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REPUBLIC OF THE PHILIPPINES )

QUEZON CITY………………………) S.S.

WAIVER OF RIGHTS

We, John Rambo G. Garcia, Paul G. Garcia and Catherine G. Garcia, Filipino, all of
legal age, single, and with residence at Blk 300, Lot 11, Punay St. Brgy Rizal, Makati City, after
having been sworn to in accordance with law, do hereby depose and say that-

1. We are the legal beneficiaries of the 2LT Carlos T. Garcia 599662 PAF
(Ret/Dec’d);

2. Since we are legal beneficiaries, we are entitled to derivative retirement benefits


from our deceased father;

3. We were informed that there exist a DIFFERENTIAL in our payment which is


considered as receivables;

4. This differential in the pension is due to us as beneficiaries in equal shares;

5. In order to process and claim such differential/receivable, we hereby


WAIVE/CONVEY, TRANSFER our right in favor of our mother, Ma Victoria G. Garcia, such
sum as due or may be due to us from the benefits of our late father;

6. We are executing this affidavit as a requirement to claim to differential/


receivables from the derivative pension due us;

7. We are further executing this affidavit to attest to the truthfulness and veracity of
the foregoing facts and for whatever legal purpose it may serve and not intended to prejudice
third person.

IN WITNESS WHEREOF, I have set my hand this ____day of ________________, 2018


at __________________________.

John Rambo G. Garcia Paul G. Garcia


Affiant Affiant
ID Nr_______________ ID Nr_____________

Catherine G. Garcia
Affiant
ID Nr_____________

SUBSCRIBED and SWORN to before me, this ______day of _______________ 2018,


at Quezon City Affiants exhibiting to me their valid ID No’s
________________________________________________.

Doc. No.____;
Page No.___;
Book No.___;
Series of 2018.

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