That I, ILUMINADA LAGONERO BIAZON with a registered address at
POROK 2 BALUBAL 4322 SARIAYA QUEZON PHILIPPINES hereby acknowledge that I have received the amount of ONE HUNDRED FIFTY THREE AND THIRTY SEVEN CENTAVOS (₱153.37) Philippine currency, as full settlement of my claim arising out of and in connection with the inability to access and use involving my GCash Account Number 09309371252 on MAY 11, 2023. In consideration of the foregoing: 1. It is understood that my GCash account underwent validation in relation to the Enhanced Due Diligence Procedure pursuant to the Money Laundering and Terrorism Prevention Program and the same was undertaken with due notice and without malice on the part of GXchange, Inc., (GXI). 2. The validation of my account may take longer than expected and I may not be able to use my funds therein and therefore I requested GXI to just release the same and close my said account. GXI has therefore released the ONE HUNDRED FIFTY THREE AND THIRTY SEVEN CENTAVOS (₱153.37) out of its outstanding customer relations and I hereby release and forever discharge GXI and all its officers and employees from any and all claims and causes of action of any kind or nature whatsoever concerning the amount mentioned above; 3. I acknowledge that I have received all amounts that are now due me from GXI; 4. Accordingly, I hereby close my said GCash Account and hereby request GCash to close the same; 5. I will not at any time in any manner whatsoever directly or indirectly disclose to any person or entity any information of any kind relating to or arising out of my claim subject matter of this quitclaim, otherwise I undertake to pay GXI the liquidated damages equal to the amount (₱807.55). 6. I acknowledge that I and my children have no cause of action whatsoever against GXI, its officers, directors, employees in respect of any matter incident to or arising out of my claim which was settled by GXI, to my full and complete satisfaction. I further warrant that I will institute no action and I will not continue to prosecute pending action, if any, against GXI, 7. Nothing herein shall be taken by my heirs or assigns as a confession and/or admission or the liability on the part of GXI, its officers, agents or employees for any matter, cause or demand or damages I and my children may have against any or all of them, of which I and my children have none. I finally declare that I have read and understood this document and the Release, Waiver and Quitclaim hereby given are made willingly, freely and voluntarily and with full knowledge of my rights under the law. IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _____________ 2023, in the City of _________________, Philippines.
ILUMINADA LAGONERO BIAZON
SIGNED IN THE PRESENCE OF:
______________________ _______________________
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
CITY OF _______________________) S. S. BEFORE ME, a Notary Public in the City of ______________, Philippines this _____ day of _____________________ personally appeared ______________ with _______________________ ID Number No. ________________issued at _____________ on ______________ and, known to me and to me known to be the same person who executed the foregoing Release, Waiver and Quitclaim and he acknowledge to me that the same is his free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place above
written.
NOTARY PUBLIC
Doc. No._____ Page No._____ Book No._____ Series of 2023.