Republic of the Philippines)

Province of Cagayan ) S.S.

Municipality of Alcala )

AFFIDAVIT OF WAIVER OF RIGHTS

We, _______________________ and ______________________, both of legal age,

Filipino citizens, and residents of ______________________________, after first having been
duly sworn to in accordance with law depose and say that:

1. That we are the legal heir of ______________________, who died intestate at Alcala,
Cagayan;

2. That the deceased at the time of his death left a real property which is more
particularly described as follows:

TCT NO. _________

“A parcel of land designated as lot no. ________________ situated in the barrio of
_______________, Municipality of Alcala, Province of Cagayan, Island of Luzon.
Contining an area of ______________________________) square meters more or less.”

3. Being the legal heirs, we hereby waive and relinquish all our rights and interests over
a PORTION of the above-described parcel of land with an area of
__________________________ (______) SQUARE METERS INCLUDING ALL
ITS IMPROVEMENTS in favor of _____________________________;

4. We have executed this Affidavit freely, voluntarily and intelligently to attest to the
truth of the foregoing and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set forth my hand this __ day of _____, 2022
in Alcala, Cagayan.

___________________________ ___________________________
Heir Heir
ID: ID:

SUBSCRIBED AND SWORN to before me this __ day of _____, 2022 in Alcala,

Cagayan.

Doc. No.
Page No.
Book No.
Series of 2022.