Republic of the Philippines

PROVINCE OF BOHOL SS
City of Tagbilaran

AFFIDAVIT OF WAIVER OF RIGHTSAND QUITCLAIM

WE, AAAAAAAAAAAAAAAA, RRRRRRRRRRRRRRRRRRRRRR, HEIRS OF VICTOR

BBBBBBBBBBBBBBBBB represented by BBBBBBBBBBBBBBBBBB represented
by:________________________, and LLLLLLLLLLLLLLLLLLLL (Single), Filipinos, all married and residents at
West Poblacion, Alburquerque, Bohol after having been duly sworn in accordance with law, do hereby depose and
say:

1. That we are children of the late GGGGGGGGGGGGGGGGGGGG married

OOOOOOOOOOOOOOOOOOOOOOOO(deceased);

2. That we understand that our father,GGGGGGGGGGGGGGGGGGGGGGGGGGin his lifetime was a

member of BOTETAM;

3. That he died on May 11, 2020 and as such being his compulsory heirs have all the legal rights for
whatever claims entitled to us, as his children and beneficiaries;

4. That we hereby decided to waive and quitclaim over such claims to our sister,
BBBBBBBBBBBBBBBBBBBBBBBBBBB

5. That We are making this waiver with mindful discernment, freely and voluntarily with full knowledge of
the consequences of the act;

6. That We are making this Affidavit of Waiver of Rights and Quitclaim for the purpose this may serve to
claim the BOTETAM benefits of our Father in favor of our sister, BBBBBBBBBBBBBBBBBBBBBBB

IN WITNESS WHEREOF,we have hereunto affixed my signature this _________________ at

_____________________________.

VVVVVVVVVVVVVVVVVVV BBBBBBBBBBBBBBBBB
Affiant/waivor Affiant/Waivor
I.D No.________________ I.D No._______________
Issued at ______________ Issued at _____________

____________________________

SUBSCRIBED AND SWORN TO BEFORE ME on the date and place abovementioned, affiant
exhibited to me his competent evidence of identity.
Doc.No.______;
Page No._____;
Book No._____;
Series of 2023