WAIVER OF RIGHTS

KNOW ALL MEN BY THESE PRESENTS:

I, _______________________________________________, of legal, age, Filipino, and with address

at ______________________________ hereby declare under oath that:

1. I am one of the children of ____________________ and the late ____________________ and that my
parents owned a parcel of land, including all improvements thereon, identified as
_____________________ (herein referred to as the “Property”);

2. I hereby waive all my rights and interests in the subject Property;

3. I further declare null and void any and all other transactions or documents I made or executed concerning
the subject Property. I shall never lay any claim or put a lien over the subject Property as I have no more
interest in it;

4. I affirm that I have executed this instrument out of my own free will without force, intimidation or
violence upon our person and have no more claim or demand against the subject Property itself or its
assigns, any successors-in-interest or any third persons;

5. I shall not file any civil, criminal nor administrative case or suit against the new owner of the subject
Property, their assigns, their successors-in-interest or any third persons and free them from any kinds of
liability of whatsoever;

6. I executed this waiver with full knowledge of any consequences and with confidence, and for any legal
purposes it may serve.

IN WITNESS WHEREOF, I hereunto set forth my hand this_______________ in___________.

__________________
Affiant

Witnesses

___________________________ _______________________________

Republic of the Philippines}

______________________} S S.

ACKNOWLEDGMENT

BEFORE ME a NOTARY PUBLIC on this________________________ in

______________________, personally appeared the following:

Name: Identification Card No. Issued on:

_________________ ______________________ ______________________

Known to me to be the same person who acknowledged the foregoing instrument to be his voluntary
act and deed.

IN WITNESS whereof I have hereby signed and affixed my notarial seal on the date and place above
written.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of ________.