REPUBLIC OF THE PHILIPPINES )

_______________________ ) S.S.

WAIVER & QUITCLAIM

I/We,____________________________________________________________,
single/married of legal age, citizen/s of the Philippines and with postal and resident/s of
___________________________, after being duly sworn to in accordance with law,
hereby depose and state:

That for and in consideration of the payment due to me/us, in the amount of
______________________________________________________(P_____________)
for my/our complete satisfaction, we, hereby absolutely release, completely clear,
and forever discharge the __________________________ from any action, cause of
action, liability, damages, claims and demands whatsoever, which in law or in equity we
have, or which we, our heirs, insurer, successors and assigns hereafter may have upon
in two (2) parcels of land covered by the Original Certificate of Title No.
______________ of the Registry of Deeds of _________________, located at
__________________________________, containing an area of 10,000 square
meters;

That furthermore I/we hereby waive, renounce and quit claim all my/our rights,
interests, participation and other claims over the parcel of lands;

That I also hereby waive my right to file any action against

_______________________and any person who may lawfully acquire the said
property with respect to the above-stated claim;

That I also hereby release, remise and forever discharge

_______________________and any person who may lawfully acquire the said
property;

I will not at any time, in any manner whatsoever, directly or indirectly engage in
any activity prejudicial to the interest of any other beneficiary of with respect to the
above-stated properties;

That I have executed this waiver freely and voluntarily and to attest the foregoing
facts for whatever legal purpose it may serve;

IN WITNESS WHEREOF, We have hereunto affixes my signature this _____ day

of _____________________ at ___________________.

_____________________ _____________________
Affiant Affiant

SIGNED IN THE PRESENCE OF:

__________________ __________________
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

____________________________ ) S.S.
PROVINCE OF LAGUNA )

Before me a Notary Public for and in _____________________ this ____ day of

___________________ personally appeared:
Name: Competent Proof of Identity
________________________ ___________________________________________
________________________ ___________________________________________

who acknowledged to me that they are the same persons who signed, prepared and
executed this instrument and they acknowledged before me that the same is their free
act and voluntary deed.

WITNESS MY HAND AND SEAL on the date and at the place first above written.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of 2024