REPUBLIC OF THE PHILIPPINES )

City of ___________________ ) S.S.

AFFIDAVIT OF WAIVER OF RIGHTS

KNOW ALL MEN BY THESE PRESENTS:

I, ___________________, of legal age, Filipino and a resident of

_____________________________, Philippines, after having been sworn to in accordance
with law, hereby depose and say:

a. That I am no longer interested over the parcel of land

covered by Transfer Certificate of Title No. _____ (Lot _________
consisting of ________ square meters, more or less and Lot _______
consisting of ______ square meters, more or less ) registered under the
name of ____________________ and made subject of a Deed of
Extrajudicial Settlement of ______________________’s Estate;

b. That I voluntarily waive my rights and interests over the

above-described parcel of land in favor of my legitimate children,
____________________________________________________, their heirs and
assigns, for and in consideration of my love and concern for them;

c. That I recognize them as the absolute owners of the above-

described parcel of land;

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

__________________ at ________________________.

___________________________________ ___________________________________
ID No. ID No.

married to ___________________________________
___________________________________ ID No.
ID No.

___________________________________ ___________________________________
ID No. ID No.

Signed in the presence of:

REPUBLIC OF THE PHILIPPINES )

1
________________________________ ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in ____________________________, this

_________________, personally appeared ________________________________________
and exhibited to me their current identification documents as indicated above,
personally known to be the same persons who signed and executed the foregoing
instrument in the presence of their instrumental witnesses and that they acknowledged
that the same is their own free will and voluntary act.

This instrument refers to a Special Power of Attorney consisting of two (2) pages,
including the page on which this acknowledgement is written, and which has been
signed on the first page thereof by the above-named persons and their witnesses.

WITNESS MY HAND AND SEAL on _______________ in

_________________________.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2023.