension of the potential consequences of this action,
she may now hold the aforesaid account jointly with my mother, [name of mother];

4. I hereby acknowledge that I have carefully read this Waiver, understand the contents
thereof, and am executing it voluntarily of my own free well.

IN WITNESS WHEREOF, I have hereunto set forth my hand this _____ day of
____________________ at Davao City, Philippines.

[name of affiant]
Affiant
[identification card presented]

SUBSCRIBED AND SWORN TO BEFORE ME this ____________________ at


Davao City, Philippines.

Doc. No.
Page No.
Book No.
Series of 2020

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