China Bank
China Bank
GENTLEMEN:
We, Diosdado, Jeffrey, Jovy, Jordan husband/ wife and children, respectively, of
deceased Jovena Empinado Sepe request to be allowed to withdraw the credit balance of account
number 1090915612 in the total amount of Php 200563.81 + 5,909.74 as of March 27, 2023 in
the name of the deceased, subject to six (6%) percent final withholding tax, without any judicial
settlement of the estate of the said decedent, and without waiting for the expiration of the 2-year
period within which any other heirs or creditors may file their claims against the estate of the
decedent, since the said amount will be used to defray part of the funeral expenses incurred at the
wake/ funeral sept of the deceased Jovena Empinado Sepe.
We hereby warrant that the deceased Jovena Empinado Sepe died intestate on February
28,2023 at Balut Tondo Medical Center as evidenced by a certified photocopy of his /her
Certificate of Death attached hereto as Annex "A". Also attached and made integral parts hereof
are the Marriage Contract between and Jovena Empinado Sepe and Diosdado Sepe Sr. and the
Birth Certificates of their children as Annexes “A” to “E”, respectively.
We also warrant that we are the sole compulsory heirs of the deceased and to the best of
our knowledge and belief, the deceased left no debts or obligations whatsoever in favor of any
person, natural or juridical.
_______________ _______________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the city of ____________ this _____ day of
___________ 20___ personally appeared the following:
all made known to me and to me they had made known to be the same persons who executed the
foregoing instrument, and they acknowledged to me that the same is their free and voluntary act
and deed.
This instrument consists of two (2) pages including this page wherein the
acknowledgment is written and signed by the parties and their instrumental witnesses, and refers
to Letter of Undertaking.
WITNESS MY HAND AND SEAL, I have hereunto set my hand and affixed my notarial
seal on the date and at the place above-written.