Professional Documents
Culture Documents
I/We:
after having been duly sworn to in accordance with law do hereby depose and say that:
1.I/We am/are the sister and the sole heir(s) of the late MICHAZEL LOPEZ
MALANA (the “deceased”) who passed away on September 17, 2016.
3.The deceased died intestate, without any Last Will or Testament, and without
any outstanding debts or obligations, whatsoever. No proceeding in court, testate or
intestate, has been filed concerning the property(ies) and/or account(s) herein described
Account
below, which Name
was/were left by Account No.
the deceased. Nature of Balance as of
Account July 24,
4.The deceased left the following property(ies) and/or 2018 account(s) with
Michazel Lopez 330-3-330235919 Savings Php 120,101.07
Metropolitan Bank & Trust Company (METROBANK)-Cebu Capitol Branch:
Malana
5. I/We, as the sole heir(s) of the deceased, settled the deceased’s estate
extrajudicially and adjudicated the above-described property(ies) and/or
account(s) left by the deceased to myself/among ourselves pursuant to and in
2
accordance with Section 1 of Rule 74 of the Revised Rules of Court and other applicable
provisions thereof. I/We hereby certify that I/we have complied with all the requirements
provided under Section 1 of Rule 74 of the Revised Rules of Court (the “Rules”) as well
as under all applicable provisions of the said Rules and other laws, rules and regulations
regarding settlement of the estate of the deceased, and that I/we have paid all the taxes
due from the said estate.
8.I/We am/are executing this Deed of Release and Quitclaim with Undertaking
to attest to the truth and veracity of the foregoing.
9.I/We hereby finally attest that I/we have read and fully understand this Deed of
Release and Quitclaim with Undertaking as well as the legal implications thereof, and
that I/we hereby express my/our complete agreement and conformity thereto
willingly, voluntarily, without reservation on my/our part and with full knowledge of my/our
rights under the law.
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of Cagayan de Oro personally
appeared:
Competent Evidence
of Identity No.
Name (i.e. Passport/Driver’s Place and Date of Issuance;
Date of Expiration
License No./
SSS ID etc.)
Micha Chernobyl Lopez Malana Passport No. P3186630A DFA DUMAGUETE/Valid Until
25 May 2022
The said Deed of Release and Quitclaim with Undertaking consists of three (3) pages
including this page on which the acknowledgment is written, duly signed by the party(ies) and
his/her/their instrumental witnesses on each and every page hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of May
2022 at
City of Meycauayan, Bulacan, Philippines.
Doc. No._ ;
Page No. _ ;
Book No. _ ;
Series of 2018.