ANNEX A AFFIDAVIT OF UNDERTAKING OF CLAIMANTS TO DECEASED DEPOSITOR ACCOUNT Me, whose names, marital status and addresses are listed below: Name Relation to Decedent | nscate rae of spouse ater st marta) Complete Address ‘Additional rows may be added if needed are the co-depositors and/or surviving legal heir(s) of the late (herein referred to as Decedent) \We hereby state and undertake under oath that: 1, The Decedent died on at 2. Wwe are the only existing legal heir(s) or legal claimant(s) to the deposit funds of the Decedent. 3. IWe may be referred to singularly or collectively in this document as Claimant or Claimants. 4. llwe designate as mylour authorized representative in faciltating, transacting and executing any action or document necessary to withdraw the funds and close the account(s) of the Decedent in Enterprise Bank, Inc. (EB). 5. Should any legal heir or legal claimant be omitted from the distribution of the deposit proceeds of the Decedent, the authorized representative and/or the Claimants who Signed this Affidavit, not EBI, shall be solidariy liable in paying the share of the omitted heir(s)/claimant(s). For this purpose, the authorized representative and the Claimant(s) who signed this Affidavit undertake to receive from EB! the funds of the Decedent in trust for all other legal heir(s)/claimant(s) of the Deceased depositor. 6. The authorized representative and the Claimants shall solidarily make whole, hold free and harmless EBI from any claim, arising from the release of the Decedent's funds, that may be recovered by any omitted heir, claimant or third party including the cost incurred by EBI from resisting such claim.7. The authorized representative and/or Claimants irre’ whatever legal claims he/shelthey may have agains! withdrawal of the funds and closing of the single and/or join! vocably and knowingly waive t EBI in connection with the it account(s) of the Decedent. 8. The authorized representative and/or Claimants by affixing his/her/their signature on this Affidavit warrants that he/she/they has/have fully read and understood the provisions of this Affidavit. Done this at . Philippines. Claimant 4 Claimant 2 Claimant 3 Claimant 4 Claimant 5 Authorized Representative SUBCRIBED AND SWORN TO before me this Philippines, the Affiant(s) exhibiting the following IDs as competent proof of their identity: in Name Daie of issue Piace of issue [o] o] 4] e] x] =] esl Doc. No. Page No. Book No. Series of BIR FORM 2306 ANNEX B