PAGE ONE

LAST WILL AND TESTAMENT

of

____________________________

KNOW ALL MEN BY THESE PRESENTS:

I, ___________________ of legal age, married to ________________, a native of

________________________________, having been born on the ____ day of _________,
19____, now actually residing at _______________, being of sound and disposing mind and
memory, and not acting under the influence, violence, fraud or intimidation of whatever kind, do
by these presents declare this to be my Last Will and Testament which I have caused to be
written in English, the language which is known to me. And I hereby declare that:

I. I desire that my remains be buried according to the rites of the Roman Catholic
Church and with dignity suitable to my circumstances;

II. I hereby totally, absolutely and unconditionally disinherit my spouse

______________ due to his sexual infidelity and cohabitation with another woman
since ___________, giving me a just cause to file for legal separation;

III. I give and bequeath to my children ___________________, _________________,

and __________________, in equal shares, all my other property, real and personal,
whatsoever and wheresoever located;

IV. I designate ________________ the sole executor of this Last Will and Testament, and
in his default or incapacity to act, my son ___________________, and in default or
incapacity of the latter to act, one of my other children in the order of priority in age,
if of age;

V. I hereby direct that the executor named herein or his lawful substitute should serve
without bond;

VI. I hereby revoke any and all my other wills, codicils, or testamentary dispositions
heretofore executed, signed or published, or alleged to have been executed, signed or
published, by me.

IN WITNESS WHEREOF, I hereunto set my hand this ____ day of _____________,

_______, in the City of Makati, Philippines.

____________________
Testator
 PAGE TWO

ATTESTATION CLAUSE

We the undersigned attesting witnesses, whose residences are stated opposite our
respective names, do hereby certify: That the testator, ______________ has published unto us
the foregoing will consisting of _______ pages numbered correlatively in letters on the upper
part of each page, as his Last Will and Testament and has signed the same and every page
thereof, on the left margin, in our joint presence and we, in turn, at his request have witnessed
and signed the same and every page thereof, on the left margin, in the presence of the testator
and in the presence of each and all of us.

_______________________ _________________________

_______________________ _________________________

_______________________ _________________________

JOINT ACKNOWLEDGMENT

BEFORE ME a Notary Public for and in the City of Makati, Philippines, this ____ day of __________,
2_____, personally appeared:

The testator, _________________, with Residence Certificate No. _____________ issued at

__________________ on ____________, _______;

Witness, __________________, with Residence Certificate No. _____________ issued at

__________________ on ____________, _______;

Witness, __________________, with Residence Certificate No. _____________ issued at

__________________ on ____________, _______;

Witness, __________________, with Residence Certificate No. _____________ issued at

__________________ on ____________, _______,

all known to me to be the same persons who signed the foregoing Will, the first as testator and the last three as
instrumental witnesses, and they respectively acknowledged to me that they signed the same as their own free act
and deed.

The Will consists of ____ pages, including the page on which this acknowledgment is written, and has been
signed on the left margin of each and every page thereof by the testator and his witnesses, and sealed with my
notarial seal.

IN WITNESS WHEREOF, I hereunto set my hand the day, year and place above written.

NOTARY PUBLIC

Doc. No. ____;

Page No. ____;
Book No. ____:
Series of ______.