Republic of the Philippines ]

City of Tagbilaran ] S.S.

AFFIDAVIT OF WAIVER AND QUITCLAIM OF RIGHTS

WE, _____________________ and _____________________, the only surviving heirs,

being the grandsons, of _____________________, both married, of legal ages, and residents of
___________________, Philippines, after being duly sworn in accordance with law, hereby
depose and say, that:

1. That per DENR records, our grandfather ___________________ was indicated as the
survey claimant of Lot No. ___________ situated in _____________________;

2. That, however, in truth the said property was owned, possessed and cultivated by
_____________________;

3. That ____________________’s heirs sold the said property to

______________________________ per the extrajudicial settlement and sale executed
by the Heirs of ____________________dated ______________;

4. That as the only surviving heirs of our grandfather _______________________, we

hereby waive all our rights, interests and participation over the above property in favor of
the vendee, _____________________. per the extrajudicial settlement and sale executed
by the Heirs of _____________________;

5. That we execute this affidavit voluntarily to attest to the truth of the foregoing statements
and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, we hereunto set our hand this _________________ at

_________________________, Philippines.

_________________________ _________________________
Affiant Affiant
Valid ID: ______________ Valid ID: ______________

SUBSCRIBED AND SWORN to before me this _______________ at Tagbilaran City,

Bohol, Philippines.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of 2020.