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REPUBLIC OF THE PHILIPPINES )

Pasig City, Metro Manila ) S.S.

AFFIDAVIT OF WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, Angeli G. Villanueva Filipino, of legal age, a resident of 143 Roda 20 Project 8 Quezon
City, after having been sworn in accordance with law, hereby depose and state that:

1. I have an RTB account with (Bank name) and Account number .

2. That such account is named after me and my father Melquiades A. Gabriel.

3. That my father is still alive yet very ill and currently cannot affix his signature on any
document(s).

4. That because of this, we are opting to use my signature alone to effect the trade of the
aforementioned RTBs.

5. I will institute no action, whether civil, criminal, labor or administrative against


_______________, its directors, officers, employees, agents and clients.

6. I declare that I have fully understood the contents of this document, and that the document
has been explained to me in a dialect / language I understand.

7. I further declare that I voluntarily and willingly executed and signed this Release, Waiver and
Quitclaim with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand at _________, this 19th day of July 2021.

Angeli G. Villanueva

Affiant
SIGNED IN THE PRESENCE OF:

_____________________ ____________________

Witness Witness

SUBSCRIBED AND SWORN to before me, a Notary Public in and for Pasay City, Philippines, this 19th
day of July, 2021 came and appeared the affiant with _____ID______issued on _______ at ______
and valid until ______________.

SIGNED IN THE PRESENCE OF:

_________________________ _________________________

Republic of the Philippines)

________________________) S.S.

SUBSCRIBED AND SWORN TO before me this _________________ 2012 at __________________,


affiant exhibiting to me his Community Tax Certificate No. _________________ issued at
__________________ on _____________________.

Doc No. ______;

Page No. ______;

Book No. ______;

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